Failure in Med surg

Nurses New Nurse

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  1. New grad and limited experience. Where would you recommend working?

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Hi all!

I am a new grad that just graduated in May of this year. This is my first job in the hospital setting. When I was looking for Nursing Jobs post graduation, I decided I would start in Med surg because it was the thing to do, my teachers told me that's the best place to start, and was told "if you can work med surg, you can work anywhere". (I do believe that is true.) However, fast forward 2 months into my new job, I have never been so miserable. I've been told by many that the first year of nursing is just that, but med surg is not where my heart is. I am still on orientation, but my preceptors and supervisor agree that med surg is not my thing and that it doesn't fit my personality. They are working with me to find a better fit as a new grad in a different department. I am compassionate, a perfectionist, and I really do care for my patients, but I would like to focus on less patients at a time (hopefully less than 6 at a time) unlike med surg. I am good with my patients and I love learning, but find that floor nursing does not fit my personality because I was told am sweet, caring, but I need to be more assertive/confident as a new grad (which I agree). I like a more relaxed environment compared to the med surg environment without everyone running with their heads cut off, mean surgeons/docs, and rude patients and responding to their frequent, sometimes unreasonable demands (even tho I know I will find that everywhere). I realize Med surg isn't for me tho I am trying to still find my niche as a nurse and I feel like CCU, home health, hospice, or surgery/OR is up my ally. There is a currently job opening at a hospital that I am looking at for the OR, but I am just testing the waters and I am wondering what are the pros and cons of these units? Do you look forward to coming to work everyday? Any information is truly helpful to me! Thanks!

Specializes in public health, women's health, reproductive health.

What you feel is not uncommon. I felt it too. Lots of new nurses do. At two months, if you felt completely confident and assertive, I might be worried about you. You gain confidence with time and experience. That being said, I don't believe in the idea that nurses have to start off in med-surg. The hospital isn't all there is to nursing and while I think you should try to stick it out for a few more months, there is nothing wrong in considering nursing outside the hospital. I know you must feel discouraged. Believe me, I've been there. I stayed at my first hospital job for about 7 or 8 months before I moved on to an outpatient clinic and it suited me much better. It was not stress free, but it was a different type of stress that I could handle better. I've since become a public health nurse and yes, I pretty much look forward to going to work every day. I don't go into work worried and stressed. Try to consider that there is a place for you but you will need experience to find it. You got through nursing school, so give it more time before you give up on nursing completely. Think of just one shift at a time instead of being overwhelmed by thinking of all the shifts you have to do. At two months, you are just getting started. Best wishes to you.

Specializes in OR.

here's an opinion from someone who did it bass ackwards. I started life in the OR. I was a scrub tech. Dived right into a leveL I trauma center (forget wet feet, try swallowing lung full of water...lol) Said trauma center sponsored me through nursing school for which i was very grateful. i spent a good chunk of my career doing the go-at-90-miles-an-hour thing until i couldn't go anymore. When I had to dial it back down several notches because i had no choice, I tried floor nursing. Like you, my heart was not in it. It wasn't mean docs. Surgeons didn't scare me, neither did medical docs. The OCD perfectionism in me was fine. Most OR nurses (heck most good nurses) have that trait.

My point is that while the floor may not be your heart's desire, in order to get to that place, you've got to do your time in the trenches. I pigeon holed myself into the OR While i have many great memories and had the opportunity to see and do some incredible things, when it came time to need to explore other areas of nursing i was at a major disadvantage. My year on the floor, even though it was a well run unit in a good facility was a hard, hard, not to my heart's desire experience. It has however opened up some doors to things that i would not have the qualifications to otherwise. It is tough, but stick it out. You may know that it's not where you want to spend your career but you need that stepping stone. Trust me when i say that.

The OP mentioned home health, I'd be personally be concerned working in a "Home Health Setting" as a new grad. and/or if I lack skills, knowledge and experience - for instance, IV start, complex wound care dressings, G/Peg tubes, etc... just to name a few.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.

It's probably not the work you don't feel cut out for, it's the working conditions. There is often a disconnect between nursing school and the real world which puts new grads at a big disadvantage. Med-surg may or may not be your thing but the problems you are encountering are not specific to med surg. They are pretty universal for new grads. A different area right now would be unlikely to provide a different experience.

