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Found 63 results

  1. Blueb

    Constantly Making Mistakes

    Hi everyone, I’m a new grad of about a year and a half, working as a floor nurse. Since I’ve started I’ve been repeatedly messing up. I’ve never harmed a patient, however, I’ve made 4 med errors now (some of which were purely my fault such as missing a ‘right’ of med administration, to some which were identified systematic errors). I’ve had a few non-med errors and near misses as well. Each time I’ve felt completely devastated, immediately assessed the patients and informed the necessary people, then self reported. I create a plan to never have the same error occur again, write the plan down and talk to my manager. I truly reflect hard on each mistake and think about what I could have done differently. Luckily my facility has been non-punitive for errors but I just feel like such a huge failure since I keep making them. There are nurses I work with who have had decades-long careers without making as many errors. On the other hand, I’ve seen colleagues make mistakes in the workplace and choose not to report. I can see forgiving a new grad making 1 or 2 mistakes, but I just can’t be okay with how many I’ve made. Each one keeps me up at night and gives me horrible anxiety. I am anxious every time I do a med pass. I just want to do well and of course never want to harm anyone, but I’m wondering if these string of errors is cause for me to quit (or be fired). Am I alone in this feeling? Have other nurses out there made repeated mistakes like me? Should I just quit being a nurse?
  2. So I am a senior in nursing school and will be graduating at the end of this year. Up until a few months ago, I had no idea what specialty of nursing I wanted to get into, so I thought I would just start in med-surg since that’s what everyone seemed to be advising. However, a few months ago, I came across a video of an OR nurse describing her role, and it got me really interested. Fast forward three months, and I have decided that I am interested in becoming an OR nurse. I have not shadowed yet, but I will in just a couple weeks. There are a few things that appealed to me about the OR. One of them is the teamwork aspect of it. I have always preferred working in a team to working independently. With floor nursing, although you have support available if you need it, you are primarily responsible for your patients, you are usually alone in the room with them, and you often have to make independent judgment calls regarding their care. I dislike this about floor nursing. Another thing I like about the OR is being able to focus entirely on one patient at a time. I work as a CNA on a med-surg floor right now, and I see the nurses constantly running around from room to room, juggling 4-6 patients and all their family members. I enjoy patient interaction, but I think that this constant cycling through new patients and family members every shift would burn me out fast. This is especially true because I am an introvert. Lastly, I am fascinated by surgery and anatomy. I have spent hours watching videos about different types of surgeries over the past three months since deciding that I’m interested in the OR. That said, I have a few concerns that I’m wondering if anyone might speak to. Firstly, I’m worried about being able to get a job in the OR as a new grad. I know that OR residency programs exist, but I’m not sure how competitive they are (I live in a major metro area), and I will have an ADN, not a BSN, although I have a BA as well. I have requested OR placement for my senior practicum, so if I get it, hopefully that will improve my chances. Another concern is whether or not it’s a good idea to start out in the OR. Although I would learn a ton of new things, part of me feels like it’s somewhat of a shame that I wouldn’t be putting to use so much of what I’ve learned in nursing school – doing H2T assessments, med passes, starting IVs, etc. If I started out in the OR and decided years later that I wanted to do a different type of nursing, I imagine I would be totally unequipped and would be as clueless as a new grad, even with years of OR experience (except for foleys and charting). I wonder if people who start out in the OR have difficulty changing specialties a few years into their career because hiring managers think their OR experience is too irrelevant. I also wonder if my lack of experience as a floor nurse would put me at a relative disadvantage in the OR compared to nurses who came into the OR with years of floor experience. Finally, I wonder if I have the “right” personality for it. I have read numerous posts on this site saying you have to have a super strong personality and thick skin to work in the OR. I am not quite sure what to make of this. I understand that situations in the OR can be very intense, and that OR nurses are likely to get yelled at by surgeons from time to time. However, I kind of feel like you have to have a strong personality and thick skin to work as a nurse in any specialty. As I said, I am introvert. But I am NOT shy. I am an introvert in the sense that constantly meeting and interacting with new people burns me out quicker than my more extroverted peers, which is one reason why floor nursing appeals to me less. But I am not afraid to speak up and advocate for my patients, even if it means stepping on some toes. In general though, people perceive me as being a little more reserved and cool-headed; I am not someone who wears their emotions on their sleeve. I have been yelled at plenty by patients and it usually doesn’t bother me much. But that’s not the same thing as being yelled at by a doc or even another nurse, and that’s never actually happened to me in my short time as a nursing student and CNA. I think that I could probably get used to it over time. Wow, I didn’t mean to write so much, but if anyone’s reading this, I would greatly appreciate some feedback/advice!
  3. newnursefall21

