1. I recently graduated, spent a month preparing for boards (vacation too), passed and then began a job supposedly as a gn/new rn. It was a med surg floor (teaching residents and student nurses) where people frequently quit and often go home overwhelmed. I had many people warn me to not start on that floor, but it was all that was offered to me. After two months and very little precepting, I finally left. Now, I am caught in the dilemma of looking for work and I feel like a failure and am uncertain how to explain my previous experience without sounding negative. I have been offered a position with hospice outpatient, but I feel like this may ruin my career as it seems everyone wants 1 yr med surg experience. Also, with hospice, I am unclear about respirations and giving morphine for dyspnea (of all things)? Got any advice? I've gone to my instructors who all suggest I leave my area, drive about 2 hrs for an internship with a magnet hospital. But they are so loaded with applications it may be a few months before they hire again. Grateful you are all here...Thank you. jack
    Last edit by jackheller on Dec 19, '06 : Reason: Title not specific enough
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    About jackheller

    Joined: Dec '06; Posts: 4


  3. by   Tweety
    Hospice has an extensive training program and orientation that will address all of your concerns. If you've been offered they job, they have confidence in you. Now all you need is a little confidence in yourself. You're feelings are quite normal for a new grad.

    Don't feel like a failure, it definately is a problem with that unit and not you.

    Good luck in whatever you do.
  4. by   nurseangel47
    There is a lot more to learning how to titrate morphine for pain and yes, to ensure that each respiration they do inspire is deep which is where the morphine benefits them, even if their resps. are less frequent than a normal limit. It is a fine art of hospice nursing. I use to be one. If you have that opportunity, go for it. I was always glad that I did. I wish I'd stayed in hospice nursing! It is overwhelming how much info you will glean from your experience. And they are very willing to teach and patient and kind folks to work with in general. Good luck!