Raw: Two Months After Graduation. One Month After Employment.

During orientation, we were shown this video. It showed a new nurse happy to begin her career, but then she crashed. She became depressed, and frustrated. She came to quickly hate her job, in spite of being enthusiastic and excited when she started. She felt like a failure and isolated. She was miserable. Nurses Announcements Archive Article

I watched that video in orientation thinking, "these people are crazy. I'm a ray of sunshine and hope! I am a positive person! I believe in myself and I am ready to learn and BE AWESOME!!!! I LOVE THIS PLACE!!!!!!"

But here I am. Three days shy of a month in on my first job. And there is a bit of dread in my heart. I'm not sure how it got there. It snuck up on me rather insidiously. A couple of weeks ago, I was walking toward my car and I passed some respiratory students. I beamed at them happily and said, "Hello!" As I walked away, I heard one of them say, "Wow that was a happy person!" She was right. There was joy in knowing I could wake up to the hospital, my new home.

What happened? Is it that the high of graduation has settled, and the reality of going back to grown-up world has come back? Is it that I feel so completely incompetent?

I know what you students are thinking while you read this. "I'm going to be on top of the world! I'll never feel that way!" But mark my words - there is this strange feeling that sinks in where you realize that school didn't prepare you for this, and that you really aren't good at it no matter how hard you tried to be, and you have so, so much to learn.

I read that so many times here, and I believed it. I think I held that giant beaming smile on my face because honest to god, I went in prepared for how hard it was supposed to be. Even then, it overwhelms me knowing how much I need to know, but just don't yet. I wish I could take home the charting system to practice. I wish I could take home the omnicell to practice. I wish I could take home the policies and procedures link on the intranet to memorize. But then again..... surrounding myself by the ongoings of my children on days off has kept me sane.

Four days off.

Four.

Why do I feel like I'm always at the hospital? I'm home more days than I am there.

You know what is a little bit more frustrating? I'm a bit of a junkie for the critical care unit I am on. I absolutely love it. And yet.... I have buyer's remorse. I think to myself, "there is no way I'll get good enough for this... Maybe if I chose (med/surg/OB/peds/ortho) instead it would be easier......" Realistically, I know that's not true. I mean, probably not true. I usually STRIVE for a challenge and feel let down when I miss opportunities. I know I'd be frustrated if I were anywhere but where I am. But I'm frustrated, too, because I am where I am.

Being on orientation, I am frequently pulled for other experiences. In 4 weeks, I've had two days with my own patients. I've loved my experiences, of course, but I'm feeling the weight of, "I should be making progress by now, but I'm not getting the opportunities to." I'm not meeting goals. I've gained a lot of experiences, but I haven't met goals. Is trading one for the other good? How does that work exactly?

I have the blues. I'm very much a fighter. I'll keep moving and striving to be awesome. I know it's a long haul before I will feel like I'm awesome. I've waited through nursing school, I can wait longer.

But.... man.

You graduate nursing school, and you think to yourself, "I reached the goal! I'm there!!!!"

And then you pass the NCLEX, and you think, "No more studying these giant ugly books!!!"

And after that, at work you get your first name badge with the words "registered nurse" on it.

And you think, "I made it. I am here. I have arrived."

You save your energy up for that finish line. And then you reach it. And you feel you're on top of the world. No one thinks about what happens next, emotionally speaking. You walk into your first job, and find out that because you were so high on that mountain on top of the world that it is that much further to fall down when you have really hard days.

And you look up to where you were, up there on that mountain, and you remember...

"I wasn't supposed to fall."

Specializes in pediatric neurology and neurosurgery.
Checking back in, almost a month later....

It's been rough. I have increased my patient load. I feel like I can't keep up at all. The days fly by and desperately I hope I can just manage to fit in lunch. This whole time I've just been telling myself.... In time I'll be able to do it. All I need is practice.

I had a mini freak out over a legitimate medical problem that thankfully turned out to be me jumping to the worst conclusion possible. (I can be half dead with the flu all by itself and not care, but you give me a weird skin thing coupled with flu-like symptoms, and I freak out.) Anyway, when I got checked out for that, my blood pressure was 163/115. That was the highest reading of the whole experience, but even with metoprolol, it wouldn't go below 140/90, and it only stayed that low for maybe a half hour.

I had a follow up to that visit 2 days later, and over that two days I really did some soul searching. I'm thankful for all of the posts here validating how hard this first year is because I know it's normal to feel so overwhelmed. However, it doesn't make it THAT much easier. I asked my NP for an antidepressant, which I started Friday. If that doesn't do the trick by itself, I'll go to a counselor. The thing is, if I didn't have so much recent chaos in my personal life, probably I could absorb the stress of work and blow it off when I'm home. But for a handful of reasons, home hasn't been the solace I've needed. It's a lot all at once from every direction.

