Published
I would first like to say "hello" to everyone here at allnurses!!! I am excited to be a new member!
So, my first question on this site to everyone is "Do you get paid to precept new grads?" Many of the nurses at my hospital are not getting paid because we have not gone through precepting classes (which we want to do) yet we are being assigned (not asked) to orient a new grad before we have taken classes. Hence, precept pay is not on our paychecks!! I do not think this is fair!! Any advice how to handle this?
Thank you in advance!
I work at a teaching hospital, and I don't get paid to precept. However, I get volunteered to precept quite a bit. Usually I don't mind, but during the last 2 weeks of orientation it's a pain, because that's the GN's 4-5 pt's and my 3-6 pt's to assess, MARS to check, assessments to chart or audit, 24 hour checks to do or audit, questions to answer, and with the last person I precepted, I didn't trust that GN one bit. I made darn sure I audited everything. That was one GN who scared me, BAD.
Did I count that right? The GN has up to 5 pt.'s and you have up to 6? that's 11 pt.'s w/ a new grad to follow behind? That is just unsafe. And I don't care if it is a teaching hosp. or if you haven't taken a class. If you are asked to do extra duties you should be compensated and I would refuse to do it if I weren't.
Did I count that right? The GN has up to 5 pt.'s and you have up to 6? that's 11 pt.'s w/ a new grad to follow behind? That is just unsafe. And I don't care if it is a teaching hosp. or if you haven't taken a class. If you are asked to do extra duties you should be compensated and I would refuse to do it if I weren't.
Yeah well, that's what happens on night shift.
The only issue I have with precepting is that LPNs are not paid to do it at all. If I have to take the time to precept a new grad or new LPN, I believe that I deserve the pay as well, and more than three dollars a day. In fact, they pay RNs the same three dollars to be charge nurse for the day. I do take the time to teach (unless the nurse is a pain in the rear), because I do understand how it is to be new. Even a seasoned nurse is 'new' to the facility, to a floor that they floated to, or to equipment. And, I see it this way; you never know when you may need someone. But, because I am not getting paid, if the new LPN (or even RN...yes, I have had to orient them as well sometimes) is arrogrant or a know it all, I gracefully find an excuse to shift them to someone else.
First, we both offer precepting classes and pay the preceptors, after they've completed the class. What is happening is that we're short staffed, no kidding, and the staff that needs the classes really CAN'T go. BUT, those non "trained" experiences nurses are just assigned everything from school students, to critical care students and NOT getting paid. So I see your beef, completely.
If you are interested, seek out your educator and have her assign you the class so it WILL happen, if you are not interested in teaching, and thats OK too, just tell he, or your charge, NM.. that you are not YET interested but will consider in the future with PROPER training.
We have trained preceptors who are simply exhausted from day to day teaching that they "refuse" to get a break, that's AOK. You need to WANT to teach to be effective, stress this point with management to either get into the class or aleiviate yourself from the headache.
Know that teaching may elevate your year end pay too, check out how you bonus or get raises, this might help you at years end, don't discount that.
What does "EN" stand for?
An EN is an Enrolled Nurse. They (its still hard to not say 'we' as I was one for many years) have their own patients; assess, plan, implement and record all care for them; and are involved from admission to discharge. The scope of practice varies from state to state, and from facility to facility. Most ENs these days can give medications, though I think not IV directly (I was allowed to commence IV crystalloid fluids though). ENs can do venipuncture and cannulate in some institutions. I think in some states they can have senior positions in some aged care facilities, but don't quote me on that. In my state ENs work "under the indirect supervision of a Registered Nurse"; but that indirect supervision can be the charge nurse - its a pretty broad comment. Hope that helps. Check out the ANMC page which lists the Australian competencies if you are really interested, but it is really long winded
http://www.anmc.org.au/docs/Publications/Competency%20standards%20EN.pdf
An EN is an Enrolled Nurse. They (its still hard to not say 'we' as I was one for many years) have their own patients; assess, plan, implement and record all care for them; and are involved from admission to discharge. The scope of practice varies from state to state, and from facility to facility. Most ENs these days can give medications, though I think not IV directly (I was allowed to commence IV crystalloid fluids though). ENs can do venipuncture and cannulate in some institutions. I think in some states they can have senior positions in some aged care facilities, but don't quote me on that. In my state ENs work "under the indirect supervision of a Registered Nurse"; but that indirect supervision can be the charge nurse - its a pretty broad comment. Hope that helps. Check out the ANMC page which lists the Australian competencies if you are really interested, but it is really long windedhttp://www.anmc.org.au/docs/Publications/Competency%20standards%20EN.pdf
Thanks for the clarification. It sounds exciting!
elthia
554 Posts
I work at a teaching hospital, and I don't get paid to precept. However, I get volunteered to precept quite a bit. Usually I don't mind, but during the last 2 weeks of orientation it's a pain, because that's the GN's 4-5 pt's and my 3-6 pt's to assess, MARS to check, assessments to chart or audit, 24 hour checks to do or audit, questions to answer, and with the last person I precepted, I didn't trust that GN one bit. I made darn sure I audited everything. That was one GN who scared me, BAD.