Has anyone had a preceptee who already knows everything?

[Nola009]

If I remember correctly, I did my best to use my orientation periods to learn by doing, asking questions, and taking constructive criticism under advisement. I have just had my first experience orienting a new hire who is also a new nurse. She just jumped in 100%. Knows almost everything already except facility protocols. Eventhough I said that accuracy is most important, the main concern seemed to be speed. Very nice person, but just wondering how typical this is for a new grad RN? I know I wanted a little more orientation than what I got, which was 3 days.

[klone, MSN, RN]

As a brand new RN, no. As an experienced RN who was new to a facility or role, sure. That's how I learn best - by doing and having someone nearby to ask questions on technical or policy questions that I wouldn't know the answers to. But so many things are common sense, something I like to think I have in abundance, and I tend to like to figure things out on my own rather than ask questions on every single little thing I don't 100% know the answer to, as long as these aren't things that don't have potential safety ramifications.

As a new grad, I would be more concerned. How was her work?

[Nola009]

I had to stop her from making med error a few times on first day. I gave gentle reminders that 'I would rather you be behind than make a med error'. She made excuses, not saying 'oh, sorry', or 'oh, I could have done ___instead/next time'. I was just wondering where she already became all too concerned about speed. We are working in a LTC facility and I know the school she went to doesn't even have LTC clinicals. For someone so new, I just find this approach surprising. ?

[sallyrnrrt, ADN, RN]

i call them one day wonders.......... fortunately they are rare

remind her legal, bon , pt outcome resonsibilities, it might be the therapeutic roadblock she needs

[ChristineN, BSN, RN]

I had to stop her from making med error a few times on first day. I gave gentle reminders that 'I would rather you be behind than make a med error'. She made excuses, not saying 'oh, sorry', or 'oh, I could have done ___instead/next time'. I was just wondering where she already became all too concerned about speed. We are working in a LTC facility and I know the school she went to doesn't even have LTC clinicals. For someone so new, I just find this approach surprising. ?

I have seen some new grads like this in other settings, but regardless of setting this attitude can be dangerous. New grads sometimes don't know what they don't know. We had a new grad like this in my unit a while ago and she ultimately ended up getting let go as she was not being open to learning and was not applying constructive criticism she would receive from preceptors.