Dear preceptor

Ok, so this is a vent. I apologize for the length of this post. Please note that this is not meant to be a general statement of my opinion on a whole group of people. Don't flame me. I'm mad and tired and don't have anyone else to tell. Nurses Announcements Archive Article

Dear preceptor.. I came to you smiling, full of energy and ready to tackle the last leg of my orientation journey, with your guidance of course. I haven't really gotten any inclination on where that guidance is at. You tell me what patients to take, and I take them. Then when I am at the bedside, communicating with the family (you know that rapport thing?), you decide that it is a great time to tell me *not to touch the patient*, or the machines for that matter unless you are there. What? I did not fall off of the nursing school wagon yesterday. I am new to your facility, but not a new grad. I did get a smug sense of satisfaction when the family told you it was fine and I was handling things.

I see that you do not have any intention of assessing my skill level or evaluating areas in which I need assistance. In your eyes, I have no skill level or even brain stem function because every action on my part is met by you with some sort of resistance or interrogation. You cant wait for me to come out of the bathroom before you call the doc... making me look like some sort of fool that cant call the doctor. Lo and behold the toilet flushes and I am greeted with 75 orders, all of which you *write* but make me *do*. Although I am a critical care nurse, and am comfortable with bedside procedures, it is *imperative * on your part to ensure that I am educated on sterile fields and how to open packages. That makes me feel so great, especially with the doc at the bedside.

Precepting with you has given me a great opportunity to practice dealing with "the cold shoulder, being aloof and unapproachable." I *know* that you aren't any of those things, just preparing me for when I run into someone who is. Thanks! I am now well versed in forced conversation, fake enthusiasm, and being lonely but not alone.

I have been practicing my mental, telepathic and psychic abilities... seeing as how there isn't any verbal interaction between us, its time to take it up a notch. *places fingertips to temples* Can you hear me now?

Here is an interesting thought. You breeze in, tell me how the lights have to be like this, and these lines need to be like this and so on. I am respectful of those requests. I like things a certain way too.. try to be mindful of that. The road goes both ways here. The same goes for documentation. Maybe you could ask me why I wrote a certain thing before you scratch it out and write error... although all the extra embellishments make my flow sheet look freakin fantastic, right?

When I ask you about something, especially when its a policy and the rationale for not following it... I just love when you get mean and flash those *knowing* looks to all your friends at the desk.

Precepting with you has been quite the experience, and as life goes, all things must come to an end. Now that our journey is finished, know that I will *never* forget you.

Love, your preceptee

Specializes in obstetrics.

NeoNurse~the fact that your orientation has been extended isn't a reflection of your abilities~low census and struggling with an ineffective preceptor are contributing factors. Ask for the orientation time you need, and please don't let that nurse push you away from NICU. I hope there are kinder, more compassionate nurses on your shifts who will be good go-to people for you. Hang in there!

I graduated nursing school in May, but I was a Surgical Tech before nursing school its the samething, they think that there is only one way to do things!!!

I found that many nurses are just miserable, especially the ones who work night shift they come into work with there issues and leave in the morning with them and u have to suffer with them for the 12 hrs..

They act like its everyones fault for A. picking a loser for a man/husband B. Children are out of control cause they r to busy trying to keep up with things they could not afford if they only worked one JOB!! C. Before they chose this profesiion they knew it was demanding we experience that from the first they of clinicals so I don't understand what is the problem!!! They r just miserable and want to mk everyone else miserable.

Tabitha-

Thank you,

Your article made me reconsider my attitude when i take report from the ER(i work in the MICU). There are times where i get really frustrated when the nurse can't tell me the vent settings or why she/he didn't treat a low K or, like last night: why the hell she didn't ask the Doc to change the septic, and tachy, patient's presser from dopamine to neo.

Maybe that nurse was having a crazy night and was getting slammed left and right. Maybe she had a cranky Doc, who doesnt take kindly to vasoactive suggestions. Maybe she did all she could just to keep the patient from coding again.

I get frustrated and ****** off when i have a Doc yelling at me for things that i "missed" and here i go and do the EXACT same thing to another RN...

As nurses it is our repsonsibility to intervene in situations like this. Most of us have been in your shoes and you would hope this would guide us how to influence another nurse new or not. Sometimes we are our own worse enemy.

Specializes in numerous.

