Orienting a new hire - issues - page 4

i am currently orienting a new hire rn. i work on a telemetry floor at a community hospital. the new hire is from a large magnet hospitals respiratory floor and has 4 years experience. i have oriented her two nights and the... Read More

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    Glad that she did better but being overtired runs with the territory. I hope she does do better with her attitude issue and being off orientation. Precepting is not a easy task and I hope that it doesn't discourage you from continueing to orient after all this. Spotting someone's weak area's and following up on them is great. I would love to know how she does on her own. Hopefully with more time under her belt, it will improve.

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    Quote from teleRN08
    There was a definite improvement the next night. She stated most of her defensiveness was her being "overtired." I spoke with the manager again and she stated she still planned on having her come off orientation after the next night and will have a meeting with her in a week or two.. We will see.. I still have concerns over this because her bad attitude did come out again on the last night of orientation. We shall see how things go now that she is off orientation. I'll update in a week or two again.
    I need to ask a question of you and I hope you do not think I am sexist, But do you think it could have been that time of the month. You understand that I can only go by observing my wife and other women. I have notice that sometimes the days building of to their period women become cranky. Sometime my wife became most unpleasant to be around. in all seriousness, could it be that?
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    I have no idea Merlyn. She stated she never works back to back nights (which is what we did). In her last job she would swap with nurses to work on-off-on schedule. However, that shouldnt be an excuse either, as every weekend is a two on type schedule. At our facility, nurses most likely won't swap because no one on our night shift likes an on off schedule like her. I hope things work out though. I'll keep everyone posted.

    I do love orienting. It's a great experience. I'm currently getting my MSN in nursing education
    Merlyn and Over-the-hill-Nurse like this.
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    These types of nurses are difficult to deal with: you find that they are spot on in some areas, and lacking in others. Any feedback you are giving her is met with defensiveness. That is challenging.

    Take some time with her in a private setting and tell her that you don't want her to feel that you are picking on her because she has proven to have some great skills. Tell her that you want her to succeed on the unit, and there are a few things that you would like to help her with in order to succeed. Mention one or two things that need improvement and then ask for her opinion.

    "Mary, I wanted to talk to you today about giving report. The flow of your report should be logical and factual. I see that there are a few things that you are leaving out in your report. Would you like to work on a checklist or a sheet that you can work from to give a more clear report? I would be happy to develop that with you. You have a great deal of knowledge and perhaps you need a more focused and detailed worksheet/checklist to help you gather your thoughts for report. What do you think?"

    This is a clear cut way for you to state your concerns without putting her on the defensive. You are at once acknowledging her strengths as well as pointing out her challenges-which you will offer assistance to overcome.

    Precepting is difficult, no doubt. To be a preceptor is to be a leader, and sometimes leaders find themselves in uncomfortable situations when it comes to giving feedback that isn't well received. Recognize that your orientee is new, and being new is always awkward. State that fact to her, and let her know that your position is to help her to succeed. It is very likely that she will be receptive to you and respect you for being forthright.
    Over-the-hill-Nurse likes this.
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    Quote from Merlyn
    I need to ask a question of you and I hope you do not think I am sexist, But do you think it could have been that time of the month. You understand that I can only go by observing my wife and other women. I have notice that sometimes the days building of to their period women become cranky. Sometime my wife became most unpleasant to be around. in all seriousness, could it be that?
    A valid question, but moreover, I wonder if it is just anxiety in general that is prompting this new orientee to be defensive. It could be that this new nurse doesn't have a healthy coping mechanism to deal with the anxiety of change. It is extremely stressful to orient to new surroundings, a new unit, new co-workers, new docs, a different patient population. She may be trying to prove her worthiness by overcompensating with made up answers. She is clearly scared, and the only way for her to overcome that is to feel safe. If the OP and the orientee can have a discussion regarding her performance and a reasonable plan to target her challenges, she may very well be receptive.


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