    What would you do?? New Grad 2021 Houston

    Hi yall. I’m looking for some career advice. The career counselor at my school doesn’t help at all, and I have no nursing mentors to look up to 😞 I recently graduated with my BSN, and will be taking my NCLEX in June. I am relocating from DFW back to Houston where I’m from. Because of this, I am unable to use my past clinicals as a gateway to get hired. I applied for residencies, with an interest in Women’s Services and Pediatrics, at multiple hospitals/locations in Houston for this past cohort that starts work in July. I have 3 letters of recommendation, 4 years pediatric home health experience as the primary caregiver, and 3.7 GPA. I applied to Oakland, St Joseph’s, LBJ, Ben Taub, Memorial Hermann, Houston Methodist, HCA, Baylor Scott & White, St. Luke’s, Texas Children’s, and more that I can’t remember. I followed up with HR after submitting my applications, yet I heard back from only 3 hospitals. The rest basically ghosted me, despite my attempts for contact via email and phone. I had 3 interviews- one with HCA, one with St Lukes, and one with Texas Children’s. I never heard back from St. Lukes following the interview despite 2 separate emails and phone calls to the recruiter. Texas Children’s chose someone with more experience, and HCA offered me a position in... med/surg. I have yet to accept. My question is.. what do I do? I know if I accept this position, I will be miserable but it seems like my only option. If I reapply to residencies, won’t I just get ghosted again? I’m worried the same thing will happen and I’ll be left jobless like I am now. Along with this, the next cohort start date won’t be until October, but I just graduated with my BSN. What do I do in the meantime if I wait? I can’t be a PCT or sitter since I’ll have my RN license... but I can’t find an RN position open for nurses with no experience. I really don’t know what to do and I’m so down about it. I feel like my hard work has gone to waste. please help 😞
  4. Bean0621

    Getting off orientation too early?

    I am a new grad LPN working on a med/surg floor. I put my notice in to stop working at the end of this month because we are military and got orders to move overseas. Anyways, I was still on orientation when I told my manager about my plan to leave. Once I put my notice in, she said she is going to take me off orientation and have me work on my own until I stop working in 2 weeks. I'm a little upset because she is taking me off orientation 3 weeks early and I don't feel ready to be on my own just yet. So I'll only be on my own for 2 weeks (6 shifts) and then I'll be done working at this hospital. I just need some advice if I should just go through and suck it up and work on my own for 2 weeks or maybe ask for some more orientation time which I guess wouldn't make sense considering my last day at this job is may 21.
  5. Adelaf02

