After Graduating in Sept 13 with my BSN and passing the NCLEX, It took 6 months of job searching to get 3 offers in one week. After a lot of soul searching and asking for advice I chose a position on a Med Surge floor at a acute care hospital in an inner city. I turned down an OR position and a Cardiology Office job. I really thought that with the training that came with this job and the patient population I would learn a lot and be able to move on after my contract ends. I was very happy with my decision until my first "real" day on the floor. We had 3 weeks of class orientation prior.
My first day on the floor, everyone was deceptively nice. As soon as I rounded with my preceptor (who is a foreign immigrant) I kinda got the feeling that things were off. Most of the report that I was included in was in a foreign language with other nurses from the same homeland as my preceptor. And almost immediately after report the nurse disappeared for almost an hour "getting coffee" So I did a full head to toe assessment on my patient, bathed him and changed his sheets. Then I charted the assessment in the computer, on my own. We then rounded together and gave late meds to several of the patients. I noticed that not once did this nurse do an assessment. She didnt even carry a stethoscope. But sure as anything she charted that she did complete assessments including lung sounds. Which doesnt surprise me because after a few hours I used the staff restroom and there is a sign up on the door that says " Real Nurses carry their stethoscope. You cant document clear breath sounds with out listening to them"
At this point I am really wondering what I got myself into. I knew that an inner city hospital was bound to have some kinks but false charting. That makes me nervous. I continued to round on her patients and eventually bathed another patient who looked like she hadnt had a bath in a few days let alone, turned.
I have a very principled work ethic. I do things because A.) Thats what being a nurse is all about and B.) I like to follow the rules.
I am wondering if I made a mistake. I am terrified to say anything being the "new" person and I have heard of other nurses being bullied out after trying to change things.
Any Advice
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After Graduating in Sept 13 with my BSN and passing the NCLEX, It took 6 months of job searching to get 3 offers in one week. After a lot of soul searching and asking for advice I chose a position on a Med Surge floor at a acute care hospital in an inner city. I turned down an OR position and a Cardiology Office job. I really thought that with the training that came with this job and the patient population I would learn a lot and be able to move on after my contract ends. I was very happy with my decision until my first "real" day on the floor. We had 3 weeks of class orientation prior.
My first day on the floor, everyone was deceptively nice. As soon as I rounded with my preceptor (who is a foreign immigrant) I kinda got the feeling that things were off. Most of the report that I was included in was in a foreign language with other nurses from the same homeland as my preceptor. And almost immediately after report the nurse disappeared for almost an hour "getting coffee" So I did a full head to toe assessment on my patient, bathed him and changed his sheets. Then I charted the assessment in the computer, on my own. We then rounded together and gave late meds to several of the patients. I noticed that not once did this nurse do an assessment. She didnt even carry a stethoscope. But sure as anything she charted that she did complete assessments including lung sounds. Which doesnt surprise me because after a few hours I used the staff restroom and there is a sign up on the door that says " Real Nurses carry their stethoscope. You cant document clear breath sounds with out listening to them"
At this point I am really wondering what I got myself into. I knew that an inner city hospital was bound to have some kinks but false charting. That makes me nervous. I continued to round on her patients and eventually bathed another patient who looked like she hadnt had a bath in a few days let alone, turned.
I have a very principled work ethic. I do things because A.) Thats what being a nurse is all about and B.) I like to follow the rules.
I am wondering if I made a mistake. I am terrified to say anything being the "new" person and I have heard of other nurses being bullied out after trying to change things.
Any Advice