Setting my orientee up for failure?

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51 Posts

Specializes in RN BN PG Dip. Has 23 years experience.

Being unkind will not help at all. 

All this would do would be to create more stress for the learner.

My guess is that there is enough stress already and stress is not conducive to learning.

cgw5364, ADN

27 Posts

Specializes in Maternal Newborn and Denials Management. Has 39 years experience.

I loved precepting new grads and new hires. I had a new grad very similar to what you are describing very sweet and tons of book knowledge. However, she just could not function on her own. She never could develop a system of organization for herself. She actually had 6 weeks orientation on days and then 6 weeks on nights with me. She was able to go into a patient's room alone and do assessments though. But anymore than that and she would completely shut down. She could not do a patient's assessment and give meds all in one go. She ended up transferring into home care where she could just focus on one patient at a time and this was better for her. I always wondered if she had a learning disability. My high functioning autistic daughter shuts down if I tell her to do more than one thing at a time and that new grad was very similar. 


20,964 Posts

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis. Has 26 years experience.

I was far from "useless" as a PRN nurse. I picked up weekend nights for 14 years. EVERY weekend. And I had the nerve to have two kids.

NightNerd, MSN, RN

1,129 Posts

Specializes in CMSRN, hospice. Has 9 years experience.

Thank you all for continuing to share your thoughts and stories - it is super helpful! I was definitely able to use a lot of your suggestions for our last week together. She was a little better with taking initiative on some tasks, and we got a chance to review some topics we previously had no time to cover.

There were some improvements, but I still have some significant concerns, as she seems to feel she is making more progress than I'm seeing from my side. Unfortunately she is off to night shift now, so we'll see if maybe the new shift will help her get a better grasp on things. If not, I'm hoping my manager can help her get some share time on a less acute floor; I do think she's coming along, just not far enough for this unit at this time.

Specializes in LTC.

Sounds like a tough situation for everyone involved. Hope you find a solution that works for everyone.

Specializes in Occupational Health. Has 19 years experience.

"I do think she will be a great nurse someday, but this is a smaller, weirdly fast-paced unit where she will not have the kind of support she will probably need"

You answered your own question...she has a place in nursing just not the one where's she currently located

Specializes in Physiology, CM, consulting, nsg edu, LNC, COB. Has 53 years experience.

My initial impression after your description is that she’s still operating at the student level- needs constant reinforcement, afraid to take initiative, can’t enter a room s the instructor, doesn’t trust herself, imposter syndrome. There’s a middle ground between handholding and sink or swim/drowning. You got one really good script on specific feedback to get her focused, and there’s a time where “Get in there and do this yourself” is going to have to occur. 

2BS Nurse, BSN

677 Posts

Has 10 years experience.

One of the most memorable comments made by a nursing instructor... "Before the NCLEX and results were available online, we had a nice, long time on orientation". They spent months waiting to see if they passed the exam and worked alongside their experienced peers while waiting. I feel sad that new grads are denied the time necessary to earn their wings. It's not your fault.