    I don’t know what to do

    I am a New grad in a nurse residency. I have been working there for almost 3 months and recently out of orientation. Unfortunately, I do not think my unit is in a good situation right now and I am aware that with COVID-19 it’s been even more challenging. I’ve heard that is not easy at the beginning. However, I really dislike going there and a lot of the nurses are leaving the unit because of how bad it is (including my preceptor and nurse manager). Other RNs that I got to know throughout my time there are also leaving. It makes me very nervous knowing I won’t have the full support I used to. I really feel like I’m pushing through but I do feel pretty miserable. I have already mentioned this to my nurse residency directors and they told me to talk to my manager, but as I said my manager is leaving as well. I find myself to be in a very hard position. I don’t know what to do?
  6. TIP #1 Check your own practice Over time you most likely have adopted, adapted and normalized some work-arounds or shortcuts into your practice. Maybe you carry a pocketful of NS flushes in your pocket, but know you shouldn't. Since you are now a role model to a new grad, go back to the basics, do a self-inventory and know your policies and procedures. TIP #2 Be patient This is the most common feedback I get from new grads and residents “Please be patient with me. You have done this many times, but this is my first time.” It is crushing for a new grad to be asked “Didn’t they teach you this in Orientation?” Just assume that you will have to repeat yourself a few times because everything just does not sink in one pass. Isn’t there a saying that long-term retention takes seven repetitions? TIP #3 Let your preceptee learn by making mistakes at times Most of us remember making the rookie mistake of hanging and programming an IV antibiotic but forgetting to unclamp the rollerball clamp. Meanwhile the primary solution continues to infuse, so there's no alarm. Chances are you only made that mistake once, right? If you observe your preceptee about to make this mistake, and you jump in with “Be sure and unclamp the rollerball!” it will have far less impact than if you let them make the mistake, wait a few minutes, and then send them back in the room for them to discover what they missed. TIP #4 Hands off Literally, keep your hands behind your back and clasped together. Don’t jump in and “do for” them on the computer or during a procedure because you are impatient and want to do it yourself. Instead, coach them. This is not to say you can’t demonstrate a procedure- you can, but that’s different than doing it for them. TIP #5 Having a preceptee is a lot of responsibility It's like having another patient. You will not be as available to your co-workers once you have a preceptee. For example, if you are the go-to person on your unit for starting IVs, you may have to “give up” your role as the expert IV starter temporarily in order to focus your energies on your preceptee. Some preceptors who get a lot of gratification from being the "go-to nurse" may find this difficult. TIP #6 Give plenty of feedback Preceptees crave your feedback. If your preceptee is frequently asking you “How am I doing?” it’s a sign they are not getting enough feedback from you. Find time every day to touch base with them on their performance. A good time can be walking out together after your shift and debriefing your day. TIP #7 Give specific feedback Saying “I noticed how you used teachback with Mrs. Wolf when you were telling her about symptoms she should call 911 for when she gets home. You used plain language, too, no jargon. Good job!” is more meaningful than “Good job on the patient education with Mrs. Wolf!” TIP #8 Give constructive feedback When giving constructive feedback, frame the gap in performance as a patient safety issue (if it is), with a rationale, such as “Not confirming NG-tube placement with an Xray can put the patient at risk for aspiration” rather than “You forgot to order an Xray.” It’s a slight but subtle difference. You can also frame a gap in performance as wanting the best for your preceptee, such as “I would hate to see you get in trouble for coming to work late. Can we talk about you getting here at 0700?” TIP #9 Speak up... ...when the Charge Nurse sees you and your preceptee as two fully functioning nurses instead of one unit, and expects one of you to admit a patient, while the other one discharges a patient. You are one unit, especially in the first few weeks. Consider you and your preceptee to be “joined at the hip” to provide the most teachable moments. Your primary job is to teach your preceptee, and the best way to do that is when you are together. Recently a nurse I know left her preceptee alone to go help a colleague extubate a patient. A doctor and procedural team then rushed in to the preceptee’s room to perform a bedside procedure, barking questions and orders at the preceptee. It did not go well, and could have been avoided if the preceptor simply said “Come with me and watch while I extubate”. TIP #10 Encourage critical thinking For example, if your preceptee asks you "What is a normal pH for ABGs?" you can say "Good question! Where could you find that out?" After a Rapid Response or a code, ask "Let's talk about what happened. What questions do you have?" I hope these are helpful! What tips can you share with us? If you are a preceptee, we’d love to hear your point of view as well. Also read Reality Shock and New Grads. It's Real
