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Is this a valid new grad fear?

Nurse Beth Nurse Beth, MSN (Columnist) Educator Columnist Innovator Expert Nurse

Specializes in Med Surg, Tele, ICU, Ortho. Has 30 years experience.

Hi Beth!

I am a nursing student graduating this May, who has been working as a PCT/CNA for a CVICU. I recently interviewed for and was accepted into my hospital's ICU residency program and have matched to my home floor the CVICU. I am very excited, this is exactly what I wanted.

My coworkers (All RNs) are fantastic for the most part and their opinion of me helped me to get this job. I am however a little worried about my role transition as I remain within the same team. I guess I am just concerned that they will still think of me as a CNA even though I will have begun working as a new grad RN. I'm also worried that coworkers will think I only got this job because I worked for the unit. Even though I am a competitive applicant in other regards. I'd rather not be treated differently than any other new residents. And just want everything to go smoothly. Do you think this is a valid fear? And if it is how do you think I should handle/address it? 

Dear Has Fears,

Congratulations on landing a residency in the unit of your choice! While being promoted within a work group is an honor, it comes with its own unique issues. Fortunately, they are usually small and settle themselves out over time.

People within the work group react differently, but you have no control over their reactions. You can always only be responsible for your own behaviour-being kind, respectful, and professional. 

You may be treated with more familiarity by the CVICU RNs, which is not necessarily a bad thing and it will pass soon enough as the whole group re-forms with the addition of several new grads. You may have to ask for information that they assume you already know, because they want to accord you respect. Just ask at every point as needed.

It can be a bit awkward changing peer groups.  You must now delegate to CNAs who used to be your peers. Again, many will be happy and supportive of you, but some may not. This is where professional, respectful communication can make all the difference. Be helpful when able, but there will come a time when you have to choose between delegating and getting behind on tasks that only you, the RN, can perform.

It may be uncomfortable but it's neccessary, as all RNs discover. 

Best wishes,

Nurse Beth


Specializes in LTC.

There's another current post here expressing concern from a newbie who's anticipating poss job difficulties as she switches job titles/new license.