New Nurse Growing Pains?

jadelpn, LPN, EMT-B · Oct 10, 2013

It is really difficult for a newer nurse to just get the hang of the job, then put in charge. Do you have a nursing admin on call? Do you have any admin on call? I would approach your NM, and state that, although flattered that they would think so highly of you that they would put you in a charge role, that you need to be able to be sure that the decisions you are making are appropriate. And ask for some support until you are more comfortable with the role.

HouTx, BSN, MSN, EdD · Oct 10, 2013

I can definitely empathize with your situation. Please check with your state's NPA to determine whether there are any specific guidelines or stipulations related to new grads & 'charge' responsibilities. Here in Tx, new nurses are not supposed to be in supervisory positions for at least a year unless there is a qualified RN immediately available to assist them. In a charge position, you are not only responsible for your own practice, but liable for overseeing the clinical practice of subordinates & ensuring overall compliance with legal & professional standards of practice. This is just too much for anyone who is not yet confident in his/her own proficiency.

Prior to assuming any sort of leadership role, you should be provided with adequate orientation & training. This should include some method(s) for validating any new competencies associated with this role. Typically, this will encompass things like conflict management, making assignments, administrative duties (managing supplies, bed assignments, etc.) responding to disasters/emergencies & so on.

Career growth is inevitable. Change is often uncomfortable as you must master new skills and take on new responsibilities. Best of luck with your transition.