  7. Hello Nurse Beth, I am about to graduate with my second bachelor's in nursing. I moved to a new city for the program but knew I wasn’t going to stay here. I have applied all over including my home state (CA-which is hard to get a job for new grads) and have gotten a few interviews and offers in some other states and cities. One offer is for an adult cardiac step-down unit in a magnet hospital in a city that I’ve been to and like, and have some friends who live there or will be moving to start a job there as well. I have always worked with kids and want to be a pediatric nurse. This offer requires a 2-year commitment with the hospital but you can switch units if you want within those two years. Side note: I’ve applied for the children’s hospital residency in this city as well but have yet to hear back (it’s a ranked hospital as well). I also got an offer in a different city that I never imagined or wanted to move to but had told myself I could live anywhere for a year if it was for a good experience. This city is much smaller, a poorer city, and known for its tourist destination which could be fun for a year or so or could be awful. (I can disclose cities if you want just figured I’d try to avoid bias LOL). This offer is for a stand-alone children’s hospital, it does not require a commitment, and it would give me peds experience. The extremely stressful dilemma I am in (IDK any nurses or have anyone in healthcare in my family or friends) is - do I take an offer at a more well known and ranked magnet hospital, in a city I like, in a good unit, but working with a patient population I don’t think I want to work with, in hopes I can get experience and get a peds job in the future? Or do I move to a city I don’t know much about or care for, to get specialty experience, and just see it as a year of experience that I can use to get a job in a city I want to move to in the future? I don’t think it would be such a dilemma for me if my 29th birthday wasn’t approaching and the impending aging doom was subconsciously affecting me. I have this fear of bouncing around cities (again after this year in a new city) which would mean I have less of a chance of settling and planting some roots. It seems obvious that I should go with the specialty but I’m so torn and pros and cons lists aren’t helping, and I’ve been obsessively trying to make this decision for weeks. So, I figured any outside source could help. I appreciate you taking the time to read this and thank you for letting me rant!! 😅🥺✨ Dear Wants to be Peds Nurse, Congratulations on having 2 job offers! That is wonderful. So many new grads have trouble just landing one offer, and it's ironic that here you are with 2 job offers..plus a dilemma! Like you said, the pros and cons method doesn't solve your problem because line items are not equally weighted. You could have just 1 pro that outweighs 5 cons, right? Likewise, I (or anyone) could convincingly argue for either option: You should absolutely go with the magnet hospital because the city is great, you have friends (work-life balance), and you can always transfer later to Peds. You will learn a lot, get an amazing foundation at a ranked hospital that will be awesome on your resume! You won't regret it! The small hospital in a poor city may have a sketchy orientation program, fewer resources, and is less likely to have evidence-based practices. They don't require a commitment, what is that, a hiring angle? Almost all reputable hospitals require a commitment. Besides, how many nurses change their preferences within a year or two? Lots. Be smart. ~Or~ You should definitely go with the hospital offering you Peds because that's where your heart is, one year is nothing in the grand scheme of things and the time will fly by. The city isn't important, a prestigious hospital isn't important, the specialty trumps all. Don't not pick it out of fear (city-jumping at the age of 29), fear is never a good reason to base a decision. You want Peds and you were offered Peds! Why would you not go for it! Magnet hospitals are overrated and you don't want adults, much less adult cardiac stepdown! You'll make new friends easily. Go with your passion and sacrifice a nice city for your end goal. You may be stuck in analysis paralysis at this point. So I'm going to assume you've weighed all the factors such as salary, growth opportunities, benefits and so on. If you and I were in the same room right now, I'd toss a coin in the air and make you call Heads or Tails without letting you think about it, Heads being Peds, and Tails being Stepdown. Or I would simply tell you that Heads is Peds, Tails is Stepdown, and watch your reaction when it lands either Heads up or Tails up. Are you dismayed? Or are you happy? I believe you already have the answer within yourself. It's difficult to get to because of time pressure, anxiety, and fear of making the wrong decision. Talk it through with a friend or family member who knows you well and who you trust. Not necessarily asking them for a decision, because only you can decide. But it's helpful to consider their input, and very helpful to listen to yourself articulate the situation out loud. Which job excites you the most? What do your instincts tell you? Remember that, in a way, it's all good. In 1 year or 2 years at the most, you will be an experienced nurse who is qualified to go most anywhere. Best wishes in your choice 🙂
  8. Whitneyz

