ETA: I was two months into my nursing program when COVID happened. My skills lab was mostly virtual (basically getting checked off my watching videos and not doing the skill). Clinicals were cut short and very restrictive. Most of my experience was with tasks normally performed by patient care techs or CNAs.
Hi. I’m a new grad nurse and working my first job as an RN. I passed boards over the Summer. I started my first job a month ago. The first week and a half was online orientation and then two and a half weeks (8 shifts) on day shift and now I have had my first 2 nights on night shift (my desired shift).
My preceptor for day shift was great! I learned a ton. By the end of the two and a half weeks I was taking on 3 patients, with mild assistance.
Now I have an all new preceptor for night shift. She’s very thorough and has a totally different work style than my day shift preceptor. She has precepted many nurses on the floor, she was on different meds and is now TTC, so off of them and the preceptor that at one time was always up and moving and teaching seems to just want to sit and talk with the other nurses. I spent my first night off in a corner with a list of things she expected me to chart that I was not ever shown before. If I do something the way my day shift preceptor showed me in the charting system she says that’s not the best way and expects me to do it her way.
Anyways, my first night I took on three patients, she followed me in their rooms the first few times just to check out how I do things. Fine by me. The night rolls on and then there’s an admission, so naturally we get the admission, and without ever doing so before she made me get report without even listening in. I have never done one solo, so she came in the room. She was basically rushing me through it and doing most of it by herself. She had me leave the room to grab something and did a head to toe assessment, then I wanted to do one also but all I got in was lung sounds and bowel sounds before I was rushed back to the computer to do the admission busy work. After leaving the room she was like okay go chart the head to toe, knowing that I didn’t get a complete one done, she did. She sat down at the other side of the nurses station, eventually she came over and assisted. The rest of that night went on.
On my second night shift I came in and she said here all four of these patients are yours. Basically do what I need to do. She walks around and quickly does shift assessments on them. Two patients had q4hr assessments to be done. One was a neuro assessment and one was a neuro vascular assessment. We hardly touched on these in school. She gave me a paper and a quick verbal list. I reported to her different things I seen and she was basically like okay if that’s what you saw chart it. As I’m running around trying to get antibiotics and all meds on time, she’s just sitting at the station chit chatting, I get to take an admission. This one the expectation is I do it alone, she stood in the room and watched in. Orders start rolling in and it gets busy again. I finally get to sit down and chart and the phone rings, it’s a doctor. She puts me on the phone and he’s calling because he has noticed a low MAP on a pt have been off and wants me to hang a bolus. I have never done this before, so I go in and set it up how I think it should be. She comes in and basically says I did it wrong and that’s not how she would do it (it wasn’t wrong, but maybe a little more work). Things get busy again around shift change, and she jumps in a helps a little to help with the pt getting sent to surgery.
I’m just upset that she would see others struggling and jump in to help, but me the new nurse she basically threw me to the wolves. I understand that I need to learn, but being overwhelmed isn’t what I like. I feel like she thinks my questions are stupid and I feel judged. And the pt with abnormal MAP, I feel that since she spent so much time at that station with charts pulled up she could have caught that easier than I (these patients are still partially hers too). She was very annoyed the doctor called and was basically mocking him. Orders like when to call the doctor haven’t been shown to me or where to find them until I talked to him.
I’m just really overwhelmed, I loved this unit and people on day shift. I just don’t feel the same connection with night shift (there are day shift positions open). I wanted to like night shift so bad, but I feel this preceptor not really teaching me and just expecting me to do all the work is putting a damper on my first ever RN job.
What would be your expectations as a preceptor to a new grad that’s only had 10 days on the floor? Is it normal to be expected to handle a full load of patients? Maybe I’m just being difficult.