Lost newish grad

Nurses New Nurse

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Hopefully my story does not have too many identifying details, but I am wondering if anyone else has gone through something similar to me? Sorry for the length in advance.

I am a new graduate RN. I graduated at the beginning of May with my BSN. All I ever dreamed of was hospital/med surg nursing..... possibly ICU eventually. The same day I passed NCLEX, I was offered a position on a neuro med-surg floor at a fairly well known hospital that I had interviewed at. I was THRILLED. I started that job about a month and a half later (I had to move and transfer my license, which took some time....), anyways, about two months into the position, i was starting to have management talk to me about some concerns that they had that I was not really progressing as fast as they would like/need for me to go. These went on for about another month, with me trying to fix what they were asking as hard as I could, but alas, eventually we came to the conclusion that this was not the best floor for me to start my career with. The acuity was way too high. I was discouraged/frustrated/angry, ect..... but I decided to apply to the hospital across town.

That hospital was smaller and had more of a general med surg position available. I interviewed, loved the managers and shortly afterwards, got my new job. I was super excited as this position was going to allow me to learn a few more skills than the last place (IV starts, central lines, ect....) Things were going great! at first...... but shortly after my first review (about a month in), preceptors and management were again beginning to bring up some of the same concerns that the last place did. I was angry, heartbroken, ect, but I again put my head down and threw my self 200% into the job to try to fix their concerns. Again, it was not enough, and I again had to resign from my second position in order to avoid termination.

At this point, I am numb, angry, scared, frustrated, and probably a whole host of other emotions. It seems as though at this point, I will not be able to handle hospital nursing which hurts sooooo bad. That is all I ever wanted to do, and honestly the pain that nursing has brought to me these last few short months has made me consider walking from the profession completely. But I LOVE nursing. I honestly don't know where to turn. Currently I am also working PRN at a nursing home, but am looking for other possible areas. I don't know where else to go. Nothing else really interests me, although I have looked into possibly infusion nursing, but I don't know enough about it.

Specializes in Med-Tele; ED; ICU.
They switched me to a different orientation model that they were beginning to implement and I believed that I had made great progress towards their concerns, but it wasn't enough and it wasn't fast enough.

It's somewhat concerning that you seem not to have an accurate picture of your own performance as evidenced by the contrast between your belief about your "great progress" and their assessment that "it wasn't enough."

When you are able to find yourself back in the workplace, you might benefit from a mentor who can give you daily feedback. You might also benefit from keeping a daily journal after each shift in which you objectively assess yourself... were all your meds given on schedule, did you have to turf tasks to other nurses, how many times did you have to ask someone else rather than finding your own information, how quickly did you finish tasks such as IV, NG, Foley, pericare, etc? That may give you an objective measure of your progress.

I wish you well.

Specializes in PICU.

OP:

It is possible that an Acute Care setting such as a hospital may not be a good fit for you and nursing. It sounds like you are being successful in LTC which is great. LTC needs great nurses and nurses who are competent in their job. Working in a hospital is not the do-all-end-all of nursing as nursing has many roles and faces. Stick with what you are good at... which sounds like LTC.

Take a look at your personality, learning needs, and use your PRN job as a building block. There is nothing wrong with a LTC facility. LTCs need RNs, LPNs, MDs, SW, etc as you are caring for individuals who need those services.

From what you have posted, and I am only using what you posted, Acute care in a hospital setting is not a good fit for you. That is okay, At least you know that it isn't a good fit. There are so many roles for nursing and it sounds like you have found your niche!! fantastic!! Use and learn from your current nursing experience. All of us have our strengths in nursing and need to capitalize on it.

Keep up your great work in LTC and hopefully full-time employment will open for you.

Specializes in Hospice, corrections, psychiatry, rehab, LTC.
My clinical...... ok, I came from a pretty small school and their clinical site selection wasn't the best. I know they did the best that they could,. The hospital where I did all my med surg clinicala was a fairly small community hospital with not a lot going on. Then there was a bunch of confusion each semester on what we were and were not allowed to do as students..... it was frustrating, but I made it through. The most patients I ever had was I believe 2? But most of the time it was 1

It sounds like your school didn't do you any favors in preparing you for the realities of the hospital work environment. I graduated from an ADN program, and by my last semester I was carrying a full patient load on an oncology unit.

OP:

It is possible that an Acute Care setting such as a hospital may not be a good fit for you and nursing. It sounds like you are being successful in LTC which is great. LTC needs great nurses and nurses who are competent in their job. Working in a hospital is not the do-all-end-all of nursing as nursing has many roles and faces. Stick with what you are good at... which sounds like LTC.

Take a look at your personality, learning needs, and use your PRN job as a building block. There is nothing wrong with a LTC facility. LTCs need RNs, LPNs, MDs, SW, etc as you are caring for individuals who need those services.

