I think I'm going to be let go from Orientation :((

Nurses Career Support

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The title says it all...

As a background, I am 22 years old and graduated in May from a top-tier BSN program. I got a job at one of the best hospitals in the country and graduated from school with a GPA > 3.5. The point is, I sound awesome on paper. Everyone keeps telling me "how smart i must be" to have accomplished this much at such a young age.

On the other hand, in real life, I am an extremely slow hands-on learner. Parts of nursing school were rough for me because I was more anxious (I have an anxiety disorder that gets exacerbated by anything nursing related) and because I'm more book smart than hands-on smart. Clinicals were rough for me, but I somehow made it through.

At this hospital I'm at, I'm on my 6th week of orientation on a very fast paced med-surg, tele floor. 2 of the 6 weeks I was in a sit-down style orientation (almost like nursing school) with the other new grads. So, I really have been on the floor for 4 weeks although I'm technically 6 weeks into my orientation. The thing is, I'm expected to be able to handle 5 patients on day shift and 6 patients on night shift. I'm currently at 4 patients but struggling.

My last shift, my manager said "hi ______!" in the morning all enthusiastically, but then later on in the day he saw me and avoided me/looked down at the floor. At the time, I didn't even think twice. He is the manager after all, and I assumed he wasn't even thinking about me and was just busy.

Towards the end of the day, my preceptor tells me we have to extend my orientation and that he told my manager about it. I asked him what happens if I'm still struggling after this extra week, and he made a face and was like "we'll take it one day at a time."

I then have a flashback to my manager looking down at the floor and avoiding me and I realized...he's probably avoiding me bc he knows he's going to have to let me go if I don't improve. Idk what to do since I moved out of state for this job. If I get fired I have no idea how I'll pay for rent or any of my student loans. I have no idea who's gonna hire me with 1 month's experience. I'm devastated and I feel like a giant idiot/failure.

Has anyone else been terminated from orientation and if so how did you recover?? Please let me know, thanks. Also, do you think I should bring up that I'm cognizant of being on the slower end?? Should I quit before they fire me? I really hope if they let me go that I'll be able to at least just switch to a different floor or even outpatient. I just have no idea what to do!

Specializes in EMT/Medical Assistant.

When I fist started as an EMT I went home every day for a month crying from being overwhelmed stressed and irritated nothing I did was right. I was made to feel down graded and be littled. Every chart I had was flagged 13 hour shifts I was sleep deprived and honestly I wanted to throw in the towel. As time went on my skills got better I had to professionally stand up for myself and give a polite f you to a few people, but it got better. I am glad I stuck with it for 5 years because it was one of the most eye opening rewarding experiences of my life. During the time I also got to train a handful of people which was also something I had never done before. The company trusted me enough to teach brand new emts. Which made me even prouder of my a complishments. What i am trying to say is if you have been at this for awhile and your gut is telling you no. Then go with your gut. Instead of asking to leave ask if you can move to another department or floor that is a better environment. Maybe the pace is calmer. Until you're able to hone your skills. See if they will work with you. The company made an investment in you. Every person that taught you has to be paid too. Drug tests finger printing paper work etc. They want to work with you because they will lose thier investment if they dont, but if it's to a point where mentally you cant then you cant. Dont look at your self as a failure and dont look at it as you couldn't go somewhere else or that you will be looked as lesser or not capable. Any one that has been in the medical feild knows it isnt as easy as most think. Especially when you're new, but as a senior some may not remember. Try writing a pro and con list before making a decision. Dont act while your in an emotional state. Try not to burn your bridge either. Never know what the future may hold.

** side note I am 30 and have been let go from every job I have had. I have been working sense i was 16 and still in school. I am currently employed. Most people you interview with have been let go at one point in thier life or another. It's an awkward conversation but be transparent and honest with out giving every detail. If you lie about being fired then it will only reflect badly on you. Thier line of thinking is if your willing to be dishonest about little things what else are you hiding. Just keep swimming and keep your head up.

Specializes in Stepdown . Telemetry.

