What if I'm not meant to be a bedside nurse?

Nurses General Nursing

Published

I graduated w/ my BSN last Spring and ended up on starting a tele-turned-COVID floor last fall. I felt very fortunate that I got a hospital job, but 2 months in, I was starting to realize how things weren't making any sense. It wasn't just me that noticed my lack of knowledge or piecing things together, but I could tell my preceptor was getting frustrated with me too. She said I had no sense of urgency for things; I struggled to think critically, I was always so task oriented (nursing is a second career for me). I didn't struggle with the hands on skills, I felt like that was my strength and I knew from my friends who are nurses that you can't be so hard on yourself so much. I took every little victory on the floor as a win for me (like putting in an IV on my own), and there were days I felt so stupid, I'd drive home after my shift crying. 

I also thought my educator was there to support me, but I was belittled over things I didn't realize would be thrown in my face. During one meeting with her, she spoke negatively of the fact that I took multiple attempts to get an IV in on a mannequin arm and draw blood from a PICC line. This was during the first week of orientation, and I had never done either in nursing school. From the beginning, I didn't feel supported, but I pushed through. Fast forward weeks later, and she was belittling me again over the same thing. I don't know if the combo of my educator and preceptor together contributed to my lack of success on a 6:1 tele/covid floor, but I so badly wanted to succeed. At 10 weeks, I was told to go to nights, and I had to say no because I have epilepsy and bc of the nature of my condition, I couldn't put myself at risk.

I got transferred to an outpatient neuro clinic, and now I'm basically at a desk all day helping out the doctors, answering "triage" calls and doing med refills. I don't feel like a nurse anymore, I feel like a failure almost every day now, to the point where I cry about it. I don't feel like I know anything, and I didn't feel like I would be a safe nurse on the floor because I didn't know how to pick up on things on my own after 10 weeks. I didn't know how to critically think, I was still working on it. 

Overall, I feel like a failure. I can't be the only one who has felt like this. I question myself constantly about that experience. I had so much faith in myself that I would succeed. I feel so stupid that I couldn't manage the chaos, the ratios, and learn how to do my job. 

Yes, and while I agree with you there, I also think that I’d want to explore one of those areas of nursing. Is it possible to make that transition from where I am now? I am confident I can sell myself well in interviews, but I’m worried that a nursing manager will overlook my experience (or lack thereof) because I lack acute care experience ?

Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.
On 3/14/2021 at 8:58 AM, jms01 said:

Yes, and while I agree with you there, I also think that I’d want to explore one of those areas of nursing. Is it possible to make that transition from where I am now? I am confident I can sell myself well in interviews, but I’m worried that a nursing manager will overlook my experience (or lack thereof) because I lack acute care experienc

I think in this day and age, when nurses are leaving the profession in droves due to aging out or COVID burnout, chances are very good that you'll find a manager who would take somebody with your experience over a new grad any day of the week. You've already proved yourself educable, and you're interested, and you know something about what you want to do. That already puts you near the front of the line, LOL. Let us know what happens!

 

On 2/21/2021 at 8:59 PM, jms01 said:

I graduated w/ my BSN last Spring and ended up on starting a tele-turned-COVID floor last fall. I felt very fortunate that I got a hospital job, but 2 months in, I was starting to realize how things weren't making any sense. It wasn't just me that noticed my lack of knowledge or piecing things together, but I could tell my preceptor was getting frustrated with me too. She said I had no sense of urgency for things; I struggled to think critically, I was always so task oriented (nursing is a second career for me). I didn't struggle with the hands on skills, I felt like that was my strength and I knew from my friends who are nurses that you can't be so hard on yourself so much. I took every little victory on the floor as a win for me (like putting in an IV on my own), and there were days I felt so stupid, I'd drive home after my shift crying. 

I also thought my educator was there to support me, but I was belittled over things I didn't realize would be thrown in my face. During one meeting with her, she spoke negatively of the fact that I took multiple attempts to get an IV in on a mannequin arm and draw blood from a PICC line. This was during the first week of orientation, and I had never done either in nursing school. From the beginning, I didn't feel supported, but I pushed through. Fast forward weeks later, and she was belittling me again over the same thing. I don't know if the combo of my educator and preceptor together contributed to my lack of success on a 6:1 tele/covid floor, but I so badly wanted to succeed. At 10 weeks, I was told to go to nights, and I had to say no because I have epilepsy and bc of the nature of my condition, I couldn't put myself at risk.

I got transferred to an outpatient neuro clinic, and now I'm basically at a desk all day helping out the doctors, answering "triage" calls and doing med refills. I don't feel like a nurse anymore, I feel like a failure almost every day now, to the point where I cry about it. I don't feel like I know anything, and I didn't feel like I would be a safe nurse on the floor because I didn't know how to pick up on things on my own after 10 weeks. I didn't know how to critically think, I was still working on it. 

Overall, I feel like a failure. I can't be the only one who has felt like this. I question myself constantly about that experience. I had so much faith in myself that I would succeed. I feel so stupid that I couldn't manage the chaos, the ratios, and learn how to do my job. 

Just keep doing this until you get more skilled and confident. However it seems like you have a dream job. if you are dealing with triage, maybe you could become a full on triage nurse,  which is what  some nurses wish they had the opportunity to get because they are so burned out from floor nursing. With floor nursing more and more gets put on you over time, sometimes even for an exceptional nurse it becomes all too much. It just depends on you not feeling like you have to prove something. Really just sit down and say I am doing nursing duties, I am.a nurse regardless. What track do you want to follow?, or are you just trying to prove your worth as a nurse?

I want to become an FNP, but the more I see how stressed out the doctors are seeing patients, the more I’m hesitant. I know I want to go to grad school, but not 100% sure yet for what. I also want to prove to myself that I’m cut out for the floor. I wish I had more responsibilities at work, as far as assessing goes, but I don’t. Sometimes I feel like I sit at a desk all day and think, it seems like anyone can do my job. But other days, I feel like I did something. While this isn’t my dream job, I feel like it’s a step in the right direction. I guess I don’t know why I truly want to go back to floor nursing. There’s a lot of jobs in that, but I’d like to give it another try once things with the pandemic get a bit better. I think I just started at the worst time and it didn’t help my experience.

Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.

When you know what you want to learn and what you want you want to do c it, that’s when you set your sights on the graduate education you‘ll need for it, and not before.
Best of luck!

I’d rather not wait long, I have my sights set on going back to school in the next year. Just not sure if I should continue outpatient or go back to acute care.

Specializes in New Critical care NP, Critical care, Med-surg, LTC.

Part of the problem is that either way you're intending to go back to school to advance an education and one year of experience in any setting gives you very little to advance. I'm not trying to be negative and I understand not wanting to wait too long, but I see young people convinced into advancing their education immediately, without time to build their knowledge base. Being an advanced practice nurse should truly be advancing an existing base, more education doesn't replace experience. Then again there are many direct entry FNPs that never practiced at the bedside that have found success in their roles, so it can be done. 

You are gaining skills and experience daily. If you only focus on what you feel you're missing, that's all you'll see. Your abilities to do triage by phone and learn about the patients being seen in the outpatient setting are improving every day. And there's value in that. Good luck!

+ Add a Comment