    Always Feeling Stupid

    I’m in L&D and though that is besides the point, I’m new to the unit and just feel stupid! My question to you is do my coworkers think I am dumb? I make small mistakes which is normal for being new, but my coworkers seem so perfect to me and never offer to tell me any stories of their mess ups when I am telling them mine. I feel like the dumbest one in the bunch. If they think I’m dumb now and I keep showing them I’m actually all right can their perceptions change?
  9. MedSurgRN2020

    "Mess Up" stories for New Nurse

    Hey everyone! I am finally done with my NCLEX, passed, and am now an RN. * cue party music, pop the champagne * Now, I start my New Grad Nurse Residency in a few weeks. I have been selected to be part of the Med-Surg Float Pool which means that I will be trained on every floor in my hospital. I am very excited, but also very scared because I have to know basically every type of med-surg nursing. I am wondering if you can share any stories of med-surg "mess ups" or "near misses" so that I can know to look out for these things! I would appreciate any wisdom 🙂
  10. Hi all! I am currently in my second year of nursing school, and I love it so far. However, I can't help but feel like I am not getting the experience/exposure that I need. I'm a PCA at a children's behavioral facility and I work in the psychiatric crisis unit. It is essentially the ED of behavioral health. The PCAs in this department take vital signs during triage and are also responsible for doing glucose tests, and EKGs (if a patient comes in for intentional ingestion). There are not many times though that the PCAs have to do glucose tests or EKGs, so the most that I am really doing is just getting vital signs. I talked to some of the students in my class, and a lot of them are PCAs also, but they work on units like burn units, cardiac units, urgent care, or the ED, so they get to experience and witness so much more than me. Of course, there is also the option of looking for other places to work that would give me the experience that I am looking for, but the place that I work at now is very flexible with my schedule (which will be wonderful for when clinicals roll around) and there is enough downtime on some days to get homework done or study. I am doubtful that it would be the same elsewhere. So this poses the question of: do I find a new job to get experience, or do I stay at the job I have now and take advantage of the flexible schedule and downtime? My grades are fantastic, and I've been on the dean's list since I've first started nursing school, and I can't help but wonder if it's due to a combination of the time that I spend at home studying, in addition to the time that I have while at work. Questions: How important is it to have a job in the medical field while in nursing school? Is it important at all? Do people who are exposed to more medical things while in nursing school do better overall? Will medical units want to hire me when I am a new grad seeing that I have only worked in psych? Please share your thoughts! Thanks!
  11. sonida

    New Grad Interview for ICU

    Hi everyone! I'm a very recent new grad (just passed NCLEX this past Tuesday!) and was just offered an interview for an ICU position at a smaller hospital on Wednesday. Is there anything specific I should know heading into the interview? Any specific medications or procedures? Anything that can help me stand out above other applicants? I feel pretty decent in regard to my resume - I have my BLS, ACLS, PALS, NIHSS, and have completed an externship in the ICU last Summer. I also currently work as a CNA, an Acute Care RN Extender, and Nurse Extern at three different hospitals (I took up the last two positions in an effort to help with the COVID-19 surge). I'm super nervous! Thank you in advance!
  12. Hello, I recently graduated and my goal at the moment is to land a job in the ICU. I have two job offers both from a nurse residency program. One being surgical PCU or Med-Surg. But if I accept the surgical PCU position I have a 2-year commitment and no commitment to Med-Surg. I am uneasy about the 2-year commitment. I have applied to ICU jobs but have not gotten any response. Any advice on what should I do or what steps should I take to get into the ICU?
  13. nurseval

    Move home or stay?

    Hi everyone. I'm a new grad RN in tele/stroke in Southern CA for almost 6 months now, w a PD gig as a preop/PACU RN at an ASC. I moved from my hometown yrs ago, but now with covid, it's mentally hard living alone since I can't see friends (I float to covid) & can't go home for the holidays. Night shift also affected my sleep schedule. But I can't help but worry about my family too (also in healthcare). As with most hospitals bc of covid, we're now out of ratio/no CNAs & I feel unsafe/unsatisfied w my care. I also don't see myself in tele that long. Despite my unit being very busy, the pros: love my coworkers/how helpful everyone is, self schedule, generous pay. But we technically "signed" a 2 yr contract but I heard many ppl break it without paying fees bc our hospital is super small/high turnover. However, I know my time as a new grad is limited. Since my current job only had a 2 week residency w classes & 8 weeks precepting, I didn't feel prepared and still don't at times. So I applied to a residency back home which is 1 yr long. Overall, I wouldn't mind going back home to live w my family if it means less bills to pay & having their support. BUT there will be a huge pay cut. If the residency doesn't work out, I would apply to PACU/short stay jobs as these areas have interested me for awhile esp from my ASC job & I feel like it would be a better fit for me long term. The hospitals are also bigger (I.e. Level 1 trauma center) w better reputations compared to the one I am at now but I'm worried how it'll look on a resume Should I stick it out and wait even if I don't enjoy my job/situation/feel anxious or apply back home & leave my current job if an offer comes up in a specialty I want (but fear of the unknown)?
  14. Hello everyone so after covid hit, everything transitioned online, including clinicals. I am going to graduate this December but I have a huge problem. I HAVE NO HOSPITAL EXPERIENCE!! The only clinical I went to was at nursing home where we didn't do much besides feeding the residents and taking vital signs. We did not get to pass any medication, look at documentation, etc. I have never done or observed any basic nursing skills such as administering IV, documenting, passing a med, IV push, foley, assessments, etc. I feel like I know nothing and will be fired from my first job because I am completely clueless. What do I do 😞
  15. I am in my final semester for my BSN. I qualified as an RN in September 2019 and I have been job searching. Due to my recent job interview experiences, I am beginning to wonder if I can secure a graduate nurse position at the age of 55. My very last interview with an HCA hospital took about two months and included over 140 character assessment questions, on-demand video interviews, face to face interviews with the nurse manager, then the nursing director and finally, the management. I got a phone offer from the recruiter who stated she would email the formal offer. Three days after, she called and informed me they made a mistake as they thought they had more openings. I should feel free to reapply or apply for a different position and could contact her for help. I was shocked and dumbfounded! I keep feeling my age is the issue. Please, does anyone have any suggestions as to where I could consider applying for a graduate nurse position at this age? My ultimate aim is to become a nurse educator. For now, I have an interest in also becoming a nurse writer. Thank you for your assistance.
  16. Biggredd305