From what you have posted, and I am only using what you posted, Acute care in a hospital setting is not a good fit for you. That is okay, At least you know that it isn't a good fit. There are so many roles for nursing and it sounds like you have found your niche!! fantastic!! Use and learn from your current nursing experience. All of us have our strengths in nursing and need to capitalize on it.

Keep up your great work in LTC and hopefully full-time employment will open for you.

I will be staying with long term for now. Although I am not in love with it. It is ok. I'll just see how the days go

It's somewhat concerning that you seem not to have an accurate picture of your own performance as evidenced by the contrast between your belief about your "great progress" and their assessment that "it wasn't enough."

When you are able to find yourself back in the workplace, you might benefit from a mentor who can give you daily feedback. You might also benefit from keeping a daily journal after each shift in which you objectively assess yourself... were all your meds given on schedule, did you have to turf tasks to other nurses, how many times did you have to ask someone else rather than finding your own information, how quickly did you finish tasks such as IV, NG, Foley, pericare, etc? That may give you an objective measure of your progress.

I wish you well.

At first I was asking for daily feedback, then I was told that it made it seem as though I didn't have any confidence. So I backed off

Specializes in ICU/community health/school nursing.

From what you have posted, and I am only using what you posted, Acute care in a hospital setting is not a good fit for you. That is okay, At least you know that it isn't a good fit. There are so many roles for nursing and it sounds like you have found your niche!! fantastic!! Use and learn from your current nursing experience. All of us have our strengths in nursing and need to capitalize on it.

This was a much kinder thing than my first preceptor said: "The ICU isn't for everybody." It's true, though. Acute care nursing made me acutely unhappy.

I found much happiness in community health and school nursing. Get a bit of experience at the LTC even if it's not your favorite, and the world will open up. Good luck!

This was a much kinder thing than my first preceptor said: "The ICU isn't for everybody." It's true, though. Acute care nursing made me acutely unhappy.

I found much happiness in community health and school nursing. Get a bit of experience at the LTC even if it's not your favorite, and the world will open up. Good luck!

Thank you. I loved every minute I was in the hospital and I still believe I can do it, but I think I need to take a step back for a while

Yeah, I had a feeling based on some things in your OP.

So, in addition to whatever skills or prioritization critiques they have given you, I would consider the idea that they are also free to question your knowledge base...because they can't get a sense of what you know or what you're thinking.

Introverts can be misunderstood. Those looking on don't have a ton to go on to help judge "where you are" in it all. If you take two people, one very much a verbal processor and out-loud thinker, and the other someone more like yourself, well even if the performance of each are somewhat similar and they are at similar places in their course of learning, the outgoing one may come out ahead by asking questions and verbally displaying interest, enthusiasm, knowledge progression and critical thinking to those in a position to observe. I have seen introverts get the shaft when they are quietly getting the work done and/or progressing just as well as others but aren't outspoken.

Going forward, you have to show interest in terms others can understand and possibly just as importantly, you have to force yourself to interact more in order to build some relationships. Let others know a little bit about you. Exchange pleasantries. ASK QUESTIONS! You have to be willing to speak up just a little to show others that you want to learn and are, in fact, doing the critical thinking.

I suspect some of this has had a fair amount to do with your experiences so far. You can turn that around. You have to "get out there" just a little bit.

Don't despair!

Good luck ~

I love this. I do think it speaks to some of the concerns that they had, and some of what I need to work on. It's really hard being an introvert. I love working with the patients and even my coworkers, but I can be quiet sometimes. I know that one of my main preceptors was the complete opposite of me, which was somewhat difficult, but we got along

Has anyone done infusion nursing or home care that would be able to speak about these? I know there isn't much to go on, but could these areas be a better fit potentially?

I'm confused how the details are too revealing. It sounds to me like you don't want to own up to mistakes.

OP, I rest my case. :)

Not with regard to providing more details here but being a little more communicative and open IRL so that people aren't free to assume whatever pops into their head.

See what I mean?

Specializes in Case manager, float pool, and more.
Has anyone done infusion nursing or home care that would be able to speak about these? I know there isn't much to go on, but could these areas be a better fit potentially?

Only you can decided what is a better fit for you though. You must weigh the pros & cons of each for yourself. I would urge you to find any threads here that present both sides.

Specializes in Travel, Home Health, Med-Surg.

Most Home health agencies and/or infusion clinics will not take new grad/little experience. But it can never hurt to try. I am not sure you have been in Med-Surg long enough to know whether or not you love it, or hate it. You are claiming this as you dream job but really do not understand the reality of the actual job. I would try to find out more info (detailed) from both your past employers (if possible) that led them to your termination. Are you able to call/talk to the Managers, co-workers, HR etc. This would help in any future job. Either way, I would continue to learn what you can from your current job (LTC) and see where that goes, you might find its a better fit and you love that job! Good luck!

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