7 months in...not what I expected
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I've been a nurse for nearly 7 months now. After months of searching and countless resumes sent out, I reluctantly took the first job offered to me at and acute rehabilitation hospital on a general rehab/musculoskeletal unit. As a new grad, I really wanted to work in med surg or telemetry to gain as much experience as possible and then decide if I wanted to go into a specialty. But do to such a high influx of new grads and recent requirements (Jan 2008) made by area hospitals that all new hires have a minimum of a BSN (I have an AD with BA in another field, graduated May 2008, go figure!), my options were limited. I was promised that I would get the med surg experience that I needed on this unit. Definately not the case.
Our patients are stable for the most part, post surgical, burns, trauma and amputees mostly. I had 6 weeks of orientation (including 2 weeks classroom, so only 4 on the floor) with my preceptor who had only been a nurse herself for only a year. She quit my last day of orientation. I work days with an average of 6-7 patients who are in 3 hours of therapy on my shift. My time management skills have improved tremendously since the patients are on the floor such a limited amount of time. I am great at dressing changes, pain management, passing meds and teaching. I have only had one patient with a trach (which came out the day after he was admitted), one G-tube and one NG tube. No chest tubes, no vents, occassional catheterizations and IV medications. RNs need to take a class before they can start IVs and the class has not been offered since I started. RNs don't give IV push meds or piggyback infusions on my facility. There is no telemetry. I have yet to hang blood. The primary diagnoses are almost always the same thing (hip, knee, amputee) and I have the same patients for 2 or 3 weeks. RNs are not valued members of the team...theraists and MDs see us as only passing meds and wiping butt and to be quite honest there are more days where I feel like this IS all I do.
To sum it up, I am clearly unhappy at my present job and have been looking for something else. My biggest concern is that because I am 7 months in to the profession I have already missed out on a really good new grad experience. This first year is where the most learning takes place. Now I'm not saying that I haven't learned anything...I just haven't been exposed to much. So I wonder if hospitals will still consider me a new grad and offer me the same orientation, or if they will see me as an experienced RN and expect me to be at a certain level (in which case I will probably fall flat on my face). I expect to be honest with potential employers of course and I don't know if this will help or hurt my chances. I am really discouraged and kind of depressed about all this. I was so excited to get in the profession and now I feel like I have missed out and can expect to encounter more roadblocks looking for a new job.
Has anyone else had a similar experience?