I have been an RN for 6 years. But I just started in to my first hospital job. I am 4 weeks in to my 6 week orientation at my new job. It is technically med-surg but they refer to it as a surgical floor since 90% of the patients are surgical patients.
I see there are a lot of "new grad" and "new to med surg" posts so before your eyes glaze over, please hang with me.
How do I NOT freak out when I walk in to my patient's room and see a WHOLE bunch of stuff on their IV pole. I see a primary with a piggy back abx, PCA, epidural, PCO2, etc.
I am a little frustrated because I only get 6 weeks of orientation. I really wanted to follow my preceptor around to watch her time management of 6 patients and how she managed those higher acuity patients with crazy lines. But then 4 hours in to our shift we had a patient become combative and all heck broke loose and she basically sent me off to answer call lights and do damage control. I didn't feel like I got anything that night other than scared!
The next night she gave me 1 low acuity patient to take care of myself. It was super easy so that did help me get an idea for time management, charting, pain meds, assessments, etc. SO that was good. Now she has me up to 3 of my own patients that are lower acuity. But I kind of feel like I am so nervous because I know I won't get these easier patients once I am on my own. I really want a few shifts where we both tackle 6 patients and I follow her and watch her but she lets me do any of the skill based items, especially anything to do with those more complicated line set ups and higher acuity.
Last week I was caught up with my 3 patients and asked her if I could follow her around for a while with the hopes I could pick up more information and learn from her 30 years of experience. But she would brush it off and say things like, "Oh I am just giving a pain med."
ARGH! To me, a newbie, there is no such thing as, "I am just doing ....." I need help with EVERYTHING. I mean, I have given plenty of pain meds, IV push, spiked new IV bags, etc. But I still want to watch it to confirm I am still doing things right and to help boost my confidence.
IDK why, but anything more than a maintenance fluids just freak me out.