Hi guys. So happy I found this website, reading all of the other discussions has really helped me in the last 3 weeks. I have worked around 6 shifts so far and SO overwhelmed. I worked as a PCA for just 9 months (I was in an ABSN program and didn't do it first semester) and feel like my clinicals were just absolute fluff. My preceptors are absolutely lovely, but gosh I feel bad slowing them down with all my questions. My manager and preceptors say "I am right on track" and can tell "I will be great", however, they're Vermont people and just quite nice. I think they can tell how anxious I am and are just saying those things, so I don't always believe their compliments. My floor is an oncology/med surge floor and I feel like I have sooo much to learn--I know that's normal, but gosh I did not know what I signed up for. I have no desire to quit, I just feel so inadequate and like I am never going to be ready to be off orientation. To explain more, I am 6 shifts in and forgot to waste my 1st syringe in a lab draw, I am still confused on setting the IV pump rate&volume when you have back to back abx, and the UFH of a heparin drip went completely over my head--my preceptor didn't really try to explain it to me because she said it may be too much, but that just kinda made me feel like she thinks I'm weak or something.
I've had a few days off and been reflecting on what I think is going wrong. I am starting to realize I may be trying to understand the "why" too much. For example, I'm stressed that I don't really understand preload/afterload and what affects them (do any RNs fully get that..? I never did in school). I Googled it and it says systolic blood pressure affects afterload and I'm like ?how. Likewise, I started freaking out randomly that I totally forgot the renin-angiotensin-aldosterone system (RAAS), and how it regulates blood pressure and fluid balance. To be honest, my accelerated program briefly mentioned that once but I never had the time to fully get it. I have 0 desire to ever go ICU (kudos to you baddies though), so do you think I'm just being oddly anxious and overthinking how much I need to know? I am trying to just get down IV insertions, setting IV pumps, safe med passes, time management, prioritization, and other basic skills and realizing I may have to know the "why" of so many things just put me over the edge. Do you RNs know all that stuff? Sorry if I am being a total freak right now, I feel like my head has been exploding ever since I started this job and am so scared of losing my license...and flipping harming someone!