I worked in the PICU for 6 months right out of nursing school.
Just as a reference of what it was like...The unit hired 40 new grads within a 4 month period, 10 experienced nurses quit, 3 nurse educators quit. Through my 6 months orientation, I had between 15-19 preceptors; after a while, i stopped counting. I was told that this was due to not having enough preceptors. The whole unit was unhappy that there were so many new grads starting and many were forced to precept. Many made it vehemetly clear to every new nurse that they were a pain. We were talked bad about and treated as such. One preceptor yelled at me in front of the patient and family for recycling a blood pressure that was reading 174/100. Reason given was that I was standing by the patient so I was making the sedated/paralyzed pt anxious and thus giving the elevated BP, but also yelled at me for walking out of the room with a high blood pressure.
As for me, I never did well at standing up for myself and as my rotation of preceptors changed every week, my confidence plummeted since each preceptors did not approve of the prior ways I was taught. Each week, I had to gain the confidence of the new preceptor. I honestly lost complete faith in myself. My focus changed from being patient centered to focusing on making my preceptor like/trust me.
It got to the point where each decision I had to make made me so anxious that I was unsure of which line I should give zolfran. Prior nurses had made me sit down and back up every decision why I wouldnt choose the other line, so choosing the CVL or the Broviac had me frozen. Another instance, my paralyzed/sedated pt BP and HR shot up 30-50 points over 10 min. I had PRN pain meds to give and wanted to use them; my precetor at the time railed me for 30 minutes and had me sit down and make an INRS chart, explain each reason that could cause an elevated HR and BP. In the end, she did not want me to give the PRN pain med, so I didnt. HR and BP remained elevated until next dose of methadone/ativan.
I talked to my educator multiple times regarding feeling stagnant. I asked for an extension of orientation and a stable preceptor. I was told yes for the extended and no for the preceptor. Reason given was that I had to learn to ' trust all the nurses on the unit'. I also discussed how I was treated by some of the nurses. The educator told me I needed to 'get over it' and that 'it's a female domiated unit, and thats just how it is.'
As my orientation continued, my confience hit rock bottom and I made mistakes I should never have made. At the end, the unit decided to not give me an extended orietnation and instead asked me to resign or get fired. I chose to resign hoping I could hold onto my good relations with my educator.- Now, after 2 weeks of me asking her to stand up on my behalf, she has declined.
Now that I'm 1 month out of nursing, I'm having difficulty explaining to new employers my experience and reason why I'm not at the HOSPITAL anymore. Furthermore, my leadership wont act as a reference upon my behalf. I'm feeling scared and trapped as an inexperienced new grad who already practically got fired.
Please help me. I'm feeling lost and desperate. I feel like I've lost my dream career.