New Grad Fired After 2 Weeks

Nurses Nurse Beth

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Dear Nurse Beth,

I am a new grad who graduated this summer with my BSN. I was let go from my first nursing job only after 2 weeks. I graduated with honors and had my capstone in a busy Emergency Department.

I started my first nursing job on a busy orthopedic floor at a trauma 1 center. It wasn't what I was passionate about but wanted to give it my all. My real passion is ED, but I knew that I needed to get ICU experience before I get to the ED. The orthopedic floor would help me get my foot in the door for a trauma 1 ICU. I was hired along with 5 other new grads.

Our orientation was only 5 weeks long but the director told us that if we needed longer that it would be okay. All other new grad started out with taking care of one patient at a time while my preceptor gave me 5. I found it difficult to find a routine and I was penalized for even asking questions or not knowing the answer to a question.

One of the nurses on the floor noticed that I was being criticized more than the other new grads and that I should request another preceptor. Director told me it wasn't possible and the next thing I know the education department is following me around. They suggested that I spend another week on days, (I was hired on nights) and that I go down to two patients. I agreed, thinking it will help me develop a routine so I can provide safe care for my patients.

The whole orthopedic unit moved from 20-bed unit to a 40-bed unit and nurses were taking on 8 patients at a time. They pulled me into the office last week and gave me some recommendation which I truly took to heart and made myself a whole new brain sheet and even came in an hour early to prep for the day.

Yesterday they pulled me in office and said that I have two choices, either I was going to be terminated or I could send her letter of my resignation. The director told me that didn't have time to teach new grads how to be real nurses and that I would never make it any hospital. She said I would be better off in longterm care where there is less critical thinking. She said I shouldn't bother applying to new grad programs because I would fail at those too. I don't feel like 5 weeks of orientation is enough to provide safe care for patients especially for new grads. I don't want to believe her but I feel like a failure and wasted my time becoming a nurse. I really am passionate about being in the emergency department one day as I was an EMT/firefighter for 6 years before I went to nursing school. I'm not sure where I should go from here.


Dear New Grad Fired After 2 Weeks,

So you were let go after 2 weeks, meaning 2 weeks on your own (following 5 or 6?) weeks of orientation)?

If so, it sounds as if your orientation should have been extended rather than putting you on your own. How can they document that you successfully completed orientation when you are not independently managing the workload? You had not yet found your feet, you knew that, they knew that, and yet you were independently responsible for a patient load?

When you have a rough start or are a slow starter, sometimes managers will offer more support, believing you will develop; or will decide to cut their losses early on, if they believe you will not develop.

Whatever they believed about your performance, the harshness of your dismissal is inexcusable. That coupled with a 5-week orientation for a new grad says that the organization may be questionable.

If you can get into a reputable new grad residency program, it would greatly benefit you and give you the tools to succeed. Time is of the essence, and you may not qualify because you have been employed- but I'd try.

Your Director painted long-term care as suitable for those lacking critical thinking, but that's not true. You will find many sharp and compassionate nurses in skilled nursing facilities, rehab, and sub-acute settings. Transitioning back to acute and ED can still be your long-term goal.

Above all, do not take the words of an unkind, frustrated Director to heart. Someday she may show up in your ED and then you can shower her with kindness.

Best wishes,

Nurse Beth

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Author, "Your Last Nursing Class: How to Land Your First Nursing Job"...and your next!

This is such a mess. Try med surg at a decent facility. I know people love the specialties but MS or something like tele/step down will give you a great foundation. It sounds like this place was not prepared to take new grads and they failed miserably at trying to throw together an orientation. I would like to say I cannot believe it, but unfortunately there is a lot of nastiness and game playing in nursing. Sad but very true. I wish you well. Be careful where you take your next job.

Sounds like Saint Peter's Hospital. You are not the first. They also don't pay for the training.

Do not name the facility. They are not worth the time. The medical community is very small you will be surprised. I forgot to mention do not put these place on your resume and do not list any of them as refrences.

Please sue them with details of everything that happened.

This unit is in trouble and none of it has anything to do with you.

The main thing to learn from this experience has to do with red flags when looking for positions. A proposed 5 week orientation in acute care for a new grad is not remotely acceptable.

The individuals who made proclamations about your future have not displayed any of the ethics required to make an honest or fair judgment.

I'm sorry this happened.

The supervising nurse who once called me slow, now that I've established myself as a nurse, describes how I was "very thorough" when I worked with her. She has even offered to help me take the next step in my nursing career and she is genuinely sincere. Yes, I might have killed her with kindness to some degree way back when. Killing someone with kindness is kind of like playing the lottery, sure, it's unlikely, but you can't win if don't play.

Years ago before nursing, I interviewed with the owner of a company. He was exceptionally rude and told me I would be a terrible employee. Since he was the owner, killing with kindness was pointless. After his rudeness, I thanked him for his candor and excused myself. I truly meant that - I'm so glad I saw his true colors before being hired.

Specializes in Trauma ICU/PCU.

Don't let the circumstances sway you from your path.

You are and will be a great ED nurse if that's where your heart is.

Think of it as their loss and not yours. As one door closes another pne opens.

I worked as a Trauma PCU/ICU nurse and can tell from my experience that Ortho is not a an easy floor.

Sounds like these Ortho monkey just did not want to train you. Well, they have to then face high attrition rates. I mean who wants to lift a 300-pound patient in skeletal traction?

Specializes in Gerontology, Med surg, Home Health.

I totally disagree that nurses in ltc need less critical thinking. We have 20 patients to your 5 or 6 and far less ancillary help.

This is one major thing I don't like about nursing. It's a lot of cattiness and a lot of politics. I have seen nurses get fired for nothing simply because they are not friends with management or run off because they aren't part of the click. It's like high school. It's not like that everywhere though you just have to find the right fit.

Sometimes we don't know what we get into and that may lead to disappointments.

Even if it is not a right fit discipline wise, earning might be the real issue.

Orientation is a not an entitlement. Many organizations, these days cannot afford lengthy orientations. In a dynamic care environment, multitasking and critical thinking go hand-in-hand.

That said, if one has failed one area, doesn't mean the failure is global.

I am sure you will succeed, but you may need to change your approach or find a different niche.

Good luck.

I've been a Paramedic for 20+ years. DON'T MENTION YOUR EMS EXPERIENCE!!!! One hospital thought I wasn't qualified to sweep the floors. I did get hired at two different hospitals but downplayed my EMS experience.

Specializes in Retired from Ambulatory Surgery.

When my daughter was in nursing school, she was told by one of her instructors that she should give up on being an RN - she'd never make it. Now she's a house supervisor in a large urban hospital. Don't give up and don't listen to all of the negatives!

Dear New Grad,

That sounds like the employer from hell. All hospitals normally have a process to be supportive to new grads. Five weeks is far short of adequate orientation. Look up standards for orthopedic floors. Perhaps there is a national organization that has recommended practices. Does the hospital have any awards or recognition that requires standards? Are they joint commission? Perhaps there is a resource to consult, there. Sounds like you had no recourse what so ever. No human resources help? Did you keep your orientation packet with hospital policies? Had to have been a violation. Something is very wrong with that hospital. Only gross negligence with patient harm could justify the way you were treated.

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