New grad nurse in hospital and feel like I won't make it through orientation.

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So I'm a second career nurse (never worked in health care before - in school I was working in former my career through school). I graduated in December, passed the boards in February and applied to every job possible. I was lucky enough to be accepted into a new grad residency program at a well known hospital out of state (and moved by myself over 600 miles from home). I was told the program would be a 12 week orientation with a preceptor, as part of the two year residency committment. Well I've worked about 4 weeks on busy med/sug floor with the same preceptor (so far I've worked 15 - 12 hour shifts), and I'm due to change preceptors soon). The problem is I feel like I'm drowning already. My clinical skills are week, and I'm pretty sure my preceptor thinks I'm stupid (as well as the other younger nurses on the floor). I'm full of anxiety all day long, and feelings of shame, and doubt. I cry almost daily, and feel like I will never get the hang of everything. I'm supposed to be taking care of 4 patients on my own now, but I'm still at 2, and still being told I'm too slow and my time management is not where it should be. Again, everything is completely new to me, and I thought the program would be more of a transitional period from school to RN (with more one-on-one assistance.) But I'm finding the expectations to be much greater and faster than I anticipated. Not to mention the fact that I'm really supposed to be on my own at 8 weeks, not at 12 weeks which is what I expected (and really feel I need more like 6 months). My NM said she wants me to be at the expected 4-5 patient level in about 2 weeks. All of this is completely overwhelming me and I feel like I won't be able to make it.I know people say the first year is the hardest and just push on through, but I feel sick to my stomach that I'm going to have a major screw up, due to rushing around or forget something pertinent. I'm wondering if it's worth it for me to continue in the program -considering the amount of stress and anxiety I'm experiencing (it just feels so wrong to me). And I don't want to work in an environment like this. I feel like I made a huge mistake in going into nursing. I don't like the responsibility of caring for people so sick when I feel so incompetent. And I know my preceptor and other younger nurses on the floor think I'm stupid. (I wish I could do PT - but the schooling takes so much longer and at my age I can't do that). With no acute care experience, where can I go to work as a nurse? I just don't want the pressure that I'm feeling..Any thoughts/advice to a struggling, extremely stressed and anxious second career nurse?

Specializes in Critical Care, Postpartum.

Hi krissyr:

When I first read your post, I thought I wrote it because you sound just like me. I'm a career changer who went through an accelerated BSN nursing program. Throughout that program we never took care of multiple patients by ourselves. We never even worked 12 hour clinical shifts; we only did 8 hours. I thought this was common practice until I graduated and landed my first job in a new grad residency program. Reality hit quickly especially on my very busy acute care floor. I thought there was no way I could take on 4 patients on my own because of the struggles I had with juggling 2. I made sure to be honest with my preceptor from the beginning and she was great with the transition. There were days I doubted myself for even choosing nursing, but I had so much family encouragement and prayers behind me that I was determined to succeed. I often come on allnurses and read through threads from new grads and realized I wasn't alone in how I felt. With me now being on my own, I do look back on how far I've come. Time management is still horrendous for me but the nurses on my unit encourage me that it'll take more than a year to get there. So far my patients have been safe, pain managed, and breathing. I even was presented with a big bouquet of flowers from one of my patient's family for the great care I was providing. Of course the flowers were shared with the entire unit, but that was the confirmation I needed that I chose the best field!

But, I'm also burnt out already. I love being a nurse, but don't love being on the floor. I don't always get a chance to sit and talk to my patients because I'm still running around trying to pass meds, round with doctors, answer family members calls, reassess, finish passing meds, and the list goes on and on. So, I'm trying out public health. I start volunteering at my department of health starting next week and I'm pretty excited. I spoke to many PH nurses who absolutely love their jobs. I hear the stress level is pretty low compared to being on the floor. So, while my hospital job is paying the bills, I'm getting my foot in the door and also gaining experience working in women's health at the DOH.

Hang in there.

Thanks! Hugs back to you too! How long have you been working?

