Taylor55

Your orientation must be long enough! It's the most important aspect!! And the preceptor you get. If you don't like your preceptor, if he/she doesn't completely answer ALL of your questions go straight to your manager and ask for more support, a different nurse, whatever, because once they set you loose you are going to be terrified. The longer the orientation, the better. Write everything down, review your notes several times a week. Watch youtube videos. Don't let families waste your time....don't allow them to blab blab. You will be so busy you won't be able to run to the toilet. You'll be slow at everything. Don't try being too nice to patients or families because they will sense your weaknesses and eat you alive. Put your game face on in the parking lot. The nurses will be tough, some nasty. Don't take it all personal, bide your time, stand up to them when necessary and eventually when you know what you're doing they will back off. Try not to use food as a stress reliever. Carry a pair of scissors, think organization. Fake it till you make it is critical. Make sure you have a very supportive person at home because you will need to talk. Returning to a role that you haven't had in a long time shifts how you see yourself and can be extremely disconcerting. It will take 1.5-2 years and you will be a new you. It will happen. Grit, perseverance. And also, after one year if you hate the place update that resume and look for the next job. And remember the orientation is the most important factor. Wishing you all the best.

Wow chica, you understand exactly what I'm saying. And your analysis sounds right on the mark. And super smart. And I feel better lol. Ok I'm going to take your advice and focus on improving over the next year or so. Thank you so much.

I would appreciate any thoughts at all. I've been in a VERY large chemo. outpatient unit for one year in a metropolitan suburb. It is a well-oiled machine and we treat 170-205 patients per day. I've been getting 10/day. I arrive one hour before shift starts to do as much as I can but still usually running 4 chairs at once. If I get a cancellation, another is added. Our protocols our involved etc. I just passed my OCN. My managers are nasty, auditing and expecting perfect documentation etc. Completely terrify me. I worked hard to get this job. Other RN's complain bitterly too but many live close so will stick it out. I dread each shift. If I leave what would I do? Try to get a smaller unit? Leave chemo? Stick it out another year? They are advertising for more RN's. Anyone else been in a position like this?