fairly new grad in private-duty nursing, question about orientation

Specialties Private Duty

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As a new grad BSN, I worked for six months in a SNF in 2010 before being terminated (long story that I could elaborate on but is not really the point of this post). I have been looking for a new job for about 2 months, have had several interviews with hospice agencies (which I would really like to get into), but no job offers; I don't have as much experience as they would like. I signed up for a home health agency that a friend recommended and went for my first day of training the other day. The child had a trach, a vent, and a feeding tube. My only previous experience with a vent and trach was one of my clinical days in nursing school over a year ago. After one 8 hour training session I was supposed to work independently on children with vents/trachs, but I did not feel comfortable being on my own after just one day. I asked for another training day and they are going to set me up with one. My question is, what kind of training is reasonable in this situation? I felt after one day that I was getting it, but needed more time. For example, I did not yet know where everything was in the home, as well as the documentation requirements of the agency (I studied the forms ahead of time but I feel like I need more practice), and wanted more practice with the new equipment. Is having just one day of training when you have not done this kind of work before the norm? One problem that contributes to this is that I find that adjusting to new environments takes me longer than other people (i.e. I am kind of a slow starter) and do not know what to do about it. I have overcome this in the past in other (non-nursing) jobs and been an excellent worker, but so far my nursing career has not gotten off to a very good start and I am discouraged. Any feedback and advice would be appreciated. Thanks.

Thanks Brillohead (luv the name:))!

Lots of good advice there, which I will for sure make use of. Really like that approach on the cleaning/cooking issue, and the need to focus on nursing-related activity during my shift.

In fact, that was one of my concerns... that I would be paid at nursing rate for unrelated duties and also that I would be claiming those hours as RN job experience. Both would be inaccurate and possibly unethical (?). I can see it's kind of a gray area. I'll check in this site for more discussion about that.

Although I could ask my clinical supervisor for her opinion, I hesitate because I don't want to come in as a new nurse and start upsetting routines. It sounds like a good way to stir up problems with the home and staff... Your suggestion is probably the best, the more I think about it.

Thanks again

To elizabethgrad09

I didn't intend to hijack your thread, but I learned a lot, so I thank you for your original post and the replies. I would love to hear how things worked out for you since your original posts.

Thanks!

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