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Sooo frustrated!! need encouragement- nurses come here!!

Anonymous
Posted by Anonymous
  • 5 Replies

Im a brand new nurse- like a month!

I keep getting the patient with al lthe "issues"

-uncontrolled pain

-high B?P

- needs antibiotics  and cant get an IV

-med orders that are screwed to hell and take hours to fix!!

I feel like im screwing it all up!! Like I need to do better.. im not sure what I could do though...

Ive had next to no training... im just flying by the seat of my pants i feel like!

any nurses ever feel like this?

Posted by Anonymous on Nov. 4, 2014 at 6:49 PM
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Replies (1-5):
Anonymous
by Anonymous 1 - Original Poster on Nov. 4, 2014 at 6:55 PM

BUMP!

rockymtngirl
by Ruby Member on Nov. 4, 2014 at 7:37 PM
You will be fine. Where do you work? Or should I say..do you work with meditech/hca corporation?. That is the worst for computer carting and orders. Many pt's nowadays come in with multi system failures and non compliance issues. Just keep your head up. Hopefully you work with good people who will give you a guiding hand. Any questions you have?

Quoting Anonymous 1:

Im a brand new nurse- like a month!


I keep getting the patient with al lthe "issues"


-uncontrolled pain


-high B?P


- needs antibiotics  and cant get an IV


-med orders that are screwed to hell and take hours to fix!!


I feel like im screwing it all up!! Like I need to do better.. im not sure what I could do though...


Ive had next to no training... im just flying by the seat of my pants i feel like!


any nurses ever feel like this?

Anonymous
by Anonymous 1 - Original Poster on Nov. 5, 2014 at 8:38 AM

BUMP!

Anonymous
by Anonymous 2 on Nov. 5, 2014 at 8:52 AM
1 mom liked this
How many patients does the charge nurse asign you? Do you work 8 or 12 hrs? Is it possible to request more training/shadowing? I think it's wrong for your manager to put you on the floor by yourself without enough training. You need to be careful because if you screw up, your license will be on the line and you can get suspended..and guess what, none of your management team will come to your rescue. If I were you, I would consider working at a hospital that offers ENOUGH training to new grads and new hires. The average training for a new grad is usually 8 - 12 weeks! You've worked so hard to get your RN license suspended. Don't jeopardize your career/license.
AmiJanell
by Ruby Member on Nov. 5, 2014 at 9:26 AM

It's hard at first.... school can never prepare you for everything you REALLY need to know... it's more of a foundation, now the REAL learning takes place! 

You've been a nurse for just a month and are already flying solo? If you feel like it's too much, I'd ask for a longer orientation... that might just mean a lighter pt assignment with a partner nurse that also has a light assignment so she can be there for you if you have trouble. As a new nurse you should have 6-8 weeks of training... if they won't give you that, I'd find a job that will. 

But you'll always have patients with issues... it's why they are there.  With time, you'll figure out what to do about it right away... for now... ask for help!!  Talk to your charge nurse, talk with your support staff.  

Some tips on the problems you've listed:

Uncontrolled pain... make a pain plan WITH the patient, find out what works, what doesn't make sure you are working on all different pathways of pain... what is in your bag of tricks to try?  You might give Dilaudid every hour, toradol and tylenol on a schedule, vistaril, heat or cold, massage therapy, maybe a lidoderm patch or ketoprofen gel to the affected area... it really depends on the type of pt you are working with, but ask your experienced nurses what they do, or see if you have a pain specialist, maybe you can even shadow them for a shift and see what they do. 

Screwed up med orders... make the doc or pharmacist fix the problem. 

Ask someone to help with your IV... try once or twice and then get help. Again, see if you can shadow someone that starts IV"s on a regular basis... practice with them and have them walk you through it... it's a skill that takes time. 

And DELEGATE! Pass off as many tasks as you can so that you can focus on the other stuff... talk to your coworkers and let them know you are having a hard time... they can't help you if they don't know. I'd be much happier working with new nurse that asked me to help them than one that tried to do it all on their own and was either making mistakes or leaving things half done. 

And sometimes you'll just have bad days... or a lot of bad days in a row (I seriously just had the most horrible several weeks... like you, something major was going on with one of my patients... just 2  days ago I had to call a code on my 4 year old patient... I swear, I was jinxed!  THANKFULLY yesterday I had a perfectly normal, average shift... it was so refreshing!)

Hopefully some of that was helpful.... Good luck!!

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