Your manager was most likely thinking about other things, or maybe he just told your preceptor about the extension and was acting a little awkward. Its unlikely that he did that because he is planning on firing you. He gave you a peppy greeting that morning, which means his demeanor at that later moment was him going about the ups and downs of his day. Try not to overanalyze the subtle looks of others as directed at you. I say this because I do it too and it is usually wrong.

It is okay; I understand what you are going through! I was an LPN for six years working in state prison on a geripsych unit. After I got my BSN fr one of the top schools in the country --- > I got into Sharp Healthcare's residency program (after I was working at Sharp Rees Steely for a few months covering outpatient clinic for an RN on maternity leave and was offered a full-time float position for Sharps clinics in North San Diego area; which is a dream for many nurses and the pay was beyond fantastic because I think they counted my LPN experience also!) But I thought to my self I needed the acute care experience (because I've listened to others - this a need in your career blah blah blah... ) and asked if I could get into the residency program, so I interviewed and got offered a position working nights. Like your situation, it was a 10-week orientation. When I was in week 9, I quit - HR was terrific enough to understand my anxiety; though I was great at interviews and selling myself, in reality, my fear, bipolar, ADHD self did not like it at all!... I couldn't handle, as I too was crying in the med room, and it was not a controlled environment like a medical unit in prison. I like very controlled environments; I hate chaos and high turn arounds after discharging patients. I get another 4... It's ridiculous, but it's real. But let me tell you with my messy situation above I was still selected for a federal position out of many others with great hours/holiday/weekends off, good pay, and retirement. Don't make yourself miserable, and I do believe self-care is best, and it will help you excel in life; with my incredible schedule, my new job also offered tuition assistance to get my MSN, which I will complete next month and get a raise. My new job is busy but not like working on the floor, that's for sure; I'm a lot healthier mentally but I do think about from time to time what if I stuck it out another week, then I realize no I was too miserable and it was not for me period; I praise the nurses who have the mental strength to take on floor nursing it's beyond amazing and I look up to them so much.

On 10/31/2019 at 6:54 AM, Zhuriel said:

It is okay; I understand what you are going through! I was an LPN for six years working in state prison on a geripsych unit. After I got my BSN fr one of the top schools in the country --- > I got into Sharp Healthcare's residency program (after I was working at Sharp Rees Steely for a few months covering outpatient clinic for an RN on maternity leave and was offered a full-time float position for Sharps clinics in North San Diego area; which is a dream for many nurses and the pay was beyond fantastic because I think they counted my LPN experience also!) But I thought to my self I needed the acute care experience (because I've listened to others - this a need in your career blah blah blah... ) and asked if I could get into the residency program, so I interviewed and got offered a position working nights. Like your situation, it was a 10-week orientation. When I was in week 9, I quit - HR was terrific enough to understand my anxiety; though I was great at interviews and selling myself, in reality, my fear, bipolar, ADHD self did not like it at all!... I couldn't handle, as I too was crying in the med room, and it was not a controlled environment like a medical unit in prison. I like very controlled environments; I hate chaos and high turn arounds after discharging patients. I get another 4... It's ridiculous, but it's real. But let me tell you with my messy situation above I was still selected for a federal position out of many others with great hours/holiday/weekends off, good pay, and retirement. Don't make yourself miserable, and I do believe self-care is best, and it will help you excel in life; with my incredible schedule, my new job also offered tuition assistance to get my MSN, which I will complete next month and get a raise. My new job is busy but not like working on the floor, that's for sure; I'm a lot healthier mentally but I do think about from time to time what if I stuck it out another week, then I realize no I was too miserable and it was not for me period; I praise the nurses who have the mental strength to take on floor nursing it's beyond amazing and I look up to them so much.

I actually quit my last job due to extreme anxiety. I told them my mental health was in the bucket and they completely understood. I moved back home and have an interview with CHOP, a children's hospital in my area...I'm just scared the same thing will happen ?

Specializes in Critical Care; Cardiac; Professional Development.
On 11/6/2019 at 9:29 AM, AmIDumb said:

I actually quit my last job due to extreme anxiety. I told them my mental health was in the bucket and they completely understood. I moved back home and have an interview with CHOP, a children's hospital in my area...I'm just scared the same thing will happen ?