    New Grad Working Two Jobs

    I’m currently in a nurse residency program and this is my fifth month as a nurse. I was considering working a part time job somewhere else because: I need a car I want to get more experience to get prepared to be in ICU by next year Spring. (I work in a stepdown unit.) I gotta pay off this debt. I was thinking of applying to another unit somewhere else to see if I like it such as the ER OR I was also thinking about working somewhere else in an ICU. I'm currently in a relationship as well and my boyfriend is totally fine with me grinding right now. I wanted to see what your experience was like and also any advice for me trying to get a side hustle?
  17. ngnurse

    New Grad RN Job Advice

    I’m a new graduate nurse, and I need some advice. I interviewed on a med/surg unit 2 weeks ago through a friend who gave my resume in and haven’t heard back, but likely got the job (nurse educator told my friend I did very well, hospital is notorious for taking a long time to get back to applicants, and I'll likely hear back this upcoming week). The job is 13 days a month, great benefits, level III trauma center but part of a large network of hospitals, so I’d have an easy time getting other positions within the hospital network. Up to 1:7 ratio (14 beds) if the unit is full (nurse manager said it’s not frequent, but a colleague brought up the possibility of a 1:8 or 1:9 ratio with an extra CNA if there are only 8 or 9 patients). However, I hate med/surg, and should stay in the position for about a year to be courteous to my friend for getting me the interview and to make a good impression if I choose to apply elsewhere within the hospital system. Overall, nurses are very satisfied at the facility. I got an offer for an ICR float pool position at a level I trauma center, and I want to be an ICU nurse one day. The orientation is 4 weeks of classroom and 5 months on different ICR units, and I love the idea of getting a well-rounded experience - cardiac, surgical, etc - and an extensive orientation. 1:3 ratio. Day shift. 14 days a month (12 12s and 2 8s). Would make $8,000-10,000 less than the above listing. "Easier" to leave if I want to because I got the interview from applying and not by recommendation. I have to give a response by Monday. Thoughts? Conflicted because I will likely get an offer from the first job and it's a great position to get me to where I want to be in the future (and with amazing pay), but obviously the second job is an official offer ready for me.
  18. I graduated in May with my ADN and have had a hard time finding a job. I finally landed a job in a SNF and was given 14 shifts of orientation. 3 of which included shadowing the wound nurse and just clerical things. I'm coming off of orientation in 5 days, and yesterday had the unit of 11 patients to myself and practically drowned. My orienting nurse was nowhere to be found when I needed help. My personal life is suffering— I am scheduled 6 days a week, 8+ hrs when its my weekend on and 4-5 shifts when its not. I cannot sleep, I dread going to work, I've lost 5 pounds since I started at the facility and feel like a zombie. I'm miserable and debating just not going in anymore. While I realize this is burning a bridge I do not plan to work for this facility in the future. I'm scared for my license due to the lack of training by the nurses. I was given a write up because I did not obtain a consent for Melatonin that was already given by another nurse yesterday (she did not obtain the consent). Next week, on my one day off, I have a shadowing opportunity on a med surg unit at a hospital nearby. I interviewed and was told I would likely be offered a position by the unit manager. I'm assuming this is one of the last steps in their hiring process. Stick it out or leave and save my sanity and protect my license?
  19. I am a new grad nurse and started working on a neuro unit in Oct 2020. Due to the hiring freeze at hospitals cause of COVID-19, I had couple months of break between the time I passed the NCLEX and when I landed the job. I always wanted to pursue higher education and during my "break" period, I applied to a PMHNP program. I have always been interested in psych and that's where I want to head towards in my career. By the time I start PMHNP program (if I get accepted), I will have 10 months of experience. My hospital offers tuition assistance after 6 months and wanted to apply for it when the time comes. However, some of my friends told me to keep it a secret even after I get accepted since supervisors and coworkers will not like the fact that I am going back to school so soon. I don't see it as a big deal because by the time I finish school, I will have about 4-5 years of nursing total. I was wondering if I can get some of you guys' opinions and thoughts about this issue!! Should I just keep the news to myself or is it okay to let my supervisors know?? Thank you!
  20. VitaminSea

