keepitreal

I agree yelling gets you no where...I have one preceptor assigned to me for this specialty..and she said she thinks I am doing great, but she is on vacation. So my preceptor changes daily with whomever is assigned to this specialty. So the specialist in this rotation thinks I am doing fine, but the other one felt I should be running the room after 3 days...As does the educator, and management. I just dont know what is normal. Like I said this is my first job as a nurse therefore, I have nothing to compare it to...Which is why I reached out on here to talk to people in other ORs to find out what is normal... I think I definetly need to talk with someone concerning this...I am not sure what HR can do...And fracture nurse, I do feel that I am being bullied...I am not sure if I can make it another 6 months if its going to be like this. Dont get me wrong, I have had a few great preceptors. But when I get a bad one, and the educator and management don't even consider what I am saying, or better yet turn what I am saying against me, it is truly frustracting. I am seriously considering leaving...I would have been out of here after 30 days but my concern is how does this look on a resume? And more importantly, how do I ensure that this never happens again? Ask to shadow for a day? I mean this place made it sound like they were totally supportive, compasionate and had a great training program...maybe for the sadists:)

There are about 16 ORs. And the scary part is it is a teaching hospital...When I interviewed I was told the training is 9 months and longer for some people and that if you need more time in a specialty, that will be granted. WRONG..I had asked and was told that they have to "justfy" my position to those people above...whom these people are I am not clear. Anyways after 2 months in general I have functioned independently on lap choles, banding, gastric bypass, colon resections,etc...But it was after 1 month in general that I was called into a meeting with the unit director and the educator,whom informed me I should be running the room, anticipating the needs of the team, and not allowing my preceptor to do anything. They made me sign a letter that by 2 weeks I will be doing these things...Or I am fired!On this new rotation I have been there, now 4 days...and was again reprimanded and told what a terrible job I am doing because I should by now, day 3 of my new specialty, again be functioning independently, running the room, prioritizing. The educator is not supportive, she has instead taken on a managerial position whom everytime she says " I want to talk to you" you shiver. In fact in the last "talk" she said this person, (see above about sutures), has never said anything bad about anyone and is one of their best preceptors. I say if thats the case, she should a) not send me in different directions and b) realize that on day 3 of a new specialty, no one is ready to run the room. Which makes me frustrated because I feel the educator is always criticizing, and intimidating by saying things like that...I found out that the other fairly new nurse said they did this to her, but with a different preceptor. I am concerned that this is their modus operundai. Some of the preceptors are great, great teachers and others are not, its kinda a mixed bag. But they do get paid preceptor pay. They get no formal training on precepting. Heogog...thanks for your outline...it is overwhelming sometimes. I understand the flow...but have trouble sometimes if for example the prefference card is missing things...or they have pulled the wrong case..obvious things I can pick up, but not so obvious....I am clueless.. I was utilizing the help of my scrub tech the other day because she does this specialty all day every day...and was told by the preceptor that I cannot rely on her, that I should do this on my own..So there I was day 3 into my new specialty and I cannot utilize my preceptor, or my scrub tech..and then I get told what a terrible job I am doing...I thought part of this is asking for help when you need it! I am incredibly afraid of something happening, with legal consequences. I am incredibly afraid of being fired because my educator is always telling me what a terrible job I am doing. I am afraid that this is me, am I an incedibly slow learner? O that this is nursing in the OR or nursing in gerneral...but you guys have really helped to show me, that perhaps it is not the OR, but more of where I am. I know the OR can be a tough place, but I feel completly alone because my educator does not support me, and managment does not support me. I am 100% open to constructive criticism from anyone but I feel here, they dont know what that is. Again every day I end up wondering, are they going to fire me? Is it like this everywhere? And as we women do so well, what is wrong with me?

Thanks for responding. I did talk to the educator when I met with her and the unit director. After one month I was told by them that I should be functioning independantly and that maybe I was not cut out for the OR. I told them that switching preceptors was not helping. And showed them that according to the outline of expectations I was give, I am on tract. The educator responded that is an outline she had to draw up. And that is all. Our total orientation is 9 months. Gen, GU, GYN, Ortho, Vascular, Plastics. I just am unsure how on day three of my new specialty I am expected to be proficient. I did meet with the educator again after this girl ran and told her I was doing terrible. And she said that reguardless of this being my third day, I should know what I am doing and be in charge of the room. On Friday my preceptor left the room because the case was one that I had seen before, and I did fine. It seems like if I ask for help, I get into trouble.Mngmt and the educator seem to have an idea that somehow, you should be able to run a room during a procedure, in a new specialty within a day..... But I am soooo stressed out. I work my tail off, walking on egg shells, because irreguardless of logic, its my fault. I have tried talking to the educator. I am the only one going through the orientation at this time. I have spoken with another fairly new nurse, and she said the same thing...they would call her in the office and tell her what a terrible job she is doing. My fear is are all OR's like this? Is all of nursing like this...or is this mentallity and complete lack of support isolated to where I am???

