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1st week down

Posted

Specializes in Emergency Dept. Trauma. Pediatrics. Has 6 years experience.

Just had to come and blog about my first week because I know a few wanted to hear about it. I really wanted to wait until after tomorrow (I hit the floor tomorrow) but I was to excited so I will update after my floor shift too.

New Employee orientation has been great. I am super excited about the company I am working for. Everyone has been very nice and friendly and they seem to really enjoy where they are working. It's all been very surreal. I am anxious on how tomorrow will go. It's so nice to get paid to do all the computer modules. We had to do them as students. (no where near the same amount) and it was just as brutal, but getting paid makes it not as bad. LOL

So anyway, I hit the floor tomorrow night. Then I have off until Tuesday. Next T, W and TH will be BRUTAL. It's 3 days of computer training so long hours in front of the computer learning the ins and out of the system. I am familiar with what the hospital uses because I had clinicals there so it's not completely new to me. Then Friday and Sat I will be on the floor again and on the floor from there on out.

New Grad residency starts on July 20th and it's every other week all day. That will be nice to get together with other new grads. I got a friend an interview so I am hoping she gets hired on so we can go through that together and car pool on nights we work together.

Anyway, so it's all been great. I will update more later. :D

Congrats on your new job!!! I will be starting a new grad program July 11. So far I have done all my new hire paper work and I am super excited to start orientation next week. What floor will you will be working on? Did you sign a contract with the hospital your working for?

~Mi Vida Loca~RN, ASN, RN

Specializes in Emergency Dept. Trauma. Pediatrics. Has 6 years experience.

Congrats on your new job!!! I will be starting a new grad program July 11. So far I have done all my new hire paper work and I am super excited to start orientation next week. What floor will you will be working on? Did you sign a contract with the hospital your working for?

I am on Peds :) No contract. We had New Employee Orientation on Monday and Clinical Orientation T and W and then a Phlebotomy class today on hospital procedures and tubing and all that.

Congratulations to you too!

nursel56

Specializes in Peds/outpatient FP,derm,allergy/private duty. Has 34 years experience.

I saw your other post and wanted to say -- my first job out of the gate was in peds, too and also worked for years in ambulatory care and family practice so it will be fun for me to hear (yeah I know HIPAA-fied to death) how it's going. I adored Children's Hospital because of the fantastic sense of purpose everyone had there, it really seemed to cut the drama down.

In larger units I can't lie - it's tough to see an 8 week old baby girl with two fractured femurs but nothing on this earth really beats knowing you were able to hold and comfort that child ...and if you like teaching you will do a ton of that!!

Routine surgeries, less acute dx and well-child care are more along the lines of a crazy-train of activity but if you have four kids you already know what that is like. . .

Looking forward to your next updates........:)

~Mi Vida Loca~RN, ASN, RN

Specializes in Emergency Dept. Trauma. Pediatrics. Has 6 years experience.

Thanks Nurse. Yea in the CO section I posted the company I work for (couldn't help it, they are FANTASTIC) so I will have to be extra careful of my posts but I am excited.

In the winter seasons the Peds unit stays pretty much at capacity. (it's a level 2 hospital so the real serious kiddos will go to Childrens in Denver) This time of the year not so much. When I went to pick up my binder and see my mail box in the break room (with my name on it which is so exciting as a newbie) I don't think there were any peds patients on the unit. They also do womans overflow and same day surgeries like the tonsils coming out and stuff. Like the recovery on those for kids.

I will also after I am on the unit for a while get cross trained to go to Surgical sometimes. My managers run that unit too. Then NICU to help there if needed with the feeders and growers. PACU rarely and then if the ED needs any help doing procedures on children I will go down there.

It's a really nice unit though. Very big and spacious and nice rooms.

I love teaching. I also can't wait until I get students and can precept. I look forward to that in the future. I am not sure how it will be to see the really sick kiddos. It's going to be hard but I look forward to being able to help them and the family at such a vulnerable time.

It's nice to hear that you are so excited! Keep us updated! Congrats!

I am happy for you MiVida Loca...that sounds really exciting!! I wanted to ask you...I just graduated in May..and im sorta sad..because these RN new grad programs/residencieis aren't going to start again until January!!!! What do i do?

vegasmomma, BSN

Has 5 years experience.

I love reading your enthusiastic updates..hope you can maintain the energy to keep us posted. I'm looking forward to hear about your time on the floor, conditions of patients and I want to see what processes and treatments you are involved in right off the bat.

~Mi Vida Loca~RN, ASN, RN

Specializes in Emergency Dept. Trauma. Pediatrics. Has 6 years experience.

