Hey, all! The title may be slightly misleading, as my "experience" consists of only 1.25 years of nursing on a cardiac telemetry floor right out of nursing school. I became VERY good at a lot of cardiac nursing functions, assessments, and rhythm/rate identifications. I really enjoyed the cardiac aspect of care and I before I transferred to my current unit I felt extremely independent and was always on top of my game and I feel as though I was generally a good nurse all around (of course I had my off nights where I felt like I could have done better); however, about a week or so ago I started my job in the neurosurgical ICU. I work in a level 1 trauma magnet hospital in a major city in the U.S. and we get the sickest of the sickest. I thought with my bout of experience on my previous floor (being in the same facility, just a few floors up), I was well-prepared to quickly learn and adapt to the ICU setting. I am here to tell you that I have run into a few problems and I need some advice...
1. I know cardiac, and I know it well...but working in NSICU now, all we care about (unless the patient is actively in cardiac distress) is neuro, neuro, neuro...something I literally never really learned a lot about in my experience as a nurse and forgot a lot about since nursing school since I haven't been applying my neuro skills or full, in-depth neuro assessment.
2. I feel like, in general, getting used to where things are on the unit, getting used to where supplies are kept in the rooms, adapting to understanding their equipment and my new responsibilities and what I no longer have to do is absolutely throwing me off and it makes me feel incredibly stupid and worthless when someone is asking for a butterfly needle from the carts in the rooms and I don't even know which drawer to fling open to swiftly retrieve it, yadda yadda.
3. Lastly, the unit I left, I left with a heavy heart. I LOVED and adored ALL of my coworkers. They were amazing people and we all got along and worked very well together as a team. Now, I feel like 75-90% of my new coworkers are stuck-up and think they're better than me and they won't give me the time of day to even look in my direction. The only people I am getting to know are my preceptors (2 of them). Everyone seems so mean and rigid and I don't understand...I am always courteous, respectful, and humble in all of my interactions.
Essentially, I feel insanely dumb. I feel like I am just starting nursing all over again with no education and no prior experience. I feel like a failure, which is a feeling that hits me hard because I always prided myself on my last unit as being an aggressively active nurse who was consistently spot-on with assessment changes and reporting needs for rapid responses, codes, rounding incidents, etc. I was NOT a lazy nurse, by any stretch of the imagination. Please give me some advice as to where I should be in my head space and what I should do...I feel so lost and my preceptor has such a tight leash on me that she won't let me learn because she keeps micromanaging everything I do without providing me opportunities to do things for myself while she monitors.
TL;DR I have over a year of cardiac nursing experience that i felt that I excelled at, I just transferred to neurosurgical ICU last week, and I feel as though I know absolutely nothing and my new coworkers seem really mean and cold toward me. I really need some advice as to what I should do.