I graduated in Dec 2002 and am currently in orientation for a RN postition. I have been in a classroom for a week and will probably have 2 more weeks before getting to step onto the unit I will be working on. I was just wondering if this is the way most hospitals do this.
The thing that bothers me the most is I did clinicals at this hospital as a student and they let us do procedures, chart, meds, etc under our instructors or preceptors supervision and now they act like we have never even stepped into this hospital before and are going over every little thing with a fine tooth comb.
Personally I feel we shouldn't have to go over every little thing like we are back in school. Let us go to the floor assigned to another RN and get on with the show. I know I don't know everything but I am definitely not clueless either.
I hope to hear from other new grads and their orientation experiences.
Jan 19, '03
I would guess it is probably for accreditation purposes, we all had to do the same thing here. Just try to think of it as easy money and a nice review for now...
Jan 19, '03
Just because you did your clinical there as a student does not mean that you don't need the orientation...there's a big difference between being a student assigned to a pt and being a staff nurse.
There may be people in your group who did not do clinical there; they can't possibly make orientations that individualized. Be glad for the extra review time; many institutions try to shortchange grads when it comes to orientation.
Jan 19, '03
I agree use the time to get really familiar with their policies and procedures. Even if you dont need all the procedures gone over there will still be some that you didnt have any experience with in clinical. Be patient.
Jan 19, '03
There will be plenty of time to talk about your work as a staff RN. For now, take the breather, it may be your last for a while...sit back and enjoy it.
Jan 20, '03
I also graduated December '02, and am to start my orientation as an RN next week, and I know we start off doing 2 orientation days, 2 'super-numery' shifts, one more orientation day, then that's it........we're on the wards and on our own!!
Jan 24, '03
I graduate in May and I chose the hospital that has the LONGEST orientation. I realize that school is so much different than the real world of nursing. The orientation covers hospital policy and protocol just like any other orientation would but you also go on the floor for four hours care for one patient, do documentation, meds etc. and then you are evaluated on your strengths and weaknesses. The orientation is a mixture of classroom and "clinical" I look forward to it and most of the students who graduate from my college work at that hospital because of their excellent orientation/preceptorship
Jan 25, '03
i am in the exact same position as you. i graduated in december and a few of the hospitals have a similar type of program. one has a 5 week orientation: 1st week general orientation, like any staff; 2nd week nursing orientation in class; 3-5th week rotated on medical, surgical and then cardiology. the for the rest of the probation peroid (the remainder of the 3 month time) you have to be in float pool , so no choice of the floor you want. then after 3 months, you get to apply as an internal candidate to whatever position. this is a new program they started since last fall to help with retention.
another hospital said orientation was 6-8 weeks, depending on the specialty.
actually, i am very happy that hospitals are offering this type of thing. i really feel i need it.
good luck! we'll get there!! we're RN grads now!!
Feb 3, '03
I am a new grad on RN orientation also but mine is on the floor.I have six weeks with a preceptor.I am on my fourth week and they worked me up to a full load now and my preceptor is there to answer any questions I might have and help me with the computer or anything I need.She is not assuming any of her own patients right now.When I only had a few patients she accepted the rest of the assignment but now her job is to help me prioritize and do things correctly.My biggest problem is just trying to figure out where things are when I need them.Also with the computer as a student we were limited to what we could do and now I have to edit things and put in a plan of care and all these things I didn't do as a student. Of course prioritizing is a biggy on a medsurg floor.All in all I would say my experience has been a good one!
Feb 13, '03
I went through a two week orientation period too. I guess is a protocol before you start working at a floor.
Feb 13, '03
I was really glad to see this thread. I coordinate our new grad program and have to follow the outline of topics decided upon by a group of the educators from various hospitals within the company. And there are many points where I disagree with the curriculum. I am looking forward to hearing more about what you like and dislike about your programs.
There are 15-20 hospitals owned by our company in about a 100 mile radius. We use a standard curriculum so that a new grad from any one of those hospitals can be sent to any company sponsored new grad program and the employing hospital can be assured they will receive the same general content. It makes it possible for us all to be more accommodating to new grads who are ready to start working at varying times throughout the year.
I think our program is somewhat redundant to what you have learned in school. Parts of it are seriously redundant. I fought the battle for awhile and finally decided it wasn't the hill I wanted to die on.
What I do when we have new grad here is to try and make it as different from what is given in school as possible. By that I mean I try to tweak the topics. For example, Peds is done by our NICU CNS, geriatrics by our NP who works with our largest geriatric population, IV therapy is done by two critical care nurses, Cardiopulmonary by an open heart nurse who is so good I have changed the day she speaks so that our new grads in L&D will get a chance to hear her speak about what you see in real patients. ocumentation is done by the nurse in Risk Management who does all the chart review for errors, incident reports, etc,
The benefit of everyone going through the same didactic prgram is that we as the hospital know that you all heard the same information. Equipment does vary from hospital to hospital. We want new grads to feel as comfortable as possible when they get to the floors.
There is also something about the bond that can form among each group of new grads. These are people who are going through the same things in the same place at the same time. Your new grad group can be a wonderful source of support and sympathy in the stressful weeks of orientation and beyond.
Mar 15, '03
I was a graduate nurse this Dec. MY oreintation was 12 weeks and then you get counseled to see if you need more. I don't and tomorrow is myfirst night by myself I am so scared. I mean are they crazy?? I just graduated 3 mos. ago I just passed my boards a week and a half ago and I work in a 20 bed ICU. We have the sickest population and they want me to do thi on my own??? I am so scared.
Mar 24, '03
HI, I also graduated in Dec '02 and I just finished my last day of orientation. I have to admit it was rough at first, I wanted to be more on my own and I was feeling like they were watching my every move. But to tell you the truth, I am a little nervous about being on my own. I will be working 12hr shifts weekend nights and we average 8-10 pt apiece on a med-surg unit. Last night I had a pt who was dying, one who had coffee ground projectile emesis, one who was mentally challenged who was unsteady walking but kept getting out of bed and 5 others who DID NOT sleep through the night. It was hectic but I'm still standing! I know that I can always ask for help, but after orientation is over, the expectations change. I wouldn't rush it just be a sponge and soak up all that knowledge!
Must Read Topics