First month off orientation...reflections..

Nurses New Nurse

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I'm sure that, since I know so many who were hired around the same time I was, there are a lot of new grads out there who are about a month off of orientation. I'd love to hear about your overall impression! Sharing makes me feel better. So far...it's going okay for me. Here are my reflections:

I work days right now. Every evening prior to a work day I feel like I'm going to be sick. Heck, every time I think about my next work day I feel a little woozy. I complained about this to a coworker and she said "Oh, that sounds about right! Completely normal." It made me feel so much better. I'm glad I work with people who will listen to these concerns.

Everyone keeps saying "Give yourself a year!" "You'll never forget this first year." I wish I could magically wake up next year - with all the experience, of course.

In a way, I think the anxiety is a blessing. My constant cross checking and self doubt drives me to ask for help when I need it. I've asked some really really stupid questions.

I'm not going to lie and say I have made no mistakes. Some days are worse than others. I know I'll make more mistakes in the future, though I go to work each shift and say to myself "Today - one thing at a time! Do your best!"

There's a lot I have to improve on. A lot. I get so mad at myself when I realize I missed information in the chart or look at the EMAR and see a med is late. I'm surprised by how time flies. I feel like there must be a wormhole through spacetime from the 8:00 hour to 12:00 because I sure as heck always look up at the clock at noon and wonder where the time went.

It's all worth it when I get one sincere 'thank you.'

Damask, I feel your pain. I feel like everything you've said has reflected my own feelings, time flying, forgetting things, interruptions, consults... etc. MANY meds I do not know, and takes me several encounters for it to really stick in my mind. Med passes take fooorrreveeer for me. One med error... never again. I am still on orientation, about 10 or 11 shifts now (plus I was an extern for a total of 6 shifts), and I'm feeling pressured to be off now because we are moving to EMR in less than 2 weeks. Totally not ready. I thought that I was progressing slowly despite what my preceptor says, but from reading other threads, other hospitals offer a lot more time for orientation. Yesterday was torture, felt like crying for the first time. I'm just lucky that my fellow nurses are super supportive.

And I did keep my med-surg book from school too! I thought I might need it and I do! I just wish there was a tele book that I could get.

Specializes in cardiac, ICU, education.

Love your post OP. I am a coordinator for a nurse residency program and I am going to share this post with them if you don't mind.

Specializes in Hospital Education Coordinator.

I would be physically ill before a shift that first year. It is a stressful job but think like this: you must be a good, caring nurse or you would not be working up such a lather stressing about doing things right. I wish you peace.

"and i did keep my med-surg book from school too! i thought i might need it and i do! i just wish there was a tele book that i could get."

if you're smart you'll keep many of your books when you graduate. you'll be buying more as the years go by, too. here's a recent thread on what books people have on their shelf at home:

https://allnurses.com/nursing-student-assistance/what-books-do-757103-page2.html

as for tele, here ya go:

amazon.com: basic arrhythmias, 7th edition (9780135002384): gail walraven: books

Is the paperwork the most overwhelming part? All the different forms, the interdisciplinary stuff? I'm only orientating in LTC right now- day two of orientation- and though I'm not really sure if I like it or not, I find myself thinking that I probably am at my comfort level because the skill level is LPN and not high acuity nursing skills ( and I have NO prior experience beyond nursing school clinicals). Even the little bit of paperwork we have is new and frustrating- til I get used to it. All I could think today is how completely overwhelmed I would be in a hospital doing the procedures and high risk drugs and all the charting and paperwork!!!

I will probably move on to the hospital setting after a year or so. Need to lose some weight so I can survive a 12 hour + shift first! My current 8 hour shift is killing my feet right now! lol

Specializes in PDN; Burn; Phone triage.

I've been off orientation (which was 3 months) for a little over five months now.

I quit feeling physically ill/nervous/anxious before going into work with every shift at about three months off orientation (so the sixth month mark).

Eight months in, and I still get very nervous and a bit sick to my stomach -- but it's a more rational, controllable nervousness that comes with certain situations. Big burns. Post-surgery recoveries. Crumping patients. Codes (!!! obviously). Still with technical procedures that I'm not comfortable with and often when or when not to call the doc.

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