I will keep updating as long as people want to hear. AN is the only place I have to come get it all out. I am about to head out to my first shift on the floor tonight. That will be it until next Friday though because of the holiday and computer training.

I know I always love seeing the positive posts so I like to give back by doing the same. :)

~Mi Vida Loca~RN, ASN, RN

Specializes in Emergency Dept. Trauma. Pediatrics. Has 6 years experience.

So I had my first night on the actual floor. It was FANTASTIC!!!! My Preceptor said she was really impressed that I wasn't just sitting quiet in awkward silence to scared to do anything. She said she thinks I will have no problems at all working on the unit because I am very enthusiastic and proactive. She said I had no problem interacting with the patients and she is never had a newbie just glide right in so easily. I told her patients are where I feel the most comfortable and interacting with people period, it's skills I sometimes worry about. But she said she has no worries about me because I impressed her so much.

It was very weird transitioning from student mode. For example, she went to waste and had me waste with her and I was like "I'm not allowed" she was like "Ummm you're a nurse now, you can. You even have pyxisis access" So it's odd.

She told me she couldn't really see anything off the bat that I am going to have trouble with so for me to think about things I am uncomfortable with so we can work on those next week. We were a bit limited because I didn't have my computer access yet. I do the Cerner training on T, W and TH so then I will be trained on all the aspects of charting.

It's a small 14 bed Peds unit that can act as a PICU as well and once I am done with orientation I will get the step up training so I can work with PICU patients.

I thought they did womans overflow but they do short stay surgery overflow in general now. So anyone expected to go home in 48 hrs of less. There was only 1 kiddo last night so my patients were adults. They sometimes will take overflow if they need to but they have very strict guidelines on what they will take and it will mainly be surgical related stuff whether it be pre or post op.

So I will still get pretty consistent adult patients too so I keep up with those skills as well. It's a newer unit so the rooms are very big and nice. Also because they are made to accommodate more family. Most of all the nurses were great. Very supportive and friendly and treated me like I was one of the gang. Not like a newbie at all. Someone had come over to the unit and said you couldn't even tell I was a newbie with the way we all were chatting. :p

So anyway it went awesome and I think I am going to be very happy here.

So nice to hear about good new grad experiences! I start Tuesday so I'm very excited and hoping to fit right into the flow of things! Best of luck with your new job! :)

joanna73, BSN, RN

Specializes in geriatrics.

Lol I remember my first day on the unit, when I was counting narcs, and the nurse gave me the key. For a split second, I thought, "Wait...I need another witness." Duh...no. I realized, I'm an RN. That was almost 8 months ago :)

How exciting for you! It sounds like you are going to get a lot of experience with all age groups and to be cross trained in the PICU side of it, too! Sounds like a dream job that will open many doors for you in the future! Congrats again! I can't wait to graduate (and get a real job)!

Aurora77

Specializes in Med Surg. Has 4 years experience.

It's great to read things are going so well for you!

I've had my first two days on med-surg as a real nurse. That transition from student to nurse is odd, isn't it! I actually did my final ASN precepting on the same floor I'm working on, which makes it even wierder. It's so nice just to be able to pull meds or fluids from the omnicell without having to go get the real nurse.

Your positive posts are comforting to me. I had a great couple of shifts; my coworkers are welcoming and I felt reasonably comfortable, but reading a lot of the posts in this forum makes me wonder if I'm just waiting for the other shoe to drop, if that makes sense. Glad to see someone else enjoying their new job!! :)

~Mi Vida Loca~RN, ASN, RN

Specializes in Emergency Dept. Trauma. Pediatrics. Has 6 years experience.

It's great to read things are going so well for you!

I've had my first two days on med-surg as a real nurse. That transition from student to nurse is odd, isn't it! I actually did my final ASN precepting on the same floor I'm working on, which makes it even wierder. It's so nice just to be able to pull meds or fluids from the omnicell without having to go get the real nurse.

Your positive posts are comforting to me. I had a great couple of shifts; my coworkers are welcoming and I felt reasonably comfortable, but reading a lot of the posts in this forum makes me wonder if I'm just waiting for the other shoe to drop, if that makes sense. Glad to see someone else enjoying their new job!! :)

It makes perfect sense because I have felt that way with this whole process, I didn't believe I really had the job until my name was on that sign up sheet my first day at new employee orientation. I kept worrying something would happen. I just finished all my computer training today so tomorrow night will be my first shift to work as a RN without any restrictions or setbacks. I am so excited and nervous!! I will still have my preceptor watching over me during my orientation phase but it gets to be her shadowing me finally.

