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Discussion

Precepting

Hi! I have been a PICU nurse for 3 years but I haven't really been confident with being a primary preceptor. I would gladly welcome your insights. 

Why did you become a preceptor?
What are the advantages/disadvantages?
How do I become a great preceptor?
Could you share/recommend resources that could help me?

Thank you in advance! I am a bit anxious since I have been sticking to my comfort zone, and this is all new to me. 

Featured Replies

I might be a bit old school in this regard but 3 years of critical care experience is not enough to be a primary preceptor. However, I know that with the current trend in nursing 3 years would be considered experienced depending on the facility. I recommend taking a preceptor class (usually offered by the facility), they do a decent job of going over constructive feedback, conflict management/resolution, teaching styles, etc. You might also want to get your toes wet by asking to be a back-up or secondary preceptor.

With all that being said, being a good preceptor is about managing expectations and meeting the orientee at their level. It's important to maintain a level head and explain everything you are doing and why you are doing it. It is vital that we always explain the rationale. Ensure you are taking the sickest/heaviest assignments, you want to prepare them for being on their own. Know when to step-in and take over a situation (not always easy). Offer advice and mentorship, make sure you take your lunches together and decompress after a stressful event. When you provide feedback utilize the sandwich method (positive - negative/feedback - positive) For example,  "You did a great job presenting the patient on rounds, but you forgot to mention the new finding of tan thick secretions from the ETT. Make sure you approach presenting in a head-to-toe fashion, similar to how you give report which is concise and thorough, you got this". 

Remember, you are learning too. be patient with yourself!

  • Author

Thank you very much! 

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