Have I made a mistake?

Specialties Ob/Gyn

Published

I'll try to make this as short as possible, but there's really no way to condense it.

When I went into nursing, I knew from the start that I wanted to specialize in an area that I could really try to excell in. I didn't know what area until I graduated (last May), but I finally settled on L&D.

To make a long story short, I love what I do. I love deliveries, the babies, my co-workers are absolutely wonderful ... BUT!!! When I started, cross training was the big thing in our area ( which I think is great ). I started out in nursery - spent about two and a half months there, then I went to post-partum - only spent a week there, then to surgery - where I witnessed all of THREE c-sections. I finally made it to L&D in September.

I had been in orientation for about three weeks when my partner for the shift called in. I was left on the floor alone by my manager who had told me that she would be around if I needed her. I had two deliveries back to back and was never able to find her! Keep in mind I am a new grad who had only been in L&D for about three weeks.

When I was started, I was promised at LEAST 8 weeks with a preceptor - I worked with her a total of about six days in my first month and a half - then I was taken off orientation! I was told that I was doing wonderfully and that I was ready. I DIDN'T FEEL READY! The next month (November) I went to the night shift WORKING ALONE!

My problem is that now here I am, in March, still feeling very scared and alone. Like I said, I love my job, but because I am alone so much of the time and still feel so new and like I missed out on so much, I feel myself dreading coming back in before I even start my days off.

I said that I saw a whopping 3 c-sections while I was in surgery - after that I was expected to scrub the d--- things! I was like - "Who the h--- are Bonnie and Alice??!!!!!!!" (teasing of course). Anyways, I think you get the picture.

Now I am starting to feel as though I made a mistake in going into nursing at all. I have tried telling my head nurse and the manager that I am scared, but all I ever get is a pat on the head, "You're doing great!"

I can't begin to tell you the times that I have been literally thrown into things - last week I had to work nursery alone and I was scared to death. It was my first time and my training in there was back in June of last year. I walked in that night and, of course, there was a c-section about to take place. I told my head nurse that I really needed some support because I had only caught the baby in a section a couple of times and that had been a year ago. Her answer? "You'll have Dr. with you, you'll be fine!"

My question is, Have I messed up? Am I being treaded unreasonably or am I just not cut out for nursing? I feel like I have the potential to be an excellent nurse, but why am I feeling like I just don't want to go on?

Thanks!

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
I hate to sound horrible but welcome to the real world. I have been in l&d two years and I work alone on the night shift, without centeral monitoring and no in house dr. or surgery crew. Hope someone don't come in abrupted,

then your hospital is violating AWHONN standards regarding staffing. BAD news. Someone better review those standards since you are held to them.

Once again, thank you all so much for the wonderful advice. The things I have told you don't even begin to describe some of the positions I have been put in. For instance, one night I was assigned as the only nurse in L&D for the night and was already dreading going to work. When I got there, there was only one baby and one mom on post partum/nsy. Guess what? BOTH the Nursery and post partum nurse were called off and I was left covering L&D, nursery AND PP. I had two O&E's come in that night and was running back and forth between PP and L&D trying to keep up with the baby and mom and my O&E's. Every night when I go to work, it's like something worse than the night before happens. I just wanted to be really sure that this isn't the norm. Our hospital has about 700 deliveries a year, so it is small, but not THAT small.

Like I said, In April I have some time off coming and I plan to spend a lot of it looking for a new job.

Thanks again!

(((HUGS))) to you. You've recieved some great advice by some wonderful nurses here already. I just wanted to share my experience- I was hired into an LDRP that does approx 800 deliveries/year right after graduation in 2003. I was given a 3 month orientation to postpartum (we don't have a wellbaby nursery), followed by 3 months to L&D. When I came off orientation, I wasn't quite ready, so I got ANOTHER 2-3 months of L&D orientation before I was "counted". I was later oriented to our Level 2 nursery.

