What Graduate Nurses Need To Know About Nursing

My co-workers and I were sitting at the nurse's station the other morning after a rough 12-hour shift. It was the first time we had sat for longer than 10 minutes all night long. We were sleepy, exhausted and a tad irritated. Nurses Announcements Archive Article

As we sat resting our poor feet, the student nurses arrived on the floor. Taking in their crisp white uniforms, we glanced down at our wrinkled scrubs. Noticing their bright, shiny faces, I sneaked a peak at my co-workers. Our hair hung in our faces, mascara streaked under our eyes and on top of that, we could barely put three words together to form a sentence. We were whooped!

I spoke first.

"I remember those days."

My fellow nurses nodded agreeably.

My charge nurse spoke next.

"Should we tell them to run now...before it's too late?"

We all laughed, then instantly sobered.

I got to thinking....If I were a nursing student again, what would I want to know? What would have made my transition from student to graduate nurse easier? If I were mentoring a student, what would I tell them?

I would tell them that being a nurse means you have met your goal. You did it! You are now one of us. So jump in, hold on and get ready for the ride of your life.

As a nurse, you are required to be many things: We are teachers. Doctors do not have time to teach patients what they need to know about their condition. That's where nurses come in. You will learn how to do a little teaching each time you are face to face with your patients. We are counselors. At times, we must help our patients and their families to utilize coping skills. Sometimes all we need to do is listen. Sometimes, we are the enemy. Some patients really do not like to be told what to do. Sometimes they are angry or scared. They will lash out...at you.

Nurses do not learn everything they need to know in the first day, the first week, the first month. There is a steep learning curve. Give yourself time to adjust to your first job. Don't beat yourself up because you don't think that you are learning fast enough. AND don't let others beat you up either. If someone seems to be giving you a hard time, tell them nicely and with a smile, "I am still learning".

As a nurse, you will learn to use every resource at your disposal. That means fellow nurses, reference books, the pharmacist, the social worker, and the doctors. After a while, you will learn who enjoys sharing their knowledge, and who doesn't.

As a nurse, you will be witness to miracles and to mayhem. You will learn to be compassionate, but strong. Sometimes challenges will invigorate you and some will exhaust you. Be cautious when making friends with fellow nurses. Be aware that not everyone is as they seem. If your work environment feels stifling and toxic, it probably is. Staying positive in a toxic environment is extremely difficult. Don't feel bad if you decide to leave for greener pastures.

As a nurse, you will have good days and bad. You will see people at their best and at their worst. Sometimes it will seem as if you aren't making a difference, but even if you touch one person's life, you have done your job.

Thank you for sharing. Its perfect timing for me. I will soon take my NCLEX and be starting my career. Your thoughts will stay with me!

Specializes in n/a.

Thanks so much for that:wink2:, am in nursing school and am already worried that i wont know or remember everything when i start going to hospitals to do practicals :(

Specializes in med surg, geriatric, clinical, pool.

I would warn them that other nurses can be back stabbing, esp. charge nurses, that doesn't apply to all, but watch out. don't complain to the floor manager, just try to work it out and if it doesn't get better, give your 2 weeks notice and quit. there are other jobs out there. Try to think ahead as much as possible. I never thought another nurse would take the phone out of my hand and cancel the call to the doctor, but she sure did! With the DON standing right there too.

Read up on legalities as much as you possibly can. If a charge nurse gives you an assignment you are incapible of handling, she/he is responsible for your actions or nonactions. Once I was ask to get vitals on a new pt for a transfusion and I didn't get there in time before the new nurse started it, I never heard a word about it. That is because baseline vitals are to be taken first, doesn't matter by who. It was the other nurse's job to do it if she couldn't wait for me to get them.

Never accept to work on 2 different floors, its against the law. I went to my 11-7 shift, I was the only nurse for both floors. I called the DON and asked her "you are going to leave me here like this, me being the only nurse?" Her response was "wing it" "I can be there in 5 minutes.

Well that very AM as I was busy giving meds to the long term floor a lady's new pacemaker was not kicking in on the subacute floor . She would have died had her daughter not came in to feed her!

But I was written up for not replacing a man's foley catheter. Why he was going all over the floor? He also had liquid O2 which I knew nothing about. His pulse ox was down in the 70s when they admitted him? What? I am like why is he here? He should be at the hospital. We didn't even have a RT.

Go figure. Its sucks and these stories and more did not all happen at the same facility either.

I would like to say one thing though, although I had graduated I thought I would be welcomed and needless to say that I remember a book in professional development that mentioned about older nurses eating their young and wondered what it meant. When I went to work in the OR dept. I found out exactly what it meant. I had always had a positive attitude but they have taken a toll on me to the point where I wanted to change depts. The older nurses need to know have some patience because you started off at one time too and you will be rewarded in the end. Cindystrue

Specializes in med surg, geriatric, clinical, pool.
I would like to say one thing though, although I had graduated I thought I would be welcomed and needless to say that I remember a book in professional development that mentioned about older nurses eating their young and wondered what it meant. When I went to work in the OR dept. I found out exactly what it meant. I had always had a positive attitude but they have taken a toll on me to the point where I wanted to change depts. The older nurses need to know have some patience because you started off at one time too and you will be rewarded in the end. Cindystrue

I couldn't agree with you more! Well, one of those charge nurses did drop dead literally at home. So guess she got her's.

Your very welcome, its sad but true to some isnt it?

Specializes in med surg, geriatric, clinical, pool.
Your very welcome, its sad but true to some isnt it?

Yeah. I could never understand them though, the charge nurses, because between the two they had almost 60 years of nursing experience, yet I got the feeling I was intimidating to them. They were always wanting to "write me up" for something lame. They did finally get me one night when they overloaded me with a new pt, so I had 9 pts while the other nurses had 7. I always got stuck with the hardest pts too or the split hall, fun.

One night another nurse from another floor called me onto the elevator. At the time I had no idea why, but I soon found out by her response. As we rode together, just her and I to her floor where she was the charge nurse, she informed me that Virginia would stay after me until I quit or transferred to another floor. I asked her why because I just had no idea nurses could be so childlike and hateful.

Well I didn't transfer nor did I quit until I was fired. A elderly frail lady died with CHF, she had had radical rectal surgery.

I guess nothing was on my record because I didn't have a problem getting a job afterwards. What it boiled down to was they were clicky just like highschool, and they wanted me gone and they managed to do it.

I cried and cried. I had worked so hard to get where I was. It hardly seemed worth all of the effort when someone keeps up their ugly ways. New nurses should know this. Anything can happen and don't think for one minute that other nurses "just can't be that mean", because they can and will.

Specializes in IMCU.

Hi Hassled! Did I understand that you graduated Nursing at 57? I graduated at 55. I have been working in a busy IMCU unit since January and sometimes my head spins, but I am loving it!!!

I could really relate to your comments.

Mahage

Specializes in Med/Tele, Home Health, Case Management.

As a new nurse, I thank you for this article. Whenever I feel overwhelmed with all the information I must know, I try to remind myself that I can't learn everything all at once and that every nurse was once a "new" nurse.

:nurse:

This is so encouraging!! Thank you so much for taking the time to post this for all new nurses. I'm SO scared of beginning my consolidation because of the stories I've heard about how other nurses "eat their young". Wish me luck!