Hi, so I've been on this forum earlier last week.
im currently a new grad on my second week of orientation. & I think I'm not cut out for this. I am on a busy Tele floor on night shift. 3 out of my 5 shifts I spent on the PCU. Now I had trouble getting started in the beginning. So around my 3rd and 4th shift my preceptor finally felt comfortable with giving me 1 pt to handle independently. After taking everyone's advice I made improvements. But then today on my 5th shift it was my first time holding my own 1 pt load on the med-surge/Tele unit. My preceptor was around when I needed her, but was charge nurse with 7 pts, technically 8 if you count the one I was handling. So down to where things to the wayside...
i was basically no help at all. The one pt I had, I basically took the whole shift to chart on. & then I had to stay an extra hour to make sure I charted everything. This pt never went to sleep. She was constantly crying out the entire shift & I literally mean crying out. Some of it was because of pain & Given her condition I could understand that she was in pain, so I did what I could when it seem like the meds weren't working.
Anyways whole shift, she needed something. Then she started complaining about pressure and tingling under her arm cast, said it was a new symptom. So I paged the ortho doctor. He came & when he was asking me questions about the pt I had no answer to a lot of the questions. I felt silly because how am I the nurse & not know these answers. I hadn't had time to thoroughly review the reports & history & the shift report wasn't that great.
Throughout the night I made various mistakes. I sent an EKG chart of a pt who was having chest pain to the wrong place.( it was already determined it wasn't an MI or PE by then thankfully), I called the wrong doctor when I need a decrease on vancomycin. He got mad of course but still went in to see my pt. Apparently I kept paging him but I only paged him once or thought I did. I was so flustered I'm not even sure.
The nurses were irritated because they had this extra person on board and of no help. One nurse expressed her disbelief that I was still charting one pt throughout the night & I quote "well did she just start orientation"
I also like to run things by my preceptor, maybe too many things. Even if it's just PRN meds. I have this fear that I'll administer a drug & make a med error because I missed some important lab or some other contraindication to giving the med. I think this also exasperates her as well since I shouldn't need to run every little thing by her.
Anyways should I just sit down & see if I can transfer to another unit or should I just look for another job elsewhere, maybe outside the hospital setting all together? Everyone keeps saying this is normal but I think you know when your really not doing good. & I could understand everyone's exasperation. I would be too if I had this other person of no help. So any advice is welcome really. Were there any other new grads in this position? What did you do?