    Quit While in Orientation (New grad)

    Hey everyone, So, as the title says... I am a new grad and just quit my first nursing job with less than 2 weeks on orientation. Just a little background, my first nursing job was as an ICU float RN at a level 1 trauma center rotating days/nights every 2 weeks (full time). While I was excited for this opportunity, I was not thrilled about working downtown which was an hour away from my house. I have a close hospital near me (about 25 min) that offered me a position in their Medical/Surgical ICU. I have had clinical there before and was comfortable with it, knew some of the nurses and doctors as well. Well, I decided to quit my job to accept the one closer to me. I talked with my manager and said that the commute was just more than I realized and was not having a great experience thus far. However, I feel as though I am going to be a "blacklisted" candidate or on a "do not hire" list with this hospital even though I was an "at-will" employee. Which, I never wanted to happen because they have a children's hospital that I eventually would love to go work at. My plan was to work adult ICU for a 1-1.5 years and then work in the NICU/PICU whichever one I felt more drawn to. I now feel like that is not going to be possible as I feel they will never want to rehire me for their children's hospital (its attached to the one I was working at). Does anyone have advice for an anxious new grad who just wants to get into the specialty they want? How do I know I have been blacklisted with this company? I feel very dumb at the moment because I think I ruined my chances of ever working there again. Please be nice in the comments. No reason to be rude! & thank you to those in advance!
  21. NewNurs2020

    UC Davis New Grad Residency Fall 2020

    Is anyone planning on applying? Application period opens up April 29th. I am curious how it will work out with unit placement when so many programs in CA did not get to finish their preceptorships.
  22. lilly-may

