I am looking for advice...Brand new nurse, Brand new in OR. I am not sure if it is me, or this is normal. I'll attempt to keep it short and sweet! I have been in training for 11 weeks. After one month of training I was counseled because I was not anticipating what instruments would be needed, I was not prioritizing, and I was allowing my preceptor to do things. I would let my preceptor do things if I had never seen that procedure before ie. prep, get supplies in middle of case. If I have never seen a procedure, I cannot anticipate the unknown I was NOT sitting there eating bon bons, I have no problem saying I dont feel comfortable, or let me watch this time and next time you watch me..... Different preceptor daily, weekly.After 2 months of training, perform independently. Anticipating and prioritizing. Got rave reviews from preceptors, matters little to educator, other than being told you are where you are supposed to be.
Second rotation: 2 days with one preceptor whom goes on vacation. Rest of week, and next week assigned various preceptors back in first specialty, whom say "call me in the lounge if you need something."
This week...assigned daily preceptor in new specialty, I have 2 days experience in this specialty. No formal education as to instruments used in this specialty, procedures....only training received is location of instruments and machines. Preceptor walks in and says you are doing this all by yourself, I will just get stuff if you need it. I explain that I have never seen this procedure, and this is my third day in this specialty. To which she responds that I should know by now and be able to do it. Then she begins yelling that I need to get the sutures...so I go to get the sutures. She show up 45 seconds later saying I should be in the room and I need to prioritize because I can get the sutures later in the case...okay.... Evidently she gets paid not to teach, but to demean people for 8 hours a day. She left to take her break, and things went smoothly, I sent 9 specimens, documented, lights, sutures...etc. I dont know at day three all the instruments, sutures used and etc... She returns to sit on a stool and stare at me for the next two hours, not saying anything, not doing anything.
Turns out she took a break to go tell my educator what a terrible job I did, how I cannot prioritize and I was getting the sutures when I should have been getting the patient, which she told me she was going to do.
For me, it was shear chaos, she was raising her voice telling me 40 things at one time. I am frustrated because I am really trying. When I am being thrown with different preceptors in different specialties, there is no consistency, each preceptor has different expectations, different schools
of thought. So I was confronted by the educator whom told me that I should have been able to do this indepentently. I explained that I am still not very fast, I have never seen this surgery before and add to that someone whom is telling you to do 8 different things at the same time, it is impossible. Am I supposed to know everything by now?
I have never had a complaint from a surgeon, or resident. In fact I have received compliments from some of the most difficult to please. I never heard good job when I receive compliments from surgeons, or when I caught my preceptor handing off an expired implant, or when anesthesia was about to administer a med the patients was allergic to. Being a patient advocate doesnt really seem to matter here. But you see a case for the first time in your life, and you actually want your preceptor to help you the first time...Holy Makeral, you have commited a crime and they are going to let you know what a terrible nurse you are. There is alot of bullying going on here, intimidation, criticizing and threatening.I have had one great preceptor, she explained everything, then would wait and quiz you on it and again review if you missed something. She is what a preceptor is..a teacher.
I am frustrated because I really am trying. I was told that perhaps I should do what some other people do which is come into work early to set up the room, unpaid. I am usure if it is the hospital, me or the OR in general. Is their timeline of expectations correct?