Dear preceptor

Ok, so this is a vent. I apologize for the length of this post. Please note that this is not meant to be a general statement of my opinion on a whole group of people. Don't flame me. I'm mad and tired and don't have anyone else to tell. Nurses Announcements Archive Article

Dear preceptor.. I came to you smiling, full of energy and ready to tackle the last leg of my orientation journey, with your guidance of course. I haven't really gotten any inclination on where that guidance is at. You tell me what patients to take, and I take them. Then when I am at the bedside, communicating with the family (you know that rapport thing?), you decide that it is a great time to tell me *not to touch the patient*, or the machines for that matter unless you are there. What? I did not fall off of the nursing school wagon yesterday. I am new to your facility, but not a new grad. I did get a smug sense of satisfaction when the family told you it was fine and I was handling things.

I see that you do not have any intention of assessing my skill level or evaluating areas in which I need assistance. In your eyes, I have no skill level or even brain stem function because every action on my part is met by you with some sort of resistance or interrogation. You cant wait for me to come out of the bathroom before you call the doc... making me look like some sort of fool that cant call the doctor. Lo and behold the toilet flushes and I am greeted with 75 orders, all of which you *write* but make me *do*. Although I am a critical care nurse, and am comfortable with bedside procedures, it is *imperative * on your part to ensure that I am educated on sterile fields and how to open packages. That makes me feel so great, especially with the doc at the bedside.

Precepting with you has given me a great opportunity to practice dealing with "the cold shoulder, being aloof and unapproachable." I *know* that you aren't any of those things, just preparing me for when I run into someone who is. Thanks! I am now well versed in forced conversation, fake enthusiasm, and being lonely but not alone.

I have been practicing my mental, telepathic and psychic abilities... seeing as how there isn't any verbal interaction between us, its time to take it up a notch. *places fingertips to temples* Can you hear me now?

Here is an interesting thought. You breeze in, tell me how the lights have to be like this, and these lines need to be like this and so on. I am respectful of those requests. I like things a certain way too.. try to be mindful of that. The road goes both ways here. The same goes for documentation. Maybe you could ask me why I wrote a certain thing before you scratch it out and write error... although all the extra embellishments make my flow sheet look freakin fantastic, right?

When I ask you about something, especially when its a policy and the rationale for not following it... I just love when you get mean and flash those *knowing* looks to all your friends at the desk.

Precepting with you has been quite the experience, and as life goes, all things must come to an end. Now that our journey is finished, know that I will *never* forget you.

Love, your preceptee

Specializes in all kinds- intensive care my most.

i cannot figure out why some nurses are like this. did they forget that we all started new and required learning to be where we are today. Oh thats right, she was born "super nurse" wasnt she?

Specializes in CCU MICU Rapid Response.
What a great post! I wonder what would she say if she got to read this? :D Maybe you could share with the nurse manager? No one should be treated this way.... Thanks for sharing your experience!

I think the floor would open and swallow me.... lol. However... the look on her face would be priceless. ~Ivanna

Specializes in ER.

Hopefully things are much better now....my preceptor did her best to push me as far as she could just so she could tell me to my face and behind my back "that I couldn't handle being a nurse" I precepted with her while being in my third trimester of pregnancy....came off of her wonderful preceptorship and have done a fabulous job nursing....she showed me that she was exactley the kind of nurse I never want to be....were her assement and time management skills great, yes, was she timely with her work, yes,,,,but her bedside manner sucked....and I have found that because of her I am warmer, kinder and way more compassionate with my patients........because of her I think I am a better nurse...only because she was so mean and showed me what kind of nurse I never want to be...or have dealing with me, my kids,,,or any of my family members....I wish it would have been different, but as all things go...it passed, I moved on and treat everyone that I come into contact with respect and kindness,,,,unless the doc is really mean,,,then I let him/her have it,,,but hey you have to draw the line somewhere ;)....good luck girl

Specializes in Post Anesthesia.

