Published Jun 16, 2017
Pedsnurse1026
17 Posts
Today was my last day of orientation at a new job and I'm feeling less than great about it.
My last patient was a difficult stick and I needed to get assistance with the iv (ambulatory surgery). I have been working diligently to improve my iv skills but still am subpar compared to the others- I have around a 75% success rate (we do have sick, dehydrated patients who need 16s and 18s).
In addition, I was reprimanded by a dr for not drawing a type & screen. They were an inpatient and I was told it had been done in report, but yes I should have double checked. (The patient did get this drawn before going back to or, this just delayed them about 5 mins).
i am just feeling terrible about how it went... I haven't been struggling like this every day but I am overall feeling inadequate and it's hard when I'm used to feeling like I know what I'm doing.
Any advice?
Ruby Vee, BSN
17 Articles; 14,036 Posts
Today was my last day of orientation at a new job and I'm feeling less than great about it. My last patient was a difficult stick and I needed to get assistance with the iv (ambulatory surgery). I have been working diligently to improve my iv skills but still am subpar compared to the others- I have around a 75% success rate (we do have sick, dehydrated patients who need 16s and 18s).In addition, I was reprimanded by a dr for not drawing a type & screen. They were an inpatient and I was told it had been done in report, but yes I should have double checked. (The patient did get this drawn before going back to or, this just delayed them about 5 mins).i am just feeling terrible about how it went... I haven't been struggling like this every day but I am overall feeling inadequate and it's hard when I'm used to feeling like I know what I'm doing. Any advice?
New jobs are difficult, and if the new job also includes a new specialty that makes it even MORE difficult. to top it off, I'm an introvert and that makes it difficult for me to get to know my new colleagues and to become a member of the team. Since it's unrealistic to stay in the same job forever, learning a new job and getting to know new colleagues is a necessary evil. You just have to go through it in order to GET through it.
More practice will make you a better stick, and more experience will help you to make better decisions about getting a type and screen (or not). By the way -- did this physician remember to ORDER the type and screen or were you supposed to read his mind?
You'll get this. It just takes time.
The type and screen was not ordered. However it is protocol for this specific procedure so it should have been done