Anyway, it's taking a bit of courage to bare this here, but I was thinking if anyone finds this article and feels as bad as I have lately, they might feel better to know they're not alone.

Thank you, AN, for the realness you have always shared. I couldn't imagine this blindsiding me with absolutely no warning whatsoever.

IxchelRN, I'm so sorry to hear how rough things have been for you lately. It's true that night shift is a great environment for learning and gaining your confidence. I always liken the hospital at night to an island, with just patients and nurses. If you have a good team on your unit, it can be a very rewarding experience. And as for antidepressants, there is no stigma attached to them anymore. Many people, in and out of healthcare, take at least one.

Best wishes to you.

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Ixchel, I'm about a month in, and feeling much like you were when you made the original post here. I transition to nights in October and I'm hoping it will be a good thing. My brain is exhausted, my emotions are spent. I feel as though I never see my family because I'm so exhausted when I'm home that I'm trying to get as much rest as I can. My preceptor is fabulous, and says I'm doing well (and she's definitely not the kind of person to sugar coat things, she's a straight shooter) but I feel so overwhelmed. I'm so pleased with our residency program. It's very supportive and they have us doing all sorts of classes and training. We have monthly check ins as a group and weekly check ins with our preceptors and nurse managers. I'll be on orientation till Thanksgiving. I feel they're giving us as much as possible to help us transition.

I started my BSN program this week too, with one online class. I can do one seven week online class, right? I really wish I'd waited. But I can hang with that for seven weeks. I guess I'm just surprised at the mental exhaustion. I'm also an introvert and I recharge by being alone for a bit.....and with four kids and working 40 hours a week, there isn't much of that right now. I feel like my bucket is empty. Hoping it's getting better for you. I rationally know that it will get easier, but I'm on the verge of frustrated tears every so often (and I'm not a crier!) Perhaps it's the full moon, haha.

Specializes in critical care.

The article contest made me think... I should come back and update. Thank you everyone for the wonderful support. The last month has gotten better. I had a preceptor that I think wasn't the best match, personality-wise, but I kept an open mind knowing I still had plenty to learn from her. I've been working on my own for 4 weeks now, I believe. The reality shock has faded, and I am much more realistic in my approach to it all. Nights have worked so well for me, except the whole sleep thing. It's been really hard to juggle home and work when I feel tired for 2 days after I get off my last shift. But it's working. And when I get through a good shift, I feel great inside because every little success is a triumph. I appreciate very much the multiple times I've read posters here saying that school should do a much better job of giving a REALISTIC impression of nursing so that people don't go through the horrible shock that I had. It's the truth. I believed it then, but I've lived it now, and I didn't realize how significantly HUGE that problem actually is. But life does go on. It gets better, as I get better. Still a long way to go, but I'm getting there.

Thank you, everyone, for your support!

I'm nervous for that first job. I hope I have good CNA's. I have been a CNA for five years. I'm hoping that will help me with my patients. I feel like I will be comfortable, but nurses make it look easy! It will be a bittersweet chapter in my life as well.

Specializes in VA, Ortho, Med/Surg.

My question for you girls is WHY O WHY would a new nurse EVER want to start out in Critical Care? I suppose that is where you get most of your learning up front but MAN. Pat yourselves on the back for even choosing that...I would have to work with the babies. I love babies.

Specializes in Critical Care, Postpartum.
My question for you girls is WHY O WHY would a new nurse EVER want to start out in Critical Care? I suppose that is where you get most of your learning up front but MAN. Pat yourselves on the back for even choosing that...I would have to work with the babies. I love babies.

Why not critical care? Those new nurses who grew to become amazing seasoned CC nurses are the ones I feel confident taking care of my loved ones. On a side note, both men and women do critical care.

There are specialties for a reason. Not everyone wants to work with babies. Also babies can go south, where your NRP will come into play.

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Specializes in VA, Ortho, Med/Surg.

You guys make me want to go for the RN. My greatest fear though? IV's. Dosages.

Specializes in VA, Ortho, Med/Surg.

I meant no disrespect and I said GIRLS because I didn't see a MALE poster. It's funny. When I posted what I did I warned myself to write as nice as I could so I wouldn't offend anybody and then there it was, someone who took offense.

Specializes in VA, Ortho, Med/Surg.

And what is NRP?

Specializes in Critical Care, Postpartum.
I meant no disrespect and I said GIRLS because I didn't see a MALE poster. It's funny. When I posted what I did I warned myself to write as nice as I could so I wouldn't offend anybody and then there it was, someone who took offense.

How can you tell there were NO male posters in this thread? Did each poster identify their sex? Did you?

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Specializes in VA, Ortho, Med/Surg.

Again why so nasty, your tone is awful.

Specializes in VA, Ortho, Med/Surg.

Maybe I came across rough about why a new nurse would start in a hard area but I sure didnt mean to, and your right, there are guys on here but for whatever reason whether it was a female picture or whatever, I thought they were mostly women