After working on the floor, I started an OR nurse residency in February and have become more and more discontent with my job. I understand that the gnawing, raw anxiety and sense of discomfort/doom is normal and will pass in about 1.5 - 2 years, but I fear I will implode, or perhaps spontaneously combust, before I reach that point. Is it the facility or maybe nursing is not for me? Please allow me to list a few of my frustrations:
1. No leadership. The department has been without a manager for over a year.
2. Absent clinical coordinators. We needed a rep for a case and had no idea, the patient was already on the table with no ENT coordinator in sight. I thought the surgeons were going to explode! How am I supposed to know this - I'm brand spanking new!
3. Incomplete, outdated or missing maps/prefernece cards. At this point, I'm only as good as the guidance of the scrub and the map infront of me. Essential equipment, medications, suture, etc are not listed or pulled. On a good case, I actually know what the surgeon is asking for. On a typical case the essential item is located in an offsite building and the needed med is not carried in house. Again, if this crap was listed or if someone would tell me I need it when I ask "Is there anything extra we need for the next case?" I would have it ready and waiting. The absent clinical coordinators are responsible for updating maps, go figure.
4. Lack of communication.
5. Poor adherance to policies and procedure.
I have voiced my concern over my frustrations to the director of periop services because I think it boils down to a big heaping patient safety issue and I feel that I'm not enabled to do my job safely or efficiently. I know others have voiced thier concern as well. Did I mention we have lost 30 nurses within that last year and an additional five within the past 6 months? I would really, REALLY like to leave but I feel trapped by my lack of experience (what OR would hire me?) and a two year work contract. I can stick it out as long as I can for the sake of experience, but at what cost - my sanity, my happiness and my license? Any advice is greatly appreciated.