As difficult as it must be to tolerate her acting out like that maybe view it as an opportunity to use her as a model of what you never want to become. I have met nurses with similar erratic behaviors. Who needs their abuse? I also believe that you should confront her.....pull her covers about her actions in a diplomatic honest manner.I am sure the administrators put the newbies with her and figure if they can survive her then they are fit to work there. Sad.

Specializes in Home Health, Hospice, LTC, Acute.

I have precepted many, many nurses in my time, and unfortunately you hit the nail on the head. For some reasons, as nurses, we tend to 'eat our young'- even if they are not 'young' in age, they are the newbies. I have fought against this concept for so many years. As the leaders in a unit or facility, we need to quietly assess the capabilities of the 'newbie' and work on strengthening weakness, not running them out the door. Too many great nurses have been pushed out of a new situation because of preceptors just like the one described here. If you are not preceptor material- then just DON'T. Allow the other nurses to do the job. I have always felt that a warm welcome and the chance to prove themselves is the way to approach a new nurse to an area, or even a new grad. You don't know what a person can do unless you let them prove themselves to you. I am sorry for your experience and I hope a lot of nurses read this- because we need to hear it. It reinforces me to make sure that the 'new guy' is welcomed and trained appropriately- after all we need a TEAM to make it work. It is all about the PATIENT and without a team approach, that patient may be forgotten!

I think that this is such a sad reality in nursing. When I began nursing I was a PCA, and part of the reason that I wanted to educate myself further was for respect. PCA's are the low man on the totem pole and crap always runs downhill. Since I've been an RN I realize it runs uphill and sideways too. Horizontal violence is one of the biggest problems nursing has, and until we can unite and be peaceful among eachother, there is no way we can unite to face the problems on our unites with cutbacks, increased pt ratios, overtime, burnout etc. Right now, on the floor it is dog eat dog, there is alot of favoritism, and I think that these preceptors may think that by shining a light of negativity on someone else they take the focus off their own shortcomings, keeping them in the manager's favor and keeping their brown nose status. It is not the best nurses who are rewarded for their work, it is the ones who keep management informed and act as 'stool pigeons'. I often think the only thing that matters to anyone is whether I will show up on short notice to cover their butts because they are always short, it doesn't really matter if I do a good job when I get there.

Specializes in Geriatrics (for now).

I love this "letter". It sure does hit the nail right on the head, but it goes for a lot of nursing or any staff in health care. I am a recent grad, I have worked in acute care as a CNA but only LTC as an actual nurse, I am terrified to go into a completely different setting, with new faces, procedures, and being "green". Personally, I feel like I still need that person behind me saying, "yes, do it that way". So, that being said, I don't want to be at work (a new orientee) any more than anyone else does, so lets make this a good day!!!! I wish it was that easy!

Specializes in Numerous.

I have experienced that type of negativity more than a few times from other nurses. One thing I have learned is that it is easy to become part of that negativity and lose focus of what matters (optimal patient care). As difficult as it may be to do this I recommend to NEVER "take the bait" do not allow that person to"hook" you into their perverse behaviors and just try to let it roll off of you. I believe that for me I can always learn something in any situation especially about what you DO NOT want to become: petty and bitter. Just set the highest standard that you can set for yourself and be consistent.I believe that it is important to be neutral and flexible when you have to interact with difficult people. Our lives and our time is precious so we owe it to ourselves to make the best of things. I would try to communicate in an honest diplomatic manner with my preceptor and convey that I am an asset to be utilized:):twocents:

Specializes in CCU MICU Rapid Response.

I just wanted to say thanks to all of you who have read, understood and offered support. It is lovely to see that I have the support of you gals and guys. :) Thanks a bunch, and Happy New Year! ~Ivanna

Specializes in Med-surg ICU, Adult psych.

Wow - after reading everyones responsed I must say I feel blessed to have had such fabulous preceptee expriences.

However I have been witness to some terrible precepting, and your letter Ivanka reminds me to actually see the person I am precepting, not just the "newbie".

find the silver lining.....you now know how NOT to act when you are in her shoes She seems to have been trying to gain notice by belittling you ...very sad is the person who trys for acknowledgment at anothers expense. Lesson: always respect your supervisors, peers, your CNA's , dietary , housekeeping and especially respitory staff ( don't forget your patients & their families.... NOT IN THE WORK PLACE...THAT WOULD MAKE YOU WORSE THAN:bowingpur HER. HAPPY NEW YEAR