Thanks Glad2baRN....glad to hear that I'm not alone (though I feel that way at work..) I wish I could do it for a year, then look into some other nursing (as everything else requires at least a year of acute care)..but I don't think I'm going to make it through orientation..I've noticed they only have me schedule through orientation, and not beyond..not sure what that's all about, but I have a feeling it means they won't be keeping me on. If I could just get another job easily I wouldn't be worried, but without experience, I 'm not sure what I'll do. But I know that hopsital nursing is not for me...I barely have time to talk with the patient's, always being told to do things faster, get in and out of the room as fast as possible, pass meds as fast as possible, constantly getting paged and interrupted...makes my head spin... I keep telling myself, if they do fire me at the end of orientation, I did the best that I could (and I truly beleive that...maybe just not as fast as they want me to do it within an 8 week period).. I think I might like PH nursing too, but I'm sure they require experience too.. Trying to keep my head up. Thanks for the message..Good luck to you in PH nursing..

It could mean that they don't know whether to continue to schedule you with your preceptor or make your own schedule. Don't give up hope! I'm sure you'll be a great nurse. You seem very determined to do the best job that you possibly can, and that's something you will not see out of every new hire.

Thanks! Hugs back to you too! How long have you been working?

For about 4 weeks....

Thanks! Hugs back to you too! How long have you been working?

For about 4 weeks...

Thanks Glad2baRN....glad to hear that I'm not alone (though I feel that way at work..) I wish I could do it for a year then look into some other nursing (as everything else requires at least a year of acute care)..but I don't think I'm going to make it through orientation..I've noticed they only have me schedule through orientation, and not beyond..not sure what that's all about, but I have a feeling it means they won't be keeping me on. If I could just get another job easily I wouldn't be worried, but without experience, I 'm not sure what I'll do. But I know that hopsital nursing is not for me...I barely have time to talk with the patient's, always being told to do things faster, get in and out of the room as fast as possible, pass meds as fast as possible, constantly getting paged and interrupted...makes my head spin... I keep telling myself, if they do fire me at the end of orientation, I did the best that I could (and I truly beleive that...maybe just not as fast as they want me to do it within an 8 week period).. I think I might like PH nursing too, but I'm sure they require experience too.. Trying to keep my head up. Thanks for the message..Good luck to you in PH nursing..[/quote']

I agree with you about being told to "go faster". I feel as if I'm going a little bit faster every week but in the back of my mind, I'm afraid that I'd miss something or make an error.

Specializes in Critical Care, Postpartum.
Thanks Glad2baRN....glad to hear that I'm not alone (though I feel that way at work..) I wish I could do it for a year, then look into some other nursing (as everything else requires at least a year of acute care)..but I don't think I'm going to make it through orientation..I've noticed they only have me schedule through orientation, and not beyond..not sure what that's all about, but I have a feeling it means they won't be keeping me on. If I could just get another job easily I wouldn't be worried, but without experience, I 'm not sure what I'll do. But I know that hopsital nursing is not for me...I barely have time to talk with the patient's, always being told to do things faster, get in and out of the room as fast as possible, pass meds as fast as possible, constantly getting paged and interrupted...makes my head spin... I keep telling myself, if they do fire me at the end of orientation, I did the best that I could (and I truly beleive that...maybe just not as fast as they want me to do it within an 8 week period).. I think I might like PH nursing too, but I'm sure they require experience too.. Trying to keep my head up. Thanks for the message..Good luck to you in PH nursing..

Trust me, I know how you feel. You are certainly not alone! However, the reason why they haven't scheduled you beyond orientation is because once you're on your own, you have to give them the days you want to work. Maybe on the first week, you can schedule the same days as your preceptor in case you feel overwhelmed and a bit lost, you can ask her for help.

