Precepting

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Specializes in ICU.

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. 

Specializes in Critical Care, Capacity/Bed Management.

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!

Specializes in ICU.

Thank you very much! 

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