I'm a brand new nurse and this week was my first week working at an internship program at a hospital. I wanted to get your opinions on some things.
First I had a patient who was "difficult" oriented to pp&t, my first interaction with her was I went to get a set of vitals on her and she SCREAMED that the BP cuff was hurting her as it was inflating.
I had felt her leg earlier to check for pedal pulses and there was nothing wrong with it and my preceptor did tell me that she was a screamer. I attempted to explain to her that it would be tight for a second and then would loosen and that we needed to get the vitals so we could give her her meds to which she SCREAMED more saying if I didn't take if off she would call the SBON. So thinking she does have the right to refuse I took it off and got my preceptor who proceeded to get her BP. EVERYTHING was an issue with this lady, she didn't want to take meds, didn't want to feed herself (altho capable she wanted someone to do it) I went out of my way to cater to her thinking she needed extra attention and that didn't help either. SO HOW do you handle these pateints? HOW could I have gotten the BP w/o getting my preceptor? I'm asking because I KNOW I will hav pts like this in the future and I can't just NOT get a BP especially on a cardio floor where bps & hrs are required for meds.
Second, on my third day with my preceptor (and these weren't even full days b/c it was the first week) she told me she didn't think I was as far as long as I should be skill wise. She said she called education to let them know because otherwise I guess they or the floor would expect her to still carry a full load of pts plus because their argument would be that she has an extra set of hands (me) when in actuallity she doesnt because she has to slow down to train me. I can understand and I really do like her I think she's very good. I just think that was a little unfair considering again it was only my third day on a new floor, and I just had been trained on how to input check orders on the computer etc.. and I was trying to pull everything together. As it was I was doing assessments, vitals giving meds. I am a little hesistant when it comes to some of the skills that I didn't get to do alot of in nursing school and I do expect her to be there for me AT FIRST but I think thats pretty normal. Also we do have other interns on my floor and I do not see them doing 1/2 as much as me at this point. Don't get me wrong I'm glad I AM getting to do more, its just yeah I'm a little nervous the first time I do things (i.e. hang blood) on my own. Any thoughts on this would be appreciated.
thanks, good luck to all those also starting.