    New grad Nurse quits nursing

    Hi, I'm a new grad nurse who graduated with a bachelor's in paediatric nursing in sept 19. Throughout nursing school I had my doubts whether nursing was truly for me, I completely dreaded clincials. Never had a huge interest in anatomy and physiology but enough to complete assignments. I'm extremely introverted, not particularly a people person with very high anxiety. Which meant minimal interaction and participation in seminars. So I was also very surprised to make it to graduation, though i was a motivated and keen student nurse. During my clinical rotation I received positive feedback, but as they say you can be the most competent student nurse and still struggle as a new grad. I applied and started my first new grad job at a general busy paeds unit in Oct 19, lasted 2 months. I extended my oreintation from 3 weeks to the full 2 months i was there because i never felt confident taking on 6 patients independently. I hated it, the clinical enviroment, lack of interest in cases and working independently. The sadness took over me every single shift, even on my days off. Huge anxiety, and depressed days. Note: in my final year of nursing school i had my first stab of depression which was treated and now resolved. Missing all the red flags during nursing school. I did change my speciality and now i'm 4 weeks into my new grad post at a level 3 NICU. Oreintation is 6 weeks, and truth is nursing is not for me. My interest in A&P is not a lot which is core part to nursing, communication is key and i'm too introverted to even talk to my co workers and patients. Non clinical roles are not possible as a new grad in my region. I've given nursing 2 attempts now, surely this is enough for me to leave nursing now? I'm 23 and so unhappy. I know nursing is a well paid occupation, but my mental health and well being is affected so much. I have immense respect for nurses, and enough to know it is not for everyone. Any advice? Anyone know others in the same position. Thanks x
  23. I graduated from nursing school in December 2019. In February 2020, I accepted my first ever RN job offer on a Medical-Surgical unit. I felt ecstatic becoming an RN and being able to provide the best compassionate care possible to patients with what I have learned over the years from school and work as a CNA. I wanted to make a positive difference in the health of my community as a patient advocate, educator, healer, and supporter. I clearly remember the day of the job interview. This was shortly before the COVID-19 pandemic. It was a typical workday for all staff in this medical-surgical unit. No one scrambled or panicked to find PPE to care for patients. Once a call-bell went off, all a staff member had to do was perform hand hygiene and go into the patient room without any bit of hesitation or fear of contracting any disease. It was a normal workday in that unit. I was able to have an actual in-person interview! Social distancing and wearing masks were not a thing just yet. After the interview, I grabbed lunch with my friend at a restaurant. What a normal day filled with such normal tasks that I took for granted. While working as a CNA and attending nursing school, I knew working as a RN was not going to be an easy feat, especially during the first year as a new graduate nurse because of the overwhelming shock of realizing nursing school only prepared you for the basics and not for the real nursing world. I accepted this reality and reminded myself I will never be fully prepared for the realities that come with working my first few years as a new graduate nurse, however, I did not expect to start my nursing career during a pandemic. I started my first RN job in early April, right in the smack of the middle of the COVID-19 pandemic. A typical and IDEAL orientation would occur in a classroom setting in person, where we would be equipped with the right resources (e.g. software, live nursing educators, healthcare materials to practice on, etc). I looked forward to orientation because that was going to be the time when I was going to learn the necessary skills to become successful in my bedside nursing practice. Unfortunately, my orientation fell short of the expectations of a typical orientation. Our orientation was cut short and instead of it being held in person (due to social distancing laws), it was a virtual orientation. On one of the virtual orientation days, we were supposed to learn how to use the hospital EMR system, but the majority of that day backfired because we were unable to gain access to the system. After 5 days of orientation, we were on the floor with our preceptors. The reason behind being thrown onto the floors so quickly is due to the need for more nurses to work during the COVID-19 pandemic. The unit I was going to be working in turned into a majority COVID-19 (+) unit. I already felt overwhelmed by the realities of becoming a new graduate nurse. Now, I am being faced with the additional reality of working during a pandemic. I miss being able to quickly respond to a call-bell without having to don so much PPE, going into my patients' rooms many times as much as I want to so I can check on my patients without worrying about contracting a virus, and not having to wear a mask at all times. Even more things that I took for granted. I never thought I would take these simple things for granted. So far, I am 5 shifts into my orientation, gaining more responsibilities each and every day (e.g. gradually increasing my patient load- I am up to 3 now!). I still feel incredibly overwhelmed as a new grad nurse, but I feel even more overwhelmed with the reality of working during the COVID-19 pandemic. Limiting patient contact to a bare minimum, seeing patients suffer without their loved ones at the bedside, picking up phone calls from frantically worried family members wondering how their loved ones are doing, reusing PPE, fearing that I am spreading this virus to others, etc. I hope it gets better. To be continued. I would like to hear other stories of new grad nurses starting their nursing profession during these trying times, any advice/ constructive criticism, or just stories about your work during this pandemic. We are all here for each other! Have a great and safe day everyone!
  24. idk_futurecrna

    New Grad during COVID-19?

    Hey everyone! Any new grads noticing start dates being pushed back or orientation cancelled due to COVID? I am scheduled to start my job in August and I am worried that the COVID pandemic may push back my start, since it may be an unwise use of resources to utilize experienced nurses to orient new grads while a global pandemic is occurring. While I understand, I can't help but be bummed! Has anyone heard anything from their hospitals? Are most hospitals doing this?
  25. I graduated about four months ago and still don't have a job. I'm feel so pathetic/helpless though having a license and not being of any help with the disease. Does anyone know of ways a licensed nurse can volunteer services during the pandemic? (Other than social distancing) Thanks!