I'm approaching my 2 year anniversary in a few months, and it's only been in the past few months or so that I have started to feel at all comfortable being "on my own", although I'm never really- we never staff with fewer than 3 nurses.

And they still don't count me as "experienced" when determining skill mix for a shift!

I know from reading here that I have recieved an exceptional orientation, and work on an exceptional unit, and I am grateful. Our new grads/new hires are babied a bit, because they want us to grow into safe, skilled nurses. And I wanted you to know that what you've been thrown into is NOT how it has to be!

I hope you take the advice of the others here and seek a job at a hospital that will also give you the orientation you need and deserve to be a safe, competent nurse. Good luck!

(((HUGS))) to you. You've recieved some great advice by some wonderful nurses here already. I just wanted to share my experience- I was hired into an LDRP that does approx 800 deliveries/year right after graduation in 2003. I was given a 3 month orientation to postpartum (we don't have a wellbaby nursery), followed by 3 months to L&D. When I came off orientation, I wasn't quite ready, so I got ANOTHER 2-3 months of L&D orientation before I was "counted". I was later oriented to our Level 2 nursery.

I'm approaching my 2 year anniversary in a few months, and it's only been in the past few months or so that I have started to feel at all comfortable being "on my own", although I'm never really- we never staff with fewer than 3 nurses.

And they still don't count me as "experienced" when determining skill mix for a shift!

I know from reading here that I have recieved an exceptional orientation, and work on an exceptional unit, and I am grateful. Our new grads/new hires are babied a bit, because they want us to grow into safe, skilled nurses. And I wanted you to know that what you've been thrown into is NOT how it has to be!

I hope you take the advice of the others here and seek a job at a hospital that will also give you the orientation you need and deserve to be a safe, competent nurse. Good luck!

Sarah's comments about the skill mix is something I forgot to mention. First, we never take a new grad into our LDRP (same size as the OP's). But even after someone "comes off" orientation, we never consider them to be able to really work alone (as competent) for at least a year. We, also, look at each daily assignment and look at the skill mix so that one experienced RN is never left with all newer people. We never staff with less than three either, unless there are absolutley NO patients on the unit at all and even then, someone is always on call and ready to come in at a moment's notice.

I think the responses here have driven home the fact that even when a unit is small, there is NEVER any excuse for poor, unsafe staffing. No one should EVER accept a job into a unit that staffs poorly or treats its staff as the OP was treated. There is so much liability in OB as it is and no one should risk their license. There are so many wonderful hospitals out there. It just takes some looking.

I was almost in tears :crying2: after reading your note. We have a small LDRP unit (3 rooms, about 250 deliveries/year). We always have at least one RN on the unit, even if we are closed, a 2nd is always on call.

Our orientation is scheduled for 1 year. 8-9 months on day shift, following preceptor's schedule, then 3 months on shift hired for. This coupled with weekly meetings with nurse manager to keep her updated with orientation goals and competencies. This is how I was precepted, I have been at the same place for 9 years. I LOVE IT.

Do not settle for a place that makes you hate your job. It is too great of a profession for one place to turn you off. Get out and find a good place to work, that will treat you like the professional that you are.

I just want to throw more support your way!!! You didn't make a mistake going into nursing! Find a hospital that will train you appropriately and you will see why you chose nursing.

I started working in L&D iat the end of November and I will be on orientation until the end of April. I have been a nurse for seven years, but I asked my educator to orient me as a new grad, as I have very little background with having to think on my feet and critical thinking. Orientation for a new grad in our L&D is six months.

Good Luck to you with your current job and best of luck looking for a new one!

I second that response. Nursing is too wonderful to throw in the towel. There are so many good units out there, good cohesive staffs and good managers. WE are not always lucky to find those in combination.

The poster above is very lucky to have such a good orientation. That's the way it should be on any unit. We are pretty lucky where I am (except for the effective manager part). Take the time to look around. You know what you do NOT want, so now you know the questions to ask when job hunting. best of luck. Be picky!

