I'm ready to resign!

Nurses New Nurse

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Hi all,

As many others on this thread, I too am ready to leave my job. Some background: I got a job as an RN on a med-surg unit, day shift. Orientation was to include classes. The classes never came, and in fact, I was told AFTER I started that there wouldn't be any classes until "sometime in 2008." Yet at the interview I was told I'd have classes. If I knew there wouldn't be any, I never would've accepted the job.

Second, orientation was 5 weeks. At my interview I asked if I could get more time on orientation if I or my preceptor felt I needed more time. I was told that that would be evaluated and a decision would be made based on my progress. Well, I repeatedly told my preceptor and mgr that I felt I needed more time on orientation. You know what they gave me? TWO extra days. Wow. I even told my preceptor that I was looking for RN refresher courses, but unfortunately those don't start until 2008.

I was given an orientation "checklist" of things I was supposed to complete during orientation (many were not), and in many of the columns I wrote "R" for "review needed," and my preceptor has only reviewed the first page of the checklist with me.

I was on my own on Monday and Tuesday, and both days were a mess. I never went to the bathroom, and didn't take any breaks or lunch. I did manage to drink a cup of water each day. Even without taking breaks though, I still didn't finish on time and didn't get out until 4 and 4:30pm.

While still on orientation, I told my preceptor how disappointed I was that there weren't any classes, and she said, "Well if you ever need help you can always ask us." Well, I did ask for help on Monday and Tuesday, but everyone was too busy. I almost broke down crying on Tuesday but managed to avoid that, thank God.

I feel like a chicken with my head cut off when I'm on the floor. It's not just all the patient care (5:1 ratio), but dealing with all the doctors, case managers, social workers, etc constantly in my face and calls from the pharmacy and lab is overwhelming. I don't think it's safe for the pts, and certainly not worth it to me to lose my license over this job, especially since they are going to close the hospital in 2009.

My saving grace is that I'm in the process of getting all my paperwork and tests done for a per diem job at the County hospital, in an outpatient clinic. I was given a start date of December 17th, but I really don't want to wait until 2 weeks before that to turn in my resignation to the hospital. I'm sick to my stomach going in to work, I'm unable to take any breaks because I'm always behind, and I can't sleep more than 5 hours a night.

I was supposed to work today, but I called in sick. I don't have to go back in until Friday, and I'm planning to ask my preceptor (who's also in charge of scheduling), if there are any positions open on night shift, or if anyone is on leave of absence to see if I can work in their place (in the hopes that night shift won't be as busy). If nothing is available or if they're unwilling to put me on nights, I think I will turn in my letter of resignation to the nurse mgr.

Thank God I can vent here!

Specializes in Trauma ICU,ER,ACLS/BLS instructor.
Well yesterday was the day from hell, and my breaking point. One of my pts died (he was a no code, on palliative care). It was my first time even seeing a dead body, but that wasn't the worst of it.

He was confused (as he had been for a while, though this was only my second day with him), but able to verbalize when I made my morning rounds. The charge nurse called me over to his room a couple of hours later, as he was diaphoretic. She asked me if he had any PRN meds, and I responded that he had morphine, so she told me to get 2mg of morphine while she stayed with him.

After I administered the morphine, she told me that he was apneic for 5 seconds while I was out of the room. After that she called the pt's son to let him know that the family should get to the hospital asap because the pt could go at any time. She also paged the doctor twice, and when the doctor called back the charge nurse told me to talk to her. My report sheets had been jumbled so I told the doc I had to get my paper and that's when she started yelling at me, and while she's yelling, the charge nurse is telling me what to say to the doc. I just handed the charge nurse the phone and let her talk. When the charge nurse told her I was new, the doc said, "obviously."

The pt passed before the doc or the family arrived, and after she came out of the pt's room she chewed me out for not contacting her sooner. The look in her eyes was the worst part though. If looks could kill, I'd be dead. I felt like such dirt. The whole thing was a mess. The charge nurse was charge that day only because she had the most experience out of the rest of us (most of the other RNs only had 6 mos experience), so it was her first time being charge, and she said it was her first time dealing with a dead body too. I still feel traumatized and shaken over the experience.

Ironically, last Friday I had submitted my letter of resignation to the nurse mgr. She came down to talk to me and the first thing she said was, "today can be your last day," then "if you want to finish out your two weeks, you can work the two weeks," and back and forth. I expressed all my concerns to her but I don't even feel I was heard because she kept talking over me when I was talking. Then another RN came into the room and overheard us. He kept encouraging me not to resign, and maybe I should just try another shift, etc. I asked the mgr if there were openings on nights, and she said yes, so I told her I would try night shifts. But then yesterday happened. I wish I would've just left on Friday :(

I think the other problem here too is that I was NEVER interested in med-surg. I don't like it at all. My true love is women's health so I think I'm going to go ahead and resign and just stick with the outpatient clinic job (per diem) until I can land a floor position on a maternity unit, and ideally still do per diem at the clinic because I love the job and the pts.

