Problems with Preceptor

[everchangingRN]

Hello everyone, Sorry, but this is a long story......

I am new to HD, and I work in Acutes for one of the big 2. Next week I will have been in this position for 2 months. It is very intensive training, including workbooks and computer training with a preceptor. I was told which preceptor I was with when I got hired and the FA said "He can be a difficult one." I told her that was fine, I get along with anybody. Well we got along great until last week. He is OCD, which I am as well. (I think all nurses are to a point). But he also has been very condescending too me. I felt like he wasn't showing me enough so I asked to be assigned to one task in the acute room for a day or two so I could get it down pat. (He and I primarily did bedsides). Well when I went back to bedsides with him, I asked him if he was upset that I did that. He said "no why do you ask we aren't back in high school, you don't ask things like that." Ok I thought. Then at the end of the day he told me "Well you still aren't going fast enough, I thought you were going to be a good dialysis nurse but you aren't." I couldn't take it. I prayed and prayed about it, so then I woke up last Monday and thought I would vomit if I had to do one more day with him. So I told my FA. She said ok, we will just put you in the acutes room. So now I am without a preceptor, I have to go take a test to finish my orientation, and he didn't fill out anything he was suppose to. Above all this, I feel my FA is getting fed up with me. We are 5 nurses down, doing 16 hour days and training 5 nurses. Should I just leave? I love this job, first one I have loved in a very long time. I don't care about the hours, but I wasn't going to be talked down to like a dog, like my preceptor did. Questions, comments, responses needed as to what to do and what you guys think, good or bad please.................

[westieluv]

Do you still.work in HD chronics?

I took a break from dialysis after I left Fresenius acutes and did telephone triage work from home. I really liked it, but then we got into a position where we needed healthcare benefits and my company didn't offer any. I started working in a Davita chronic unit last month and love it so far.

One thing I have learned from this forum is that with both Davita and Fresenius, the local chronic clinics or acute programs can vary so much from place to place that you can't really generally say that either of them are awful to work for or great to work for, it really depends on where you work for them.

The acutes program that I worked in for Fresenius was an understaffed mess with very poor management. However, Fresenius has an acute program in another city about 45 minutes from where I worked where they only cover one hospital and they work in shifts with no on call, which I would jump on in a minute if they ever needed nurses.

Likewise, the Fresenius chronic unit where I worked for a time after I left acutes was very disorganized and they scheduled me on opposite days from "my" patients' treatments and then wondered why I couldn't get care plans and foot checks done on them, but other Fresenius clinics in my area are known to be great places to work. I have heard negative things here and elsewhere about working in a Davita chronic unit, but the one where I currently work is a very nice, organized, well run work environment and I really like it, especially since I have the Fresenius clinic to compare it to.

I hope everything works out for you and you find something much better than that program you were in with the nasty FA. It sounds like it would have been awful anyway.