Anyway that is so great you are also having a good experience! I just can not say enough good things about the hospital I am working at!!!! The icing on the cake is being on night shift. Today was my last day getting up early (except the 6 new grad resident classes I will have every other Wednesday starting the 20th). I am a total night person and I love that I get paid MORE for doing the shift I WANT to do! :D I will continue to update and welcome anyone to share or add to. I love hearing other good experiences.

~Mi Vida Loca~RN, ASN, RN

Specializes in Emergency Dept. Trauma. Pediatrics. Has 6 years experience.

So I thought I would update on my first 2 floor shifts without restrictions. The census on the unit is pretty low this time of the year which is actually turning out to be a huge plus. My first night there were only 4 patients so my preceptor told me to take one and she would take the other. I am getting familiar with the different types of equipment. Peds does things a bit differently then the main floors so I was learning that because I had a peds patient. So my preceptor was there is I needed assistance but she pretty much let me do my thing. She told me what all I needed to chart each shift and because I wasn't afraid to ask questions on something I wasn't sure of she felt more confident letting me be on my own. So she was readily there but wasn't hovering over me or following me just watching. It was nice. I had to draw blood on a 3 year old twice and that was nerve wracking. My preceptor assisted the first time, I did the stick and then she helped me secure it, the little girl was a FIGHTER! then the second time she had me do it on my own. I got it YEA!!

So then we got a new admit about 6 hrs before shift ended so she had me go ahead and take on that patient too. This one was an adult. We found out a few hrs later that the patient was going to be a rule out TB so that sparked all kinds of things. We had to move them to a negative pressure room, had to wear the N95 masks (what a PITA that is) and all that. I had never done that because as students we couldn't take on patients like that because we weren't fitted for the masks. So she walked me through the whole admission process there.

Next night had same 2 patients and this time she had me do them on my own without any sort of assistance. I mean, she was there if I needed her, we carry phones so it makes it nice if I have a quick question I can call real quick from where I am. She told the patients that we both were the nurses but she was having me take on the primary roll and if there was any problems she was there but outside of needing something from her she would have me running the show. The patients were easy patients and after that first night I knew the equipment and charting and all that so I just did my own thing. I didn't need to consult my preceptor on anything, when it was time for meds I went and got them, did my rounding (we do hourly rounding at my facility) and functioned as the solo nurse the whole night. She reviewed my charting and all that regularly but from a computer since you can track everything from the system.

So the low census has made things nice because it is slower I can take on the full RN roll pretty much solo already so that by the times things start picking up in Oct. when it's RSV Season and Flu is coming and all the other winter illnesses comes that keeps the unit packed I will already have a really good handle on things.

My preceptor said it's good on her end too because when they have a new grad and new orientee in the busy season it's so easy for them to just do because the unit it hectic and time is scarce and there isn't that time to really slow down and teach and stuff. So it's more stressful on the new grad to keep up and get to function independently and stuff. How this happened by I will be good at time management and all the equipment and flow and all that when things start picking up. So I am happy how it's all worked out. My preceptor said she has been really impressed with how I am functioning as a new grad. I am willing to stop and ask questions if I am unsure which makes her feel secure in me and letting work independently, I am willing to get in there and do things even if I am nervous (I did put a stop at doing an IV on a 12 week old that the ED had already stuck 4 times, I don't have much experience with IV"s period, let alone to jump right in on that one, so she said she will have me practice IV's on her and other nurses and go to Pre-Op for a shift too so I can get better at that). So anyway she said she doesn't think I will need to precept long because of how well I am doing all ready and because if I do run into something new or that I don't know they are confident even if I am not precepting anymore I will still ask. (which I would). They are a really supportive unit. They still ask each other questions and for help when they have been nurses for a long time.

So it was a success, I work again on Th,F and Sat. My last shift I truly felt like a nurse since I was doing everything on my own without someone right there. It was great, but I like knowing that I still have the support if it's needed. :D It was weird having to call Pharmacy or having Pharmacy call for me. Or in the morning when I was almost done a Doctor sought me out to get an update on the patients. He asked if I was the one taking care of them and I said yes and when he asked stuff I wanted to say "probably you should talk to the real nurse" but I sucked it up and tried to remain confident and let the Doc know how the kiddo was doing. First time my phone rang I wanted to ask what I should do. LOL

Aurora77

Specializes in Med Surg. Has 4 years experience.

I totally relate to the whole "real nurse" thing. :) I had to talk to a couple of doctors on my last shift. They were very respectful and treated me like a professional, but in the back of my mind, I still felt like a student, lol.

Spydered

Specializes in Med Surg, Ortho, Acute Care Rehab.

Congratulations and it's nice to hear that things are working great for you. I'm sure your personality and eagerness played a big part in the smooth transition...:)