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!

I know how you feel. I was in the same mess 2 1/2 years ago. My preceptor was the charge nurse, putting in for the Unit Coordinator position and treated me as if I was stupid because I did not understand totally what was going on on this step down unit. I finally started going to other nurses who seemed to know what they were doing and asked them questions and even asked them to precept me. This nurse and I eventually had a huge disagreement about the care of a patient that died (in my care) but her charge. She did not think that the patient was truly having a MI. After 2 years under her management, and going to the Nursing Director twice, I went to float pool. Now I tolerate her just fine. I do not always have direct contact with her, but when on her floor, I respect her position and let her know if any patient is in crisis.

I hope that everything works out for you and God Bless.:balloons:

Agree w/ all prior post to some degree(more in others) whan I was younger,and the world to me, more seemingly,"fair" I would have stuck it out,hopeing I'd be finally accepted. with experiance behind me, I now say ,get out before you are labeled inept,(which could follow you) One caveat,you might try asking your boss,written gripes in hand,just the 2 of you, IN NEUTRAL TERRITORY, offers no solutions("Let me get back to you,statement")Bail.

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.

daytonite, where would you reccomend a new nurse target their sights to get the best experience and foundation for a life in nursing? (not meant sarcastic at all... i'd really like to know what is a good area to start off in)

Specializes in ER/EHR Trainer.

You shouldn't stay somewhere you feel uncomfortable and unprepared, but let me play devils advocate for a minute....is it possible she thinks her ways are the right ways? Has she had bad experiences in the past with new grads who said they didn't learn something, or know how to do things as per hospital protocol? If she is charge, maybe she has seen alot of mistakes, or lack of pertinent teaching to young nurses.

I am by no means discounting your feelings, I had several preceptors I found difficult to work with....however, I did things their way when I worked with them, followed their lead, asked them why they performed actions the way they did, and learned alot!

My advice recently to our new grads was to do the same-be open, learn as much as possible, then take all of that knowledge and use it YOUR WAY when you are working independently.

My original preceptor, who I always thought was "cold and scary" is an excellent nurse, and someone I truly admire-what I had considered as cold, was really focused.....recently I had covered her assignment while she was on lunch. She returned and I had done everything she had left and more. She marveled that I could've managed so much in 45 minutes, she hadn't expected 1/2 of it to be done. She looked at me and asked where the past few years had gone....it was like I'd been there forever! That was a complement!

You too will have your successes and gain respect from your peers. Respect is earned, and harder to get from some than others.

Good luck, no matter what decision you make.

Maisy

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