Thanks for being here for me!

No excuse for what has happened to you. None. I am so sorry.I have no idea why nurses do this to each other. Everyone is not like that. If I were u, I would go to HR before your next shift, explain what has happened and you where set up to fail. You want to leave with the cards in your favor. Let them know that your taking the job was based on what u had been told in ur interview and that u where hired under false pretense.Wording is everything. Keep ur cool and try a steady voice(I am not good at this) . If u decide to leave right away,u want in on ur record what happened. Good luck!

Specializes in Trauma ICU,ER,ACLS/BLS instructor.
Well I don`t graduate till May 08....and these messages are making me crap my pants. I`m soooo nervous of what to expect. 5:1 sounds beautiful...In NY it`s at least a 7:1, and that`s on a good day! LOL

Think of it this way. you have more knowledge then many who do not weed through this site! You have the tools to ask the right interview question and how an orientation should go. You will be fine, there are more good then bad out there!

Thanks all, you don't know how much it means to have some good support!

Since I'm still in my 90-day probationary period, the employment is at-will. I only submitted the letter of resignation as a courtesy, and I kept it very brief and polite, without going into details about why I was leaving.

I think what I'll do next is request that my preceptor give me my orientation checklist (about 8 double-sided pages, only 1 of which my preceptor reviewed with me). She has been off for several days so I haven't seen her, and I don't know where that checklist is. I want to make a copy of it before I quit, just in case. On that checklist is 1) my previous level of experience for every category and 2) post-orientation comfort level for each category. In most of the columns for previous experience I put "never," and in the post-orientation comfort level I put "review needed" on many categories. I really want a copy of that checklist so that if they should try to get me in trouble down the road, at least I'll have that as some kind of proof of my experience.

Well I don`t graduate till May 08....and these messages are making me crap my pants. I`m soooo nervous of what to expect. 5:1 sounds beautiful...In NY it`s at least a 7:1, and that`s on a good day! LOL

I agree with cmo. Now that you've read about my experience you know to ask very detailed questions about the kind of orientation you'll get. Don't let them give you vague answers, and compare different hospitals and go with the one offering the orientation that you think will best suit your learning needs. For me, classes are vital since it took me a while to find a job and have forgotten a lot of what I learned in nursing school. I don't care if I have to sit through an all-day "boring" class. If I pick up even one tidbit of info that I didn't know before, to me it's priceless.

Good luck.

If the patient was a no code, I don't see why the doctor should have reacted in that manner. In my experience, sometimes the female doctors are the worst in the way they treat nurses.

Does that hospital have a women's center? Can you transfer?

Good luck.

Hi Mulan,

They are no longer admitting pts to maternity because they are planning to close the hospital in 2009, although the city might intervene somehow due to community protests. They stopped admitting in peds and NICU too.

Specializes in critical care.

I am so sorry. It is so hard when you feel like no one is listening to you. You sound like you have the situation under control now. Good luck with the new job. CAT

Oh wow am I glad I found this website! I too am a new RN and am going through hell!!! I work 12 hour shifts... which are turning more into 13-14 hrs... on a cardiac/icu stepdown unit. I don't know how I made it through yesterday without breaking down but I did. I wasn't able to eat my "lunch" until 7PM. I'm constantly running around with no time for breaks/bathroom. Then I can't sleep at night because I'm constantly wondering if there is a better way to prioritize my day. I hope it does get better like everyone says because I don't know how much more I can take!!

I'm also a new grad RN on a busy med/surg floor.....I'm up to 4 pts. and I have NO idea how I'll ever get to 6??? I want to pull my hair out DAILY!....I want to quit DAILY!

For the experienced nurses who say it get's better......How does it get better? Do you just get use to it?.....

What ticks me off on top of it all is I'll run my butt off all day and if a nurse, Dr., family member asks a question about the patient and I don't know the answer off the top of my head within 2 seconds flat they look at me like I'm a complete idiot!

Examples:....Does the pt. have children?.....Has the pt. had a BM today?......How much breakfast did so and so eat?.....ECT.

AAHHHH, none of these things are so important that I should be interupted during med pass, but it happens all the time.....GGEEESSSSSS

NTPinky,

I think resigning is a good idea. When the NM told you "today can be your last day" that was a big red flag that she is pissed, and will probably see anything you do in a negative light. I know- I gave my resignation once and my NM said those exact same words to me.

You do not need the chaos and negativity of that place in your life. I'm glad you will be starting a clinic job and I wish you success.

Sounds like a plan....good luck!

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