I am looking for advice...Brand new nurse, Brand new in OR. I am not sure if it is me, or this is normal. I'll attempt to keep it short and sweet! I have been in training for 11 weeks. After one month of training I was counseled because I was not anticipating what instruments would be needed, I was not prioritizing, and I was allowing my preceptor to do things. I would let my preceptor do things if I had never seen that procedure before ie. prep, get supplies in middle of case. If I have never seen a procedure, I cannot anticipate the unknown I was NOT sitting there eating bon bons, I have no problem saying I dont feel comfortable, or let me watch this time and next time you watch me..... Different preceptor daily, weekly.After 2 months of training, perform independently. Anticipating and prioritizing. Got rave reviews from preceptors, matters little to educator, other than being told you are where you are supposed to be. Second rotation: 2 days with one preceptor whom goes on vacation. Rest of week, and next week assigned various preceptors back in first specialty, whom say "call me in the lounge if you need something." This week...assigned daily preceptor in new specialty, I have 2 days experience in this specialty. No formal education as to instruments used in this specialty, procedures....only training received is location of instruments and machines. Preceptor walks in and says you are doing this all by yourself, I will just get stuff if you need it. I explain that I have never seen this procedure, and this is my third day in this specialty. To which she responds that I should know by now and be able to do it. Then she begins yelling that I need to get the sutures...so I go to get the sutures. She show up 45 seconds later saying I should be in the room and I need to prioritize because I can get the sutures later in the case...okay.... Evidently she gets paid not to teach, but to demean people for 8 hours a day. She left to take her break, and things went smoothly, I sent 9 specimens, documented, lights, sutures...etc. I dont know at day three all the instruments, sutures used and etc... She returns to sit on a stool and stare at me for the next two hours, not saying anything, not doing anything. Turns out she took a break to go tell my educator what a terrible job I did, how I cannot prioritize and I was getting the sutures when I should have been getting the patient, which she told me she was going to do. For me, it was shear chaos, she was raising her voice telling me 40 things at one time. I am frustrated because I am really trying. When I am being thrown with different preceptors in different specialties, there is no consistency, each preceptor has different expectations, different schools of thought. So I was confronted by the educator whom told me that I should have been able to do this indepentently. I explained that I am still not very fast, I have never seen this surgery before and add to that someone whom is telling you to do 8 different things at the same time, it is impossible. Am I supposed to know everything by now? I have never had a complaint from a surgeon, or resident. In fact I have received compliments from some of the most difficult to please. I never heard good job when I receive compliments from surgeons, or when I caught my preceptor handing off an expired implant, or when anesthesia was about to administer a med the patients was allergic to. Being a patient advocate doesnt really seem to matter here. But you see a case for the first time in your life, and you actually want your preceptor to help you the first time...Holy Makeral, you have commited a crime and they are going to let you know what a terrible nurse you are. There is alot of bullying going on here, intimidation, criticizing and threatening.I have had one great preceptor, she explained everything, then would wait and quiz you on it and again review if you missed something. She is what a preceptor is..a teacher. I am frustrated because I really am trying. I was told that perhaps I should do what some other people do which is come into work early to set up the room, unpaid. I am usure if it is the hospital, me or the OR in general. Is their timeline of expectations correct?

I am looking for advice...Brand new nurse, Brand new in OR. I am not sure if it is me, or this is normal. I'll attempt to keep it short and sweet! I have been in training for 11 weeks. After one month of training I was counseled because I was not anticipating what instruments would be needed, I was not prioritizing, and I was allowing my preceptor to do things. I would let my preceptor do things if I had never seen that procedure before ie. prep, get supplies in middle of case. If I have never seen a procedure, I cannot anticipate the unknown I was NOT sitting there eating bon bons, I have no problem saying I dont feel comfortable, or let me watch this time and next time you watch me..... Different preceptor daily, weekly.After 2 months of training, perform independently. Anticipating and prioritizing. Got rave reviews from preceptors, matters little to educator, other than being told you are where you are supposed to be. Second rotation: 2 days with one preceptor whom goes on vacation. Rest of week, and next week assigned various preceptors back in first specialty, whom say "call me in the lounge if you need something." This week...assigned daily preceptor in new specialty, I have 2 days experience in this specialty. No formal education as to instruments used in this specialty, procedures....only training received is location of instruments and machines. Preceptor walks in and says you are doing this all by yourself, I will just get stuff if you need it. I explain that I have never seen this procedure, and this is my third day in this specialty. To which she responds that I should know by now and be able to do it. Then she begins yelling that I need to get the sutures...so I go to get the sutures. She show up 45 seconds later saying I should be in the room and I need to prioritize because I can get the sutures later in the case...okay.... Evidently she gets paid not to teach, but to demean people for 8 hours a day. She left to take her break, and things went smoothly, I sent 9 specimens, documented, lights, sutures...etc. I dont know at day three all the instruments, sutures used and etc... She returns to sit on a stool and stare at me for the next two hours, not saying anything, not doing anything. Turns out she took a break to go tell my educator what a terrible job I did, how I cannot prioritize and I was getting the sutures when I should have been getting the patient, which she told me she was going to do. For me, it was shear chaos, she was raising her voice telling me 40 things at one time. I am frustrated because I am really trying. When I am being thrown with different preceptors in different specialties, there is no consistency, each preceptor has different expectations, different schools of thought. So I was confronted by the educator whom told me that I should have been able to do this indepentently. I explained that I am still not very fast, I have never seen this surgery before and add to that someone whom is telling you to do 8 different things at the same time, it is impossible. Am I supposed to know everything by now? I have never had a complaint from a surgeon, or resident. In fact I have received compliments from some of the most difficult to please. I never heard good job when I receive compliments from surgeons, or when I caught my preceptor handing off an expired implant, or when anesthesia was about to administer a med the patients was allergic to. Being a patient advocate doesnt really seem to matter here. But you see a case for the first time in your life, and you actually want your preceptor to help you the first time...Holy Makeral, you have commited a crime and they are going to let you know what a terrible nurse you are. There is alot of bullying going on here, intimidation, criticizing and threatening.I have had one great preceptor, she explained everything, then would wait and quiz you on it and again review if you missed something. She is what a preceptor is..a teacher. I am frustrated because I really am trying. I was told that perhaps I should do what some other people do which is come into work early to set up the room, unpaid. I am usure if it is the hospital, me or the OR in general. Is their timeline of expectations correct?