Transistion from Extern to Intern then RN

[DAMomma]

How did you do? I have had a pretty smooth transition; however, I do feel a bit "weird". As an Extern I worked along side with the CNAs. Much respect, hats off, that is some hard work! I worked elbow to elbow them, rolling, boosting, changing briefs. One always made the comment, "You are going to leave us and become one of them, and you are going to change." Well my change came over the weekend. I had my own pt load and it was busy as heck. I was elbow deep in an admission. I asked the CNA if she could get a vital on a pt for me. Trust me, I would have done it if I could. I am horrible at delegation (working on it). I heard her make the comment, trying to be funny, "traitor!" I did not address it, I know I should have. What would you have done? I want to play nice in the sandbox and do my job. Transition can be hard enough, please don't do this.

I am looking forward to this weekend since I will work with another CNA who never acknolwdge me as the Intern when I was working with the RN. The RN passed the meds and I was responsible for the assessments, change in vitals, etc. A pt had a temp of 101.5. The CNA never told me, she went straight to the RN. The RN yelled down the hall, "Did you hear that?:wink2:" She smiled and looked at the CNA.

Just some issues I need to address head on. This week, nominations are going out for Nurse of the year. I took some frosted brownies in for the staff on my 1st day as an RN. One CNA hugged me and told me she is going to nominate me nurse of the 1 day:redpinkhe.

[nminodob]

I have had similar experiences. I was a volunteer, then a CNA, then a student doing clinicals, then an intern - all on the same unit! Housekeeping and nurse assistants always tease me with the threat "oh, you will change!" Meanwhile, nurses that were accustomed to using me as a male hoyer lift (I'm a guy) have seemed a bit resentful that I am now one of their peers, not just someone available for a boost and code brown! Those like you and me who probably would prefer to do it ourselves rather than appear bossy will have to take a chill pill and face it: we are now in a position where we are expected to delegate if the unit is ever going to run smoothly. We are wearing a new hat, and as tough as it is for everyone to accept it, they (and we!) will have to.

That said, I hope I never forget what it felt like to be an assistant, doing a hard job and often getting very little respect. We don't have to lose our humanity through all of this!