New grad, first week off orientation.. need some encouragement to get through this week :(

Nurses General Nursing

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Hey fellow nurses. 
As the title says, I am officially off orientation and will be on my own this week. I don’t work for three more nights, and am already experiencing immense anxiety. 
Side note: I am pregnant and have been struggling with anxiety/depression. Last week my doctor actually wrote me off work because of my panic attacks regarding work. 
I go back this week to my first full week alone. I am trying my best to BATTLE these thoughts (fears of making mistakes, imposter syndrome, low confidence, accidentally hurting a patient or missing something important such as an assessment finding that leads to patient decline, constantly thinking of all the things that can go wrong, etc, etc...), because I can’t NOT work. I can’t give up. I have to do this for my husband and baby on the way and to prove to myself I can. :’(

My charge nurses and other nurses I work with are so great and helpful. I was a CNA on the same floor (except on the opposite shift) and so I haven’t had to deal with bullying or nurses eating their young. My worries are purely centered around my own level of confidence and preparedness and patient safety. 

please, I am just asking for some words of encouragement, some words to know I’m not alone, and that I’ll “be OK” from people who truly have been in my shoes. 

Specializes in Neurosciences, stepdown, acute rehab, LTC.

Hey there ! I’ve been a nurse for about 10 years with bipolar and panic disorder. The beginning was ROUGH!! I train a lot of new grads now and most are a bundle of nerves.  Just go very very easy on yourself over the next year. You have 3 focuses - work , mental health , and baby. Any extra time you have at all needs to be filled with baby and self care (whatever that looks like for you .) Youll need to find SOME way to leave work at the door. The best thing I did for that was try to set aside about a half an hour to totally debrief with myself or a friend and try to sort out what just happened. (I often choose to go walking with a friend on the unit - they give a lot of help and perspective .) Then , just try to drop it. Anxiety also responds well to action so if you’re really nervous about stuff , the best thing you can do is remove the unknown whether it is asking questions or looking things up or talking to someone. Humans make mistakes all the time and hopefully your hospital has systems in place to help prevent those (Smart IV pumps , barcode scan , chair alarms etc.) USE those - no short cuts. If you do all these routine safety things it’s much harder to go wrong and they become second nature. If you don’t know or you feel bad about something - ASK ASK ASK. New grads ask me minor questions all the time and I’m happy to provide answers- I’m sure there are some resources on your unit for that. Now after all the big long scary shift, you’ll hopefully feel that you did the best you can and all loose ends are taken care of - it will be easier to focus on home life.  Also , once you have the baby , it may be worth taking a little medication temporarily to get over the hump. My psychiatrist also always schedules more appointments than usual during stressful times. If you don’t have one you may want to look into that too. Thankfully there’s a lot of telehealth options nowadays!

Thanks so much for your support, everyone. 
update: I got through my work week. The first shift was extra rough and I didn’t get a lunch break, it was crazy. I had so many different patient situations that I NEVER had during orientation (go figure). For The most part, people were helpful... BUT I still feel so incompetent. I feel like I second guess almost every thing I do and I can’t make a decision independently. I feel like I have to ask the same questions or have someone help me with the same scenario multiple times before I feel confident and like I can actually do it on my own. :( I did make it, of course, but now I work tomorrow night and the same fears and anxieties are hitting hard again so I found myself coming back to read your posts for some relief. Thanks again for your responses and wish me luck on week two by myself. ?

This is a good report! ?? You made it and you did it!

You are going to do week 2 just fine, too.

I think you should plan on updating this post again. During this week 2 you can feel supported by the fact that people will be waiting to hear about your continued success. Give us something good. Like, next week, we'd love to hear some specific things that you conquered. Get to work on cultivating a list of things to tell us about. ? I'm confident that there will be plenty, you just need to recognize them.

8 hours ago, Swirl531 said:

I feel like I have to ask the same questions or have someone help me with the same scenario multiple times before I feel confident and like I can actually do it on my own

Work on this in week 2 also. Stay grounded and do not catastrophize. That micro-miniscule air bubble in your tubing has never killed anyone and it isn't going to now that you're a nurse, either. Let go of these types of anxieties so that you can pay attention and integrate information.

Hang in there!

Specializes in Neurosciences, stepdown, acute rehab, LTC.
3 hours ago, JKL33 said:

This is a good report! ?? You made it and you did it!

You are going to do week 2 just fine, too.

I think you should plan on updating this post again. During this week 2 you can feel supported by the fact that people will be waiting to hear about your continued success. Give us something good. Like, next week, we'd love to hear some specific things that you conquered. Get to work on cultivating a list of things to tell us about. ? I'm confident that there will be plenty, you just need to recognize them.

Work on this in week 2 also. Stay grounded and do not catastrophize. That micro-miniscule air bubble in your tubing has never killed anyone and it isn't going to now that you're a nurse, either. Let go of these types of anxieties so that you can pay attention and integrate information.

Haha! New grads and their teeny air bubbles. Gotta look at the big picture . I get a ton of phone calls while I’m at work from my new grads about this or that. It's uncomfortable being in the vulnerable position of being dependent on others but It’s perfectly normal this early in the game. 

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