Related: Authority, Management, Morale, New Grad, New Nurse, Nurse Relationships, Nurse Support, Power, Professionalism, Sabotage, Scapegoat, Stress, Truth

When I first graduated nursing school 25 years ago I started out on an adult Med/Surg unit. Because I worked as a nurse aide during school in the float pool, I knew many of the nurses on that floor to begin with. However, by the time I started there was a different nurse manager (back then "head nurse") and some newer faces.

The head nurse was [...]

Related: Authority, Communication, New Grad, New Nurse, New Nