New RN already ready to quit!

Nurses General Nursing

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I just started on a step-down cardiac unit two days ago and I hate it already. My preceptor is the clinical coordinator for the unit and the boss that we have manages 2 cardiac floors (since she is just taking over because the boss from the floor that I am on quit, along with another boss this same year).

I did my GN position at this same hospital months ago on the other cardiac unit that my boss manages but took time off for nclex and saw no openings on that unit when I came back. I am on this step-down cardiac unit now and it is hell!

Although I have experience computer charting from both my GN and SNA position with this hospital system for two years, my preceptor tells me how to arrow down the way she wants to on the computer, get my meds and bag them the way she wants, and etc then gives me attitude if I vary. She gives me really no room to breathe either. I just feel like I have made a bad choice by going to this unit because the patients acuity levels are high and one may get 8 or more depending on the mod that you are in. One may be in one mod with three and another with eight..this is crazy.

I never felt this overwhelmed even during my 6 week orientation as a grad nurses this summer. Before hire, my boss told me that I was to get a 4-week orientation to piggyback off the GN experience from this August. Yesterday I found out that it will only be two weeks of floor work since the other two weeks will be spent on echo classes.

With this preceptor she has a bad effect on me but I am scared to change her because ultimately she is usually the charge nurse too and may screw me with assignments. I see her talking about me to other co-workers as well and she often talks to me in a very condescending way. I just feel she does not let me develop my own style and never really tells me if I am doing things rights or wrong..very little feedback. My first day on the floor she just walked in and told me "You were not supposed to start unitil January, see people are saying one thing then another thing." She also told the case manager that I have to do my orientation on the floor and hold off on my 2-week echo classes because that messes up her schedule! The case manager and her seem to be pissed at me because they did not know when to schedule me because I was supposedly thought to be starting in January. My preceptor often tells me that she is playing boss too. She often asks me "can you handle these 12-hour shifts?" She even ignores me when she is talking about her personal business to other co-workers or if she is talking on the phone to her kids.

I am not a quitter but I don't know what to do!

Hi there,

Your story resonated with me because it sounds just like mine. I started as a new grad at a highly specialized and very acute unit at a prestigious Boston hospital because I wanted to be on the cutting edge. I did my final practicum on the same floor, so I thought it would be a breeze transitioning into the RN role. However it turned out to be a disaster, sounding a lot like the position you are in now. I beat myself up, thinking I couldn't cut it as a nurse, which killed me. I had been successful in my previous career, so why couldn't I get this? My preceptor made me feel stupid when I asked questions more than once. I was repeatedly told that my performance was

"concerning" to the management. I kept asking for additional help off the floor, where there was less pressure, but I was ignored. I finally opted to get out. I was so stressed it was starting to affect my personal life. I moved to a smaller community hospital that was in the process of re-vamping their new grad program, and started all over again. I was up front at my interview about what happened at my previous job, but was careful to emphasize my successes as well, both in and out of nursing. My interviewer shared with me her own similar experiences. She completely understood and made clear that her goal was to provide a different experience for me and the other new grads in my group. Clearly they place a lot more value on the new grad role at my new hospital, and although I get paid less, I am actually ENJOYING a job that 5 months ago gave me panic attacks to even think about. My life is completely different now. I love my job, and I am thriving at my new hospital. Don't get me wrong, there are still those crazy days that make me question all of that student debt, but for the most part, I know I've found a good fit for me.

You can't look at it as "quitting", you have to look at it as "finding the right fit." Do some research, ask around, open your eyes to settings you may have not considered before. Look for a program that requires preceptors to go through training, and has a 360 degree evaluation program (your colleagues actually have input in your regular evalutions, meaning that if you're a jerk it affects your paycheck and potential for advancement!) Ask if there is a system for evaluating feedback from the nursing staff on how to improve the unit. Ask for examples of how this feedback has been implemented to make positive changes. Most importantly, think of yourself as a valuable addition to your potential new employer, and interview THEM about how they will support YOU! You're in a good position because you have some experience now, and you have a better idea of what you need, so you'll know what questions to ask.

I've actually found that my new role on a less acute floor is much more interesting than I thought it would be, because the pressure is off and I have more time to investigate details I never would have had time for in my old position. And my colleagues are not as stressed out so they have more time to be FRIENDLY and HELPFUL, and SUPPORTIVE of the new grads!

It's easy to say "oh just stay there, grin and bear it because these jobs all suck like that". But it's not true. It takes more strength to stay true to yourself, and put yourself int he scary situation of leaving that job for a new one, the unknown. Just think of the potential rewards...

good luck!

SB

You could have written my story! I also started on more acute floors, wanted to be cutting edge, did great in nursing school, etc. etc. and was eaten alive once I hit the unit as a new grad. Finally transferred to a medical floor where people were actually NICE, I learned a lot, and now work in a specialized role in the hospital.

