4 Articles; 2,805 Posts
Contact your manage ASAP and see if you can get a new preceptor. Give the example with the pump and what your preceptor did. If it is exactly as you describe, it was highly inappropriate, especially screaming at you in front of the patients. Try to keep your emotions out of it. If you are on day shift, see if you can switch to nights once you are off orientation. That will help with the tech situation. Don't ever let anyone see you cry again at work. They will rip you apart.
45 Posts
I am so sorry you are having this awful preceptor experience. I agree with the two comments above, you need to have a discussion with your nurse manager. You made a mistake and you learned from it. Pick yourself up and dust off. You are a good nurse!
Stay strong. Sending positive thoughts. Oh and a tip from a fellow crier, chewing gum helps you not cry.
9,051 Posts
In my organization, any type of staff outburst within an area where patients can overhear will generate an incident report. This type of behavior can have very serious consequences in terms of patient/family opinion of the care that they have received. It also contributes to loss of team effectiveness, turnover, . . . etc. It would also result in a formal counseling of the employee(s) involved. So I urge OP to take appropriate action as dictated by her employer's policy.
OTOH, if I interpreted OP's story correctly, she is a not-so-new grad and 5 weeks into orientation but having difficulty with a patient load of 3? That's very concerning. The manager &/or educator should be taking some action to get back on track - maybe changing preceptors? - to facilitaate OP's successful achievement of orientation goals before it's too late.
4 Articles; 2,805 Posts
718 Posts
In my organization, any type of staff outburst within an area where patients can overhear will generate an incident report. This type of behavior can have very serious consequences in terms of patient/family opinion of the care that they have received. It also contributes to loss of team effectiveness, turnover, . . . etc. It would also result in a formal counseling of the employee(s) involved. So I urge OP to take appropriate action as dictated by her employer's policy.OTOH, if I interpreted OP's story correctly, she is a not-so-new grad and 5 weeks into orientation but having difficulty with a patient load of 3? That's very concerning. The manager &/or educator should be taking some action to get back on track - maybe changing preceptors? - to facilitaate OP's successful achievement of orientation goals before it's too late.
Totally agree that the issue is more than just the preceptor not being very good at precepting. Yelling at another staff member is not acceptable. Doing so in front of a patient is really unacceptable.
OP needs a new preceptor. And she needs one ASAP.
As for your other point, yes, the patient load seems small, but if it's a specialty floor or one with high acuity, it might be a lot. Regular floors typically run 1:5 for day ratios at my hospital, but stepdown is usually 1:4 and on other floors certain treatments (like chemo running on the oncology floor or a heparin drip on telemetry) call for a 1:4 nurse-patient ratio as well. I think we need to know more before we decide there's a problem with OP's ability to care for a full patient load.
26 Posts
Thank you everybody for the comments. I have not been able to look at website. But I want to say that I have a new preceptor. She is very nice and knowledgeable; she has been working in the unit for 30 years. And she gives me more freedom to use my critical thinking skills. Before everything I tried was based on my preceptor's likes "I hope my preceptor would like this ..... Or what if my preceptor doesn't like that...â€.Currently I care for 5-6 pts. I still trying to manage my times better. But at the end of the shift everything is done. I feel so comfortable working with my new preceptor. I still have 7 more days of orientation. I started to feel so anxious about it. I heard that this is normal. Happy holidays!!!
not2bblue
127 Posts
ok you have a horrible preceptor. It isn't you. The other nurses said you were doing fine. Yes, take the bag off next time so you don't waste time bringing the wrong thing in the room and having to clean it when you take it out because it was contaminated by going in the room. Lesson learned. It would be more worrisome if it was the wrong med but this is how you learn. Go immediately to your supervisor and explain that you would like to get the rest of your orientation with another nurse so you can experience another's point of view of nursing. Maybe one of the others you have already worked with and know is a better fit. Briefly and objectively state that you don't feel your current situation is working out. You do not need to run her down, she may be friends with the manager, you may be making a huge mess by talking badly about her, and in any case, you still have to work with the woman after your orientation is done so you don't want to have permanent issues on the unit. Honey, it is hard but the only person you need to worry about thinking badly about you is your manager. You will probably be able to get back on the right side of the techs if you treat them like you respect them. But your manager relies on your preceptor's feedback so you need to head this off before she convinces the manager you aren't getting it. Tell her about the other nurses and ask her to get their input as well. The preceptor running you down to the others is unprofessional and you don't have to put up with that. But, as long as your manager is satisfied with you, once you are off orientation you can simply be polite to your preceptor but you don't have to use her as a resource anymore. Good luck!​