I was hired for night shifts on a busy trauma/step-down unit... and I am also sent to day shift for 2 weeks with my boss (clinical preceptor) Today was my second day... and I HATE my job. I was on the verge of not liking it when I was on nights.. but I barely got out the door today before I was in tears.
I was with a regular nurse yesterday... and she kinda threw my own patients at me.. and told me to ask her if I needed help. Well, I'd never discharged anyone.. so she was annoyed when I asked for help doing that... and then I had a few other questions during the day ( on admissions and some charting issues when admitting/dc'ing pts) Why are we on orientation? I really dont get it. We might as well just be thrown out there on our own. So I got through yesterday ok... and was back today for another 12. Today was 10 times worse. My clinical preceptor was with me.. while the nurse that i had yesterday didn't take a team again because I took it.
I've never been told anything but good things since I've been on night shift. -that they're impressed with how well i'm picking up things, my charting is good, etc.. and I ASK for them to tell me what I can change or if I need to add anything. And then I"m eatin alive by the nurses on day shift.
So today.. the CP made me stay in the morning after report for an inservice on braces.... which made us start late getting assessments done. Usually.. I'm done with assessments and charting by 9. I didn't start til 8.. I saw everyone.. and went back to start charting and she said that I was too slow.. that I would drown if I had more pts. During all of the assessments I had a pt being sent to the OR with a BP over 200's and another pt having panic attacks along with pain issues and another pt with cont. pain issues. So, never having sent ANYONE to the OR.. i had no idea how to complete and chart the preop check list in the computer. Which I guess I"m just supposed to know.
So anyway, this continued all day long. I got reamed by everyone... and my one pt with panic attacks was out of control. -Which i think was just psychological.. ( bp 98/46 hr in the 70's and pain 10/10 ) Call me crazy.. but those aren't physical s/s of pain. She can't breath but her oxy. sats are 99 on room air. So anyway, I spent most of my day with her.. along with trying to juggle admissions and other pts with pain 'out of control'
Back to my original question.. why are we on orientation? The nurses on day shift are older.. and NO ONE likes to help you. Your phone is ringing off the hook the entire day with doctors and pts and families. I hate it. At least on night shift the people are so willing to help. Its entirely different. If something is happening with your pt.. the nurses come and do whatever they can do to help. I thought I could handle days until today. I hate having people watch over me ( which makes me disorganized in itself ) ... even when I'm charting. I can't write and THEN have her come check everything.
Ok, well that's my venting for tonight. Sorry.
Days suck in my opinion.. and I can't wait to be off. I hope I never treat a new nurse or a student the way I've been treated today. How are we supposed to learn? Or I guess we're just expected to know everything. I like the schedule of days.. I actually get to see my husband for a few hours.. But I can't wait to return to nights. even if my body hates it. Sorry to be so negative tonight.