New grad pediatric CICU RN, feeling overwhelmed and discouraged

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Hi everyone!

I've been wanting to come on here and throw a couple things out there since I started my new job. I’m in a RN residency program for new grads at my absolute dream peds hospital on my dream unit, CICU. I’ve been on since November(night shift) and started day shift preceptorship a few weeks ago. I really enjoyed the flow of night shift and felt more centered in my thought processes because of the lack of stimulation that occurs on days. I received only positive feedback from my night shift preceptors and they told me I’m right where I need to be. Now on days, I feel like I’ve been thrown into pure craziness! Parents, multiple teams rounding on my patients, SP/OT/PT, constant disruption and distraction. My main day shift preceptor is tough and so far her biggest criticism has been that I need to work on anticipation of upcoming tasks and streamlining/organizing my assessments, especially on our more involved patients.
 

I’m just feeling super discouraged because as soon as I’m feeling more comfortable with something, I fall short of another thing. All I’ve been asking from my preceptors is feedback, and since this is the first time I’ve actually been told something I’m needing to improve, I think my confidence has been knocked a little. I’m continuously studying and reading over protocols on my days off to stay engaged and playing out simulations in my head on how I can better cluster my tasks when I go in the room. I’m also planning on asking my preceptor to do her assessment after I do mine instead of trying to do it at the same time as me, which is overwhelming and causes me to skip steps or get side tracked. She has marked a lot of the check off points as “occasionally met”, which is also bothering me because a lot of the points she’s marked that as, we have not discussed at all. 

 I have my routine check in with the educators tomorrow, so I’m going to discuss my concerns and thoughts with them, but if anyone on here has any general advice for organization, transparency with my preceptor, or anything else that could be helpful, that would be so appreciated! 
 

-discouraged new grad PCICU nurse  

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