My preceptor is everything they taught us NOT to be... - page 13

I was hired on a med-surge floor, and have been working with a preceptor for several weeks. After questioning some of the things she is "teaching" me, I've been given a "final warning" and am facing... Read More

  1. by   historylady
    There will always be the way you are taught in nursing school and the way things are done in the real world. But often times the way things are done in the real world are also not the way things "should" be done in the real world. The things that are taught in nursing school are all put in the curriculum because they are evidence based practices. They are they way things "should be done".

    First, you need to get through the preceptor orientation. Watch what they do and learn from them. Are the things they are showing you time savers or are they just the way that has become habits? Are the way they doing things harmful to the patient? Once you are through orientation and working on your own, you make decisions for yourself on how and why you do the things do.

    But the flip side is, do not jepordize your morals and integrity. You have to do what is right for you. If you are asked to sign-off on things that others have done, don't do it. When you have to sign off for doing things, do it your way. Do what you believe is right and stand by what you do. I use "am not comfortable doing it that way, so I am going to do it the way I was taught" Any nurse worth there license will respect that. I have watch a number of nurses, who do things their way, get caught in the book way versus the real world way dilemma. The real world way always loses when it comes to state nursing boards, JACCO and other nursing regulatory agencies. After all it is your license. IF you do it this way or that, it always comes done to choice.

    I have watch nurses do nasty dressing changes without using sterile technique. I have watched nurses do foley insertion without sterile technique. I have watch nurses do a dressing change without ever switching to clean gloves. Are these things right or wrong? You have to make the decisions about you practices. Just remember facility policy is written for a reason. In the end, it is your license. Don't compromise your integrity, you have to live with your actions.
  2. by   Garden,RN
    Welcome to the culture of nursing, sadly. The first three months of my nursing career i went home and cried everyday, convinced I had made the bigger mistake of my life by becoming a nurse. I was not the traditional student fresh out of high school. In my thirties I entered nursing school. Prior to that I had worked in Banking, Real Estate, had my own business and had been in supervisory positions. The working environments there were so pleasant by comparison. The hospital environment I was in, was like stepping back into high school where the, yes, mostly women were less logical and more emotional. In real estate the only thing that matters is the math so now confronted with people worried about liking each other an little struggles for power devastated me. I was working with very intelligent nurses, capable of saving lives at the drop of a hat, able to titrate cardiac meds and yes, guide a physician through a code, yet the cattines was horrible. When I worked with mostly males in the other areas there was competition but it wasn't personal, but with females. Perhaps the males interact differently with each other, I would not know that experience and it wasn't all a bed of roses. I just find it so much easier when we remove the personal and the drama from work relationships that I don't understand why we do it. I have the opportunity to interact with young adults and high schoolers often in teaching capacity. My students are quick to point out when I am doing something wrong, and it makes me proud of them. It tells me they are learning and absorbing and they help to sharpen my skills too. That preceptor has a lot of knowledge but she isn't open to a dialogue and should not be a preceptor. You cannot expect that what we do will be textbook clean and beautiful like school I would encourage you to do your best and not lose your idealism because the patients need people with that passion. To the practical side, it is a cultural problem, if this is someone you are going to be working with, is that going to work? Have you annoyed her to the point that she will give a bad report about you? Most important of all, sit down alone and analyze the situation and write down what part you have done wrong and fix that part. Do toughen up because eventually you find your own unique place. Learn as much as you can from your preceptor, but do keep in mind the culture around you and evaluate if it someplace you want to work. I hope this doesn't offend anyone but it has been my experience.