As far as PH, you may want to check in your area to find out what they're looking for. I've actually spoken to a few new grads who never wanted to work bedside and held out til they landed a PH job. In my state, I saw a few openings in the rural towns that posted they'll substitute for BSNs over the 1 year experience and MSNs over the 2 years experience. Right now, I can't move as I already moved out of state for work; however the state where I moved from do require 1 year on the floor. Also check out the Public Health/Community Nursing forum on here and read through some of the threads (old and new ones). We just need to find our niche. Also, if you do move out of bedside nursing to go into PH, it may be difficult to go back to bedside if you so choose. There also may be a significant pay cut from what you're making in the hospital, but I hear the benefits make up for it.

Feel free to PM if you like. I wish you all success!

krissyr-- I feel for you. Been in your shoes. I urge you to get a written review ASAP, detailing your weak areas and providing a plan to meet objectives for satisfactory completion of your orientation. Without this clearly spelled out, you are possibly not on course to succeed. All the reassurances in the world amount to nothing if you don't have a clear road map and understanding with the person who can hire or fire. That gut feeling telling you that you could be fired is real. It does happen. Trust your instincts. Get your progress report and weekly goals in writing and work your tail off before it's too late. Make self-care and study your priorities.

Knowledge is power. Good luck!

Hi KrissyR!

A year ago, your post was me. I could have written every word and then some. I did get fired or "let go" before my med/surg orientation period was finished, and I thought my life was over. I had worked so hard on my second career, and I, too, felt like a screaming fraud. All 5 of us who were in NS/graduated together are gone from that unit/hospital now also; so it wasn't just me who had major problems with the staff. There was no help from the other, seasoned nurses or the nurse manager, and I didn't have a lot of clinical experience either (I'm not stupid, but if I've never hung blood, then I've never hung blood; please show me).

That being said, I've found a job of a lifetime; I'm the agency nurse for a facility that deals with clients with Traumatic Brain Injuries, and I get to actually talk with my clients, and get to know them and their families. I love it. I do have days when I am still convinced that I am a fraud :), but they are few and far between. I work M-F, 9-6 and have an absolutely blast. I am blessed, and when I look back at myself a year ago, I don't even recognize me. I hated hospital nursing (or to be fair, what I was exposed to-). Keep your head up, and smile. You're a RN, and that takes gumption, dedication, and lots and lots of compassion--you'll find your place.

Wow Nursemaddie! Well our stories are very similar - as I've also been "let go" before the end of my orientation. I have to say, I was releived and knew that the job was not working out. I don't like the responsibility and liablity involved with hospital nursing (especially when being told to move faster ) and I realized that I hate to give meds. Way too stressful for me. I've been applying to smaller LTC facilities, and some office jobs, but no luck yet. I really regret going to nursing school, and am even considering going back to my former career. At least I wouldn't go to work filled with anxiety on a daily basis. I know that nursing offers so many options for jobs, but they all seem to want at least a year of experience in acute care, so I feel stuck between a rock and a hard place (not to mention broke)...I'm glad you found the job of a lifetime...How did you get it with no experience? Would love to get something like that...Thanks for your post.

My story was the same as yours. I am an older, second career nurse who was "let go" at the end of orientation on a busy acute care unit. I had no warning and no formal performance reviews. I walked into my end of orientation meeting with the managers and, in Bob Dylan's words, "the axe just fell..." It was devastating and left me somewhat shell-shocked. It's taken awhile to get back on my feet, although I still don't know where I'll "fit" in nursing. My former career was in work similar to Nursemaddie's new gig. I have no desire to go back to that. I had put all my eggs in one basket: hospital acute care nursing. I am good with agencies, disabilities, intensive work with clients and families to identify and achieve their goals. Now if I could only work that magic on myself.

At times when I was rushing from room to room with meds on the floor, I felt like a glorified waitress. I was never very good at that occupation and didn't really like it very much. But, I am applying for med/surg, LTAC, clinics, family health, and anywhere I think might take me without that golden year of acute care experience.

Please keep us apprised of your progress krissyr and Nursemaddie. Any thoughts on nursing options are welcome too!!

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