Don’t complain—problem-solve. That’s only one of several bits of advice on how new nurses can counter some of the surprises of real world nursing:
Surprise #1: Presenting problems to your supervisor
New nurses often say, “I’m overworked. I don’t have this, and I don’t have that.” Instead they should be more straightforward: “Here’s the problem, and here are some of the resources I might need.” Or “Can we talk about some resources that are available?” Or “Is there another way of doing it?”
New nurses should approach problems as people do in business. It’s all right if you don’t have the answers, but don’t complain—instead, problem-solve in a professional way.
Surprise #2: Enlisting the help of seasoned nurses
Seasoned nurses like to be recognized for their knowledge and experience, but often new nurses don’t know how to ask the right questions. For example a new nurse might ask the seasoned nurse, “Where’s this?” Or, “Where’s that?” “How do I get to this?” Or, “How do I get to that?”
But new nurses should be more specific: “Mr. Jones has such-and-such issue. How would you do this? Can you guide me? Can you give me feedback?”
When you don’t ask the right questions, you don’t learn from the seasoned nurse’s expertise and knowledge. When you approach somebody with humility, assuming they may know something you don’t and being appreciative of that, you’ll get much farther.
Surprise #3: The difficulty of delegation
While delegation is discussed in school, it’s a different story to actually do it. Nurse techs can offer a lot of assistance, but they have to respect you—and you have to respect what they can do. Be willing to work with them, helping them out and making them part of your team.
And don’t be afraid to ask for advice from a tech: “What have you noticed? Did you see anything? What do you know about this person? What do they talk to you about? Are there any problems that I haven’t had a chance to talk with them about?”
Everyone should be your colleague, and they should be respected for what they know and contribute.
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June 12th, 2007 at 11:52 pm
As a new graduate, not having started working as an RN yet, I am enjoying reading the advice that Reality RN has to offer! I appreciate the tips reagarding delegating, especially asking advice from a tech! I know that they have a lot of information to offer and it is a great idea to ask for their input to help in establishing mutual respect and a good working relationship!
June 14th, 2007 at 10:53 am
Suprise #3 really hit home for me. One thing that helped me as a new RN was meeting with my CNA at the beginning of our shift. During that 2 minutes or so we both shared what we learned in report about our assigned patients and then discussed what we each were going to do throughout the shift. This helped us work as a team and made delegating easier.
September 5th, 2007 at 8:55 pm
my experience as a new ER nurse is sometimes overwhelming–i find that i feel stupid at times, and often beat myself up if I dont know how to do everything. after a chat with my precepter, she casually reminded me that i had only been on the unit for 3 weeks !!! I had no business thinking that i was going to be up to the same level as nurses that have been there for years. she then complemented me ,reminding me again that most orientees don’t take 2 patients from intake to dicharge until they had been there much longer than 3 weeks–im now starting to feel more comfortable knowing, and learning from my preceptor and other collegues that i am doing fine, more than fine, and i need to relax—i am trying….lolol…
July 18th, 2008 at 7:50 am
I am about to be a new nurse myself. I start on a cardiology ward next month. Reading all of this makes me feel I am not alone in the fear that engolfs me whenever I remember what awaits me. you see, I did not have the best final placement, I had a dragon for a mentor (she placed me on a plate, garnished me, ate me and then spat me out). The experienced has scared me and I expect every nurse I meet to behave in this way. I know there are good and approachable nurses out there, just don’t know if they will be on this ward. I am really petrififed.
Reading these comments is helping me prepare and I know that I am not alone. Sometimes, I wish nursing was a male dominated proffession.
I will keep you all informed.