Five weeks ago I started orienting a new girl to my unit (IMC step-down). I have oriented 5-6 times before without many problems, but this girl takes the cake. I was already upset because I wasn't asked to orient her, she was just handed to me one day and they said "oh this is Megan, she'll be with you for EIGHT WEEKS". I like to be notified ahead of time so that I can get eduation stuff together and prepare myself for a few weeks of difficult shifts. But fine, whatever I've done it before, I'm sure I'll do it again.
Since she is a brand new grad who has never worked in a hospital I let her just shadow me for a few shifts, just to get the lay of the land. I started her off slow with one patient and me being with her every step of the way, and here we are five weeks into it and she's getting worse! She cannot handle one patient even with my help. I literally have to watch her every second of the shift, I'm terrified she is going to do something without asking me. She's a very nice girl who clearly wants to be a nurse, but I'm beginning to think she has a real inability to learn. I have always stressed the "ask questions! ask questions!" mentality but she's taking it to the extreme! Five weeks in and I'm getting questions like "Do I give this Tylenol pill IV or by mouth".. YES, she asked that last week. She turned off a Heparin gtt yesterday because "the patient said it was done". She makes the same mistakes over and over again! I must have told her at least 20 times that Lovenox sub-q does not go in the arm and that you need to check a BP when giving SL nitro, yet she cannot seem to remember those simple things. She and I have had numerous conversations about her performance and she always says she will improve but so far no luck. The nurse manager and I have had a few talks about her, but so far nothing has changed. I'm actually afraid for patients safety at this point. I've tried to be nice, I've tried to be stern....heck, I have tried every technique I know of! She is supposed to go to day shift this week for two weeks and then come back to nights on her own after that. I am actually sick to my stomach over the thought of this. My manager doesn't seem concerned, but all the floor nurses are terrified. Would it be inappropriate of me to go to Human Resources? Who else should I talk to about this??