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Discussion

Failed RN Residency Program, Now what?

I completed 16 weeks of RN residency program, on the last day, they decided to let me go because apparently they said I was focused more on task oriented, although I prioritize patient safety first. My manager every day would get an update from me of how I did during the shift. At the end of the 16 weeks last day, they said "we don't know where you're at right now". Like WOW!? I always ask preceptors what I could done better every shift to improve myself, and I always give manager update on my shift and he decided to say that to me and let me go. So im like OK im not good fit for this unit anyway then. 
So my question is, if I apply to another residency program at another hospital. Should I tell them I got let go after 16 weeks of residency and would like to start again from my failure? Or should I lie to them that I completed my residency and decided to quit because I was not a good fit?  (but if I say this, wouldn't they think I'll be risking their money to train me?" 
What should I do? I got interview coming next week so should I tell them I got let go or lie about my completion of residency? (Which technically is kinda true) 

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    You never want to lie for any interview. You can be honest and upfront if he/she inquires about your previous residency. Another option is to keep the details regarding the previous residency simple and only elaborate if the interview questions require it.

    I'm not sure what unit you were on, but what did your managers and preceptors say you need to improve on? I used to precept back on the floor and new grads tend to have a full "task oriented" mind which is fine; however, doing nursing tasks is only 1 aspect of nursing. The other part of doing tasks is critically thinking about the next step, communicating with other staff, and working with the interdisciplinary team

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    OK well  now I'm scared what if they let me go ?

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    Perhaps your preceptors are waiting for you to 'make that connection' with the patient during your task encounter. Take a moment to talk with the patient, notice and comment on something about the patient that is specific, yet not necessarily associated with the task. Get the patient talking to see if there is some new information that can be revealed. Once the sharing begins, proceed with the task, but with a listening ear. 
     
    Hopefully, the preceptors are fair, appropriately nonjudgmental, and have your and the patients' best interests as one of the focal points of the residency. 

    I can't help but to recall my LPN-to-RN competency exam. My evaluator gave me report and told me that no one has been able to convince this particular patient to get out of bed in the two weeks that he'd been hospitalized....not even her. Not only was I able to get him to sit up in the chair, when I went back to check on him, he refused to go back to bed. Guess what? The evaluator failed me on that scenario for placing the amount of milk intake on page two of the care plan instead of on page one.
     

    That was Saturday, February 13, 2010. I'll NEVER forget it. That carton of milk was more important than the impossible being made possible. But the main thing is that I made that connection that got the mountain to move even when my evaluator (preceptor) could not. You can do this. Good luck, Guys!

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