It absolutely will. You need to seek out help for this before you start working again.

Hi! I don't know how you are now, but I looked up a few keywords that related to my situation, and this thread came up. To the OG poster, I relate to what you just said 99.5%. I didn't do the best in nursing school so my GPA was never that high, but I got through after failing PEDS and failing the NCLEX twice. I got a job at my dream hospital. They only give 8 weeks of orientation, and I was supposed to be on my first night shift tonight by myself. You can see that is not the case -- I'm also afraid they will let me go b/c the manager told me if you don't improve and get faster in a month, "this floor might not be for you." I feel so anxious and disappointed in myself. I know I have been having these faults for a while, so a few weeks ago I started coming in early (an hr and a half early) to learn my patients better, write down all the pertinent info, etc... and it still hasn't been enough. I have gotten faster, but not fast enough. Our floor doesn't have nurse techs and the nurse techs in our hospital can put in IVs, foleys, and all the normal stuff. So in doing all of that - taking patients to the bathroom (waiting 20 minutes) I will chart so i don't fall behind, it still hasn't been enough for me. So I get 4 more weeks... I don't know if they will fire me or ask me to resign. I was going to stay here for a year and then find a non-clinical related job as a nurse - like a nurse researcher at the nearby medical school or something... but will anyone hire me if they hear about this? I don't know what to do anymore. I have fought and fought through hardships in nursing school and just to get here, but now things have turned out this way.

Does anyone mind sharing any hope for what comes next if I am let go from my job? Can I still get a job in the hospital I am working at? It's a very big one in my city... and would it be possible to do more research related things as a "new" graduate nurse?

On 1/6/2020 at 6:13 AM, ninamary7 said:

Hi! I don't know how you are now, but I looked up a few keywords that related to my situation, and this thread came up. To the OG poster, I relate to what you just said 99.5%. I didn't do the best in nursing school so my GPA was never that high, but I got through after failing PEDS and failing the NCLEX twice. I got a job at my dream hospital. They only give 8 weeks of orientation, and I was supposed to be on my first night shift tonight by myself. You can see that is not the case -- I'm also afraid they will let me go b/c the manager told me if you don't improve and get faster in a month, "this floor might not be for you." I feel so anxious and disappointed in myself. I know I have been having these faults for a while, so a few weeks ago I started coming in early (an hr and a half early) to learn my patients better, write down all the pertinent info, etc... and it still hasn't been enough. I have gotten faster, but not fast enough. Our floor doesn't have nurse techs and the nurse techs in our hospital can put in IVs, foleys, and all the normal stuff. So in doing all of that - taking patients to the bathroom (waiting 20 minutes) I will chart so i don't fall behind, it still hasn't been enough for me. So I get 4 more weeks... I don't know if they will fire me or ask me to resign. I was going to stay here for a year and then find a non-clinical related job as a nurse - like a nurse researcher at the nearby medical school or something... but will anyone hire me if they hear about this? I don't know what to do anymore. I have fought and fought through hardships in nursing school and just to get here, but now things have turned out this way.

Does anyone mind sharing any hope for what comes next if I am let go from my job? Can I still get a job in the hospital I am working at? It's a very big one in my city... and would it be possible to do more research related things as a "new" graduate nurse?

I'm sorry to hear you are going through this. If they fire you it might be harder to get another job in your area. In my case, I had moved out of state for my first job, so it wasn't an issue getting a job in my hometown. I recently got offered a job in a CCU at a small community hospital, though it did take a couple months to regain confidence and receive offers. Consider making a switch to a smaller hospital! it might make a huge difference for you. Please let me know what you decide!

On 11/6/2019 at 10:29 AM, iconicqueen said:

I actually quit my last job due to extreme anxiety. I told them my mental health was in the bucket and they completely understood. I moved back home and have an interview with CHOP, a children's hospital in my area...I'm just scared the same thing will happen ?

Did you end up getting the position at CHOP? If so curious how it worked out.

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