You poor thing! In the unit I work new grads are given about 6 months of orientation and I have precepted for as long a three months because the grad felt she needed it. I think your manager is taking a HUGE risk having someone so inexperienced, even if you are real good,alone on shifts. I think you have been done wrong and should try to find another job.

Don't worry, what you are feeling is completely natural, and I think most new nurses would feel the exact same way in your shoes. You were really cheated out of a proper orientation, and I still can't figure out why there would be only one nurse (you!) on any given shift instead of the 2+ I thought was required by most L&D units. You are in jeopardy there, and I'm glad you came here to ask some questions.

First I'd talk to your manager, and really express your concerns because this is about patient safety and liability. If there is no change, then I'd quietly go job hunting.

Also, to echo what begalli said - you did NOT do anything wrong.

Ditto! Putting a new nurse in a position where lives and/or licenses are at risk is a sign that something is definitely wrong there. Even experienced nurses need some orientation to a new place.

When you discuss this with the manager, observe that manager's responses and subsequent actions. If the problem is resolved, then all is (probably) good; if not, then (as stated above) quietly begin the search.

Ditto! Putting a new nurse in a position where lives and/or licenses are at risk is a sign that something is definitely wrong there. Even experienced nurses need some orientation to a new place.

When you discuss this with the manager, observe that manager's responses and subsequent actions. If the problem is resolved, then all is (probably) good; if not, then (as stated above) quietly begin the search.

write your nm a letter and cc it to her boss. in the letter, start off by requesting that this letter be placed in your permanent file with human resources.

in the letter, explain how you want the full 8 weeks of orientaion that was promised as a condition of employment. write that you only had x amount, and were then expected to go off orientation without your consent or without proper training. write that you feel the hospital has 'set you up to fail' (this is a legal term beleive it or not!)

keep notes of their responses in a record box at home. write down who said what and when. also write down if any other nurses witness their comments.

if you don't get a proper orientation after that, look for a new job. the facility is too lax and too dangerous.

good luck!

I'm sure you're discouraged but you've gotten some great advice here. Listen to it, don't drag your feet, it only takes one dead baby.

I too am afraid we'll see this happening more and more in the years to come. Hospitals are all too willing to put a warm body in an empty spot and not look at the whole picture. We as nurses have to stand up and protect ourselves. What I've found at our hospital is that the CNO has not idea what the manager is doing and HR is even more clueless. Not only do you need to put your concerns and examples as you've given us in writing to your manager, send a copy to her boss, the hospital CNO and the HR person. That should get some changes going.

You did not make a mistake by going into nursing. Hang in there and keep us posted.

Specializes in Utilization Management.

OK, I don't work L&D, but I was still upset for you after I read your post. I just want to add that you might want to look into getting some insurance.

http://nso.com/

Some of us are insured, some are not, very few will admit it, but nowadays, it's a smart thing to think about.

Wow!!! Don't just get more orientation, but raise an alarm in the community. As a patient advocate, the people of the community need to know that they are risking their lives to go to that hospital!!! The staffing there is a huge part of the problem. NO MATTER HOW EXPERIENCED YOU ARE THERE IS NO EXCUSE FOR ONE NURSE TO BE CARING FOR THE ENTIRE FLOOR! If any emergency happened anywhere someone's life could be on the line. This is a situation for an immediate call to the state authorities, JCHO, and the local newspaper. Wow. I would be terrified!!! I have worked OB for three years and have been put in some bad spots staffing wise (me alone with one mom and baby) but what you are talking about is out of this world dangerous. The public deserves to know that they are not safe there.

(I am totally not blaming you - you sound like a very contientious nurse to be so scared! But why in the world are the other nurses there putting up with this situation???!!!)

By the way, our hospital is much smaller (350 deliveries on a good year) and we are never staffed with under two nurses with a third on call if needed. (Try for a hospital where LDRP/nursery are all combined, there are more nurses available to learn from if you are all together instead of split into different departments!)

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