Where to start...I just graduated from nursing school this past May. I worked as a CNA at a SNIF during my last year of school and they offered me a per diem RN position when I passed my boards. However, just days into my orientation they begged me to fill a full time position that had unexpectedly become available...So, here I am fresh out of school and 3rd shift supervisor. I don't know about other facilities policies but mine requires that there be at least 1 RN in the building on 3rd shift, and because most of the third shift staff are LPNs I will be fulfilling the requirement. So not only will I be responsible for my 60 bed long term care unit but also in part for the 50 bed rehab/subacute care unit. A whole lot of responsibility for my first RN job..although usually a very confident person I find myself feeling somewhat overwhelmed.
My main concern is earning the respect of the other nurses as well as the aides and others I will supervise. I often feel that the nurses second guess me on a lot of things or discredit my concerns/assessments etc, which is not only discouraging but also frustrating especially since they have told our DON that my skills are far better than they would have expected being that I am a new grad. Now I understand they have the right to challenge my judgment and I am ok with that but they do it in a way that is very belittling. For example a resident developed a boil so I cleaned with NS and applied a warm compress for 15 minutes (just a facecloth moistened with water from the sink in the patient's room inside of a bag) so when reporting this to the unit manager in the morning she stopped and yelled at me right at the nurses station because unbeknownst to me and all of the other nurses on shift nurses are never allowed to apply heat...EVER.
My next biggest concern is being an effective leader on my unit...since I was a CNA at the facility before I became an RN I have found it hard to transition into a role that requires me to supervise the people who were previously my piers. In addition I am far younger than all of the aides and I can sense that a lot of them feel that my requests and expectations are somehow less credible because they are coming from a 21year old new grad nurse.
Ok I know that was a lot to take in...but I would appreciate and any advice that anyone is willing to offer!