Don't expect to like work right now, but every day find something to like about that day. Find some mentors if you haven't already and if you don't have a good sense of humour then for heaven's sake develop one. You won't survive long term without it. Wishing you all the best.

I would caution you about being too vocal at work regarding your unhappiness. Most people who quit 2 months in are burning bridges. If your boss is understanding that the floor is not for you, great. But remember she hired you to work there, and havin you quit or transfer is a loss for her department. Try to go into work and focus on what you do well. Sweet person? Male that elderly dementia pattent feel safe and secure. Detail oriented? Make cleaning up the kardex your thing.

Just don't burn yourself on your first nursing job. You're walking a tenuous line and I don't know if you realize it.

It is absolutely normal to feel like you got yourself into the wrong situation as a nurse. I think we all had some, "what am I doing here?" moments, so I empathize. However, moving on already may not be your best bet. Figure out where you want to get and how to get there. Say home health sounds great to you. You seem to want that one on one. Great! You can't do that yet. You cannot have the hands on skills or keen assessment required to be on your own with all kinds of situations. Do you know the subtleties of early systemic infection? How to place an ng tube on a confused person? Change a catheter unassisted on a 300 lb women? Of course not. That's okay! So work hard and learn a lot where you are right now. Learn what you need to get where you are going. And one more thing... you are not a failure. You are a novice. Set appropriate expectations of yourself.

Specializes in Neurosurgery, Oncology, Level 1 Trauma.

I hear these same comments and complaints from most new nurses. While Med-Surg isn't for everyone it is a great place to start, I did and love it, 7 years in I still enjoy my job. Some our best nurses talked about nightmares and sleepless nights before shifts when they 1st started, now 2-3 years later they come in and roll thru a shift like a pro.

Thank you all for your input! I am working on my assertiveness/confidence and I agree it's a vital trait in nursing. Also, thanks for the encouragement. I am a new grad and I definitely agree that there is a reality shock for new nurses vs. nursing school. My mistake is that instead of building myself up from the trenches post graduation like I should've done, I too went 90-miles-per-hour and found a job at a very busy, well known hospital in the town that I grew up in. The position was too fast faced for me and many new grads usually quit this floor on orientation due to that (I wasn't aware of this). After 2 months and still on orientation, I decided and have come to accept that I need to find something much slower paced. I am currently looking for a slower paced med surg floor (even though it's not where I would like to start out) or a nursing home. I need to do this to improve on my basic nursing skills to get that "med surg" experience. I really do realize that I need to start out at a smaller facility to get my feet wet even though my heart isn't in med surg (sigh), but it will be a good thing for me. Again, thank you all so much for your feedback. Right now I'm going to try my hardest to be the best nurse I can be and to focus on the positives of it instead of the negatives. One (or many) bad shifts doesn't define me and everything is a learning opportunity. If anyone has anymore feedback for new grads or any tips, please comment below I love reading your responses. :) It's so helpful to me.

Specializes in LTC, Rehab.

I didn't choose my job at a LTC/rehab center, nor did I intend to stay 4.5 years (not worth explaining either one :^) ... but you might consider something like that. You definitely won't have fewer patients, though, but the average acuity level isn't as high (although it can vary a great deal). I currently have 19 people.

Specializes in Geriatrics, Dialysis.

Don't give up on nursing completely quite yet. What you are feeling virtually every new nurse has gone through. Unfortunately the reality of working as a nurse is light years away from what you experienced in clinicals and much less rosy that the picture of nursing that was painted by your school.

A good school of nursing prepares you to learn to be a competent nurse, you will not be a competent nurse until you've worked for awhile. And yes, med surg is an excellent place to master the skills you will need to move forward professionally. It's not the only place though so if you truly can't learn well in that environment please do look elsewhere. If you do look elsewhere please don't leave where you are until you secure another position.

No matter where you land for your all important first real nursing job probably not all of your coworkers will be helpful while you are still taking your baby steps, so find the one's that are supportive and rely on them to answer your questions until you are ready to walk on your own. Hopefully you have a good preceptor during this time. Once you are comfortable walking on your own it won't be long before you are ready to run, just give yourself time to get there.

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