I read a few pages but I have to respond. I'm sure you are a fine nurse with skills out the wazoo from all your previous critical care positions. I precept a lot of new staff- no, they will not talk to the doctor until I know thier clinical skills are sharp enough to tell the doctor what he needs to know- the docs don't see you as the patients nurse. If something goes wrong there first question is going to be "where was the preceptor, and why did they let this happen?" I can't tell you the number of times I have asked my preceptee what the doc said about this or that lab result and been told they didn't get around to mentioning that to the doc. AUGGHHH! I work post-op- I don't want to call into OR any more than is absolutely necessary- they have a few things going on in there that may require the docs attention. I have had so many "experienced" nurses who must have worked in hospitals where skill, judgement, and understanding were much lower on the priority list than they are in my hospital. I'm very protective of my patients- Yes, my patients. until you come off orientation you are taking care of MY patient and I have the ultimate responsibility to ensure they get optimal care. I do try to be supportive, and encouraging. I always try to ask "is my preceptee doing it wrong or just differently that I would do it" before I open my mouth. All that being said- please keep in mind two things- the preceptor who is doing thier job is required to be critical of your skills and judgement- they are training you. They can't assume you have the skills you need before you show them. Second, most of the nurses who precept do so because they are the most senior staff. They know more and have seen more than the other nurses on the unit. As a result they tend to hold thier preceptees to a higher standard than thier peers. If I precept someone, I expect they will know almost as much as me before they take over patient care- anything else is a disservice to the patient.

Sorry you had to deal with that...but it could be worse, my preceptor was not nice and deaf..and I was constantly having to ask questions very loudly and clarify infomation very loudly. If I tried to use my "inside voice" there was a lot of WHAT?? WHAT DID YOU SAY?? NO THAT'S NOT RIGHT! oh well, you just have to laugh and go on.

Specializes in ED, ICU, lifetime Diabetes Education.

When I ask you about something, especially when its a policy and the rationale for not following it... I just love when you get mean and flash those *knowing* looks to all your friends at the desk.

Love, your preceptee

Yeah, this I have experience a lot!

Shrugging**** Wow I got chills while reading your post..god why nurses have to eat their young so much!

Maybe we're just really tasty?

Specializes in Orthopedics.

Yuck! Glad you're free now! Thats the problem with nursing attracting type As so much. So many just can't let go of the control.

Originally Posted by Ivanna_Nurse

When I ask you about something, especially when its a policy and the rationale for not following it... I just love when you get mean and flash those *knowing* looks to all your friends at the desk.

Love, your preceptee

I must say that I came home tiered and exhausted having some heavy loads of pts. However, after reading the last part of your post, I thought about my own experience and decided to share few things! :behindpc:A month ago while I was in my med/surg orientation, I felt the same way. Is it really necessary to tell every damn CA/Tech/
RN
/Dr, that I was new to the floor or make some spiky comments. I wish sometimes, these veteran nurses remember how they felt as a new grad
:o

Specializes in CCU MICU Rapid Response.

I must say that I came home tiered and exhausted having some heavy loads of pts. However, after reading the last part of your post, I thought about my own experience and decided to share few things! :behindpc:A month ago while I was in my med/surg orientation, I felt the same way. Is it really necessary to tell every damn CA/Tech/
RN
/Dr, that I was new to the floor or make some spiky comments. I wish sometimes, these veteran nurses remember how they felt as a new grad
:o

Aayyyy-mennnn. Sleep well! Ivanna

Every once in a while, what goes around, comes around. I had a preceptor (although I had been a nurse for about a year) who yelled at me in front of the whole floor that I was uncooperative and was driving her crazy (because I kept forgetting to log out of the computer). She stomped off in a snit. This was my preceptor!

Fast forward several years, and I am now a specialty nurse. Great hours, somewhat respected. We have a job opening. Ex-preceptor applies for the job, and starts kissing up to me. Sorry, I can't possibly recommend someone for the job who can't control their temper with a preceptee.

Payback's a *****!

Oldiebutgoodie

Wow! This post has really generated some excellent conversation and thoughts. Tabitha, I so agree with you. The issues you mentioned seem to have become an epidemic in the healthcare industry and the reasons for it are multiple. I'm even more weary when I hear about this new Healthplan that is going to come out with the new administration. :eek: I think it's going to get more demanding and the shortages of nurses and Dr's will only increase.

Many things are out of our control but the one thing we can control is our attitude. It is difficult when faced with daily obstacles to providing the optimal care to our patients. I try to approach my nursing with a positive attitude and do the very best I personally can to make a difference daily. It is not always easy but all we can do collectively is try.

Nursing can be a double edged sword. There are so many rewards but the frustrations of doing our jobs the way they "should" be done can tear us down. There was recently a journal article that stated many nurses are going back to school to seek another career after just a year or two of being in the nursing field because of the stress. I'm glad that we all have each other on this board. When I have a bad day I can come here to a "safe" place to vent or just read someone else's post and know that I'm not all alone out there feeling this way.

Thanks everyone who wrote on this post, Lydia Phoenix, AZ