Absolutely find a good fit. It took me a while, but I actually enjoy work now, as opposed to having heartburn like a poker stabbing me in the abdomen all day long like I did before.

Oldiebutgoodie

When I was about 3 months out of school I thought I wanted to do OR. So, I started at a brand new surgery department as a circulator. HATED IT within about 3 weeks. I had lost interest. But I held in there for about another month thinking that maybe I was a pompus new nurse who though I knew everything and "clearly there must be something good about it since these other nurses had been doing it for YEARS". Well... I never felt any better, so I went to the director of the two surgery departments (two campuses) instead of my direct supervisor because she was much like the overworked picky one that was first described. The director listened to what I was saying, and offered me an awesome position to learn how to scrub for open heart procedures. This was a much longer orientation since I knew NOTHING, but it was more exciting.

Just because I didn't like circulating, doesn't mean that circulating is a BAD JOB, it just means that it doesn't FIT ME.

So... what to do.... I would say two things:

1) Stick it out because other employers have likely heard about this floor and would respect anyone who could survive this place. Once worked at a Detroit ER where I was threatened by patients/families to bbe shot outside, etc. Wanted to quit, now it's on my resume and I get a lot of respect for having SURVIVED it!

2) Resign (full 2-week notice) and search for either another position within that hospital or elsewhere. LIke said before... life is short, why WASTE time there? ANd, it is a waste if you don't see any benefit whatsoever.

Don't worry about your resume at this point. As you may have found, a lot of us went to a position initially that we thought was good, and switched early on. Just don't make it a habit!

Specializes in Cath Lab/Critical Care.

There is nothing worse than working a job you hate with a bad boss! First of all, I think you need to realize that you are still learning, and you are allowed to figure things out the way that is best for you! By trying to force you to learn things her way, your boss is showing that she is not a very good preceptor or teacher. You also need to tell yourself that this negativity, condescending attitude, and unprofessional attitude that is being displayed by your preceptor and other employees is totally THEIR issue, not yours. I know that it doesn't make for a happy work environment, but these people are obviously toxic, and that has nothing to do with you. Get out while you can, before they drag you emotionally down with them!

Specializes in med/surg, telemetry, IV therapy, mgmt.

i worked on a stepdown unit for 5 years. our head nurse would never hire in a new grad for our unit. stepdowns are too hectic for new grads. as a manager i felt the same and i have seen so many new grads have tragic consequences to taking a first job on a stepdown unit. i blame the managers who hire new grads into these positions. they should know better. they are taking advantage of the new grad and merely filling a hole in their schedule in order to staff their stepdown unit.

if i were you, i would have a long talk with the nurse recruiter to see if you can be reassigned to another unit. you could also try asking for a new preceptor. otherwise, i would start immediately looking for another new grad job at another hospital and not on a stepdown unit. my feeling is, and always has been, that any manager who hires new grads to work on a stepdown unit needs to have their head examined. they are looking out for the hospital first and taking advantage of you secondly. you need to find a facility that is going to nurture you as a new grad and ease you into your new role.

My first job on a med-surg floor lasted only a few months. Conveniently, we ended up getting orders to go to Germany (hurry up and get here type situation), so I had an excuse to quit. I probably would have anyway. Unrealistic staffing with no floor orientation. It is okay to decide that this job isn't for you. If you need to work financially, starting looking now. There is nothing wrong with finding another hospital, SNF, home health, hospice. Would exerience be valuable in those settings? Absolutely, but if there is a shortage where you live, they may we willing to work with you. Don't be miserable.

SeekingBalance, you hit it on the head. I had a similar experience at the facility I am leaving in 2 weeks. I have only been there for 5 months and I moved from another state to work there. Boy do I feel stupid quitting, but my experience was awful. So awful that when I tell family or friends things that have happened, they wonder how I lasted 5 months. I tell coworkers things that have been done to me and they say wow, they are doing this out of spite for you. The thing that kills me the most is I am a GREAT nurse! I only have the 5 months experience and there is still a lot to learn, but my patients loved me...minus one incredibly demanding one! So off I go to a smaller hospital and hopefully it is a better experience. I guess what I am trying to say is if you are unhappy, start looking now! I kept telling myself it was going to get better once I was out of orientation, once I was there x months, once a manager left, once this happened and it kept getting worse! I am not a quitter and I am sure you are not one either, but there comes a time when you have to take care of yourself and your future. Good luck and I hope it all works out!

Specializes in Pediatrics, Med-Surg, Cardiology.

Since starting this thread, I have found a lot of the info very helpful so thanks!!! I have even had four other hospitals call me for an interview (because I have not stop applying for jobs and some are just now returning my calls). My off days next week will be spent interviewing the managers of these places well and even asking to shadow a nurse for a shift just to get a feel of what their units have to offer.

Today, my preceptor was still controlling but not as much. I just want a smooth transition into my RN phase so that I won't be likely to make mistakes. I also feel that I need a job with less demands so that next year when I start my RN-to-BSN courses, there won't be any problems. I feel so drained from this unit where I am working and I know that it won't be easy to transition into a nurse. However, my preceptor has been teaching me how to become charge nurse so that after orientation I can take that role if needed..and believe me when I look at the schedule, they do. This is just too much for a new grad. Most new grads are not even allowed to float during their first year of being an RN so why would they think that I am ready to become a charge nurse?! Who knows..but this place is beginning to sound even more ridiculous.

Wish me luck on my interviews because I need the right fit.

More advice is welcome..thanks!

Specializes in Med-Surg/Peds/O.R./Legal/cardiology.

RNRose,

GOOD LUCK!!!!!! I just KNOW there's the perfect place out there waiting for you! GO GET IT!!!!

You're overwhelmed and new and they want to discuss "charge nurse"??? Sounds like there really is a severe problem.

ebear

That sounds horrible. I really feel for you. I started out as a new grad in a Cardio/Thoracic ICU. The wrong place for a new grad. To tell you how bad it was--fresh hearts and lungs, transplants and all-- they expected you to "know" how to deal with in less than 2 months --drips and all-- I had some really mean preceptors. One of the nurses I confided in about an episode -fresh heart with labile pressures-no preceptor around and me freaking out - had actually told me something like this" You didn't cry... cause only p*ssies cry". I stuck it out a little while longer but booked it to another hellish floor in the same hospital. I finally couldn't take it anymore and left to go to a different hospital but the same type of floor I came from - glad to be on this floor. All I can say is that if it starts effecting you physically -Get Out-. Tears and anxiety happens in the first year, but if it is every day and you are just feeling lousy all the time...I really don't think it is worth it.

SeekingBalance is right on target. It's not the type of nursing that's getting you, it's the toxic people that hate their lives and are taking it out on you. These kind of people make you feel they way they do (miserable), and eventually you will hate life too. When you are stressed and upset you're more likely to make a mistake that could hurt your career. You are really lucky to be getting calls from hospitals -- take advantage.

I too am afraid to be a "quitter," but if you're stuck in quicksand, isn't it reasonable to try to get out? There are good preceptors and good managers out there. Your story will resonate with them. On the other hand, if you stick it out things could change for the better. You never know how it will work out, so let your stress level be your guide. In general, have something lined up at a new place before you quit your old job. It doesn't hurt to look, just don't let your bad experience destroy your confidence in yourself, because that's the main thing you have going for you when you're interviewing.

Good luck!

Specializes in Med/surg, cardiology, ER, geriatrics.

I tend to agree with the fact that there is a nursing shortage and they need you more than you need them. If you are not happy, see if you can transfer to another area in the hospital. If that's not possible, find another place to work. There are too many jobs out there to put up with that. I just left a nurse mangement job b/c my boss was undermining and horrid. I tried to communicate my concerns, but she ignored me. my final rebuttal was to resign. This looked real bad for her b/c she ran the nurse manger ahead of me off. She had been there 10 years! Needless to say, the company is now asking me why I left.The turnover rate has been high. They're starting to see she is a problem.

Specializes in Pediatrics, Med-Surg, Cardiology.
SeekingBalance is right on target. It's not the type of nursing that's getting you, it's the toxic people that hate their lives and are taking it out on you. These kind of people make you feel they way they do (miserable), and eventually you will hate life too. When you are stressed and upset you're more likely to make a mistake that could hurt your career. You are really lucky to be getting calls from hospitals -- take advantage.

I too am afraid to be a "quitter," but if you're stuck in quicksand, isn't it reasonable to try to get out? There are good preceptors and good managers out there. Your story will resonate with them. On the other hand, if you stick it out things could change for the better. You never know how it will work out, so let your stress level be your guide. In general, have something lined up at a new place before you quit your old job. It doesn't hurt to look, just don't let your bad experience destroy your confidence in yourself, because that's the main thing you have going for you when you're interviewing.

Good luck!

Thanks for the advice. Thankfully my confidence has not gone down yet because I am really an optimistic person most of the time. Before I started here, I was so ready and willing to learn new things but when I started, my preceptor has zapped this away from me. When I go home, my energy is gone and I have never felt like this when I worked on another cardiac unit during my grad nurse exp (which had a high turnover of patients from the cath lab and the same activities as I am doing now). I feel like a drained zombie and for me that is not normal. I think I am going to follow my instinct and look elsewhere while sticking it out here in the meantime.

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