New RNs Suggestions Starting Out
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- Опубліковано 15 вер 2024
- New RN? Just about to Graduate? Thinking on which specialty you want to do? I briefly discuss some specialties, briefly!
This is really another reply video to a commenter's question on which types were good choices starting out.
skip to 2:00 to avoid the usual blah blah intro and update on my personal life xP
skip to 6:00 to get to the actual topic, heh
My first hospital job was med-surg in a rural hospital for reasons you describe. Unfortunately, I received no orientation, no training, no mentors, not even a " welcome " or a smile tbh. So woefully understaffed! My first full shift, I had 8 patients and it me and only another new nurse and a floating nurse covering entire unit. I was expected to do a full admission yet hadn't been trained on paperwork . I had a patient needing a catheter and was met with eyerolls and " you have NEVER done a catheter?!" when I stated i had only 1x put in catheter. ( sorry, but my placements didn't give me that opportunity ). It was horrifying. I am now getting my BSc N bc I got a grant for tuition (!l ) and working happily as a community/home care nurse. I hope to find a supportive hospital further from my rural home. I realise people are short staffed but most industries are short staffed. My son works in a short staffed restaurant and husband in short staffed trade. Established nurses, be it ICU or med-surge, need to treat their new co-workers with compassion. And employers at least provide support for their new grads. I swear too, ageism was a factor in how i was treated. I am fit, look youthful, know technology inside out, positive, team player etc ... but i swear they saw wrinkles and thought " yeah ... she knows nothing ... deadweight ". Not joking. Ok, well, that was my vent for today!! Your videos and the comments here are helpful!
oooof. i'm so sorry you had to go thru that. i've heard similar horror stories that you'd think was only back in the 1950's or something like that. to hear it still happening in our modern times is insane. smh
totally agree we really need to stop "eating our young" and help each other. everyone of us started as a newbie. everyone.
stop the cycle of abuse is basically what it means to me.
glad you enjoy my rantings as i enjoyed yours! 😂
Wish me luck starting my new grad OR residency so much to learn!
congratulations and good luck!!!!
Totally agree..even as a LPN, time management is critical in these facilities…At any time I have upwards of 25+ patients/residents I’m responsible for and if I don’t manage my time properly I’m behind the 8ball for the entire 12hr shift…That’s one thing I’m glad I’ll bring to the RN table is my time management skills…they need to teach it more in school!
smh, that's scary when i hear the workload of LPNs, RNs and techs in some facilities. 😳
that experience will definitely serve you well. you'll probably be twiddling your thumbs in comparison! 😅
but yes, time management and handoff are definitely ignored in nursing school for some odd reason. yes, every nurse/unit has a different methodology/style for handoffs but some emphasis and guidance would be really helpful imo.
I was told years ago by several to start in ICU to learn good charting.
well that's true but a little misleading imo. the charting in ICU is much more important (in a sense) than medsurg because the residents are responding to that in a much more real-time fashion.
that said "ALL charting is important!!!" 😅
that also said, every unit will teach you better skills in this or that nursing aspect.
ICU will probably be the best all-around in that; assessment, meds, charting, technical, diagnosis etc. hence, my stance that it's the "highest tier" but is it always appropriate for a beginner RN? that's the debate we're bouncing around.
tbh, while my daughter regrets her choice for ICU imo it has to do more with her preceptor/orientation than the actual difficulty level of the unit type.
it's still difficult but i just disagree with how her particular unit is doing things. little tidbits she passes on to me (without even realizing) i pick apart and can tell her ICU is either revamping or tweaking or adjusting for lost (experienced/preceptors) RNs. 😕
Thank you for this video. I have a friend she’s a veteran nurse and she started straight into ICU. At this point, I knew nothing about nursing and I recall hearing that route was unheard of. I know a young lady, she has a ADN and got a job right after graduating at the city hospital in the ICU too. It must be what you said, short staffed or dying 😂
that's just speculation!! 😅
but i have heard a lot of the older/vet ICU RN's grumble about how "easily these new younger nurses got into the ICU". my daughter has even commented about 'snide' comments on how she just went right into ICU from graduation, even though she's not the first to do so by any stretch. but does that explain some of the deficient training she's "received" imo? mebbe. 😕
You always have good videos… I would love to watch a video about how to protect the nursing license considering that if your lost you’re “ DONE “ so I think that is very important to watch your point of view and advices that help new people in the community like us thanks you big dad you’re the best
thank you! hmm, that's a tall order. let me think about this topic a bit. it's not so straight forward because we're balancing good care with the rules sometimes. ironic, ain't it? 😐
i hesitate to stick my neck out tbh. let me think on this one and get back to you. there's definitely topics here but not one for broadcast. 😅
Could you make a video about what you would do if you were a new grad on the ICU? What would you focus on and how would you go about studying and learning (self study)? Thanks
this video i can do actually! i've been thinking about it too. let me flesh it out and do a couple of takes and see how things coalesce, whether it'll be intelligible or idiotic. 😅
Nursing is so broad, and to keep advising medsurg is insane. Nursing school teaches more than simply medsurg. Every unit has a preceptor who ought to teach you successfully. Not everyone is suitable for certain positions. You're adopting an old school approach by requiring ICU experience or a specific number of years, which is a double-edged sword because there are nurses who have been in the profession for a long time but are not proficient. That applies to any profession, to be honest. I'm sure you've seen new employees who have been on the unit for a few years outperform older veterans in certain areas. I just wanted to suggest, be more open-minded.
Keep uploading, I appreciate your videos for us old timers.
hi darius, i understand your pov but i still respectfully disagree. ironically, i'm working on a video for new grad ICU RNs! 😅
i know i said i don't want to comment on other specialties but i'm going to explain my position and thought process in that video. just been working out the thought process and finding time to do it. it's actually been a video i've been kicking around for months but hadn't had the reason to push to the front. but i think it addresses your points and is timely for another commenter as well. hope you will tune in for it and i appreciate your input and your critique! it makes the thinking process go! 👍
Is there such thing anymore or nowadays to obtain a “diploma” RN??? Or is that the same line of an LPN???
hi jfox, no, they're completely different. a RN diploma program allows you to sit for the RN NCLEX and work as a full RN.
an LPN (sometimes referred to as a LVN) is on a "lower" tier. they sit for the LPN NCLEX and have more restraints on their scope of practice, e.g. cannot give IV meds and perform some procedures.
How many days is Part-time for you?
we're required to work 2 days a week with alternating weekends.
but for our organization it really varies from unit to unit. some units require only 1 wknd a month. others have a standardized format for hard-to-staff days, alternate holiday responsibility (i.e. if you don't work holiday, you work the next day)
i think much of it is up to the specific managers though.