New to triage and feeling incompetent!

Specialties Triage

Published

Hi! I have been a nurse since 1998, always in pediatrics. I have done in-patient, PICU, public health and school nursing. I was out for about 5 years when my kids were young, and have been away from clinical nursing for some time.

I recently decided to go back to work and got a part-time job in a busy, well respected multi-provider pediatric practice as an advice nurse. We use Barton-Schmitt protocols, and I got the book about 2 weeks before my first official day, which was last TH.

Long story short, after being there for 2 days, I feel like I know nothing! The protocol book is overwhelming and the EMR is very confusing (even the experienced nurses say it's hard to learn, and they just started using it in Sept).

I am studying the protocols every free minute, but feel my common sense has gone right out the window. I'm hoping it gets better with time, but I think I'm just feeling surprised at how inadequate and nervous I am after being a nurse for so long. I feel like they expect more because I look good on paper and interview well. Maybe they thought I was better than I really am? I was confident in my abilities until I started!

Any advice would be helpful!!

Specializes in Peds.
On 12/23/2017 at 7:25 PM, No12S said:

I have done telephone triage in a call center for about 7 months. It's quite different from what you describe that you do. Me and 3 other nurses triage calls for about 10 doctors, I was given each physicians protocol when I started, if I have a question or don't feel comfortable making a decision about something I email the CRNP who works for the doctor, they each have 2 full time CRNPs.

I return calls to patients, I do not answer the phone. We have admin assistants in the call center who take all calls and forward a message to the nurse if the caller has medical questions, issues or pain. I have no quota that I have to meet. I love my job! It is the best nursing job I have ever had! I have been a nurse 15 years and have worked in the ER, Hospice and Med/Surg(hated each one of those jobs). Bedside nursing is just not for me. The only regret I have is I wish I had left bedside nursing sooner! I have all wkends and holidays off, work 8-5. No more hoping I can get Xmas off or having to work thanksgiving because I wasn't the bosses favorite, bedside nursing is a slow and painful death! Never again

OMG OMG please help! You're absolutely right bedside is a death. Honestly a quick one for me.  I'm desperate and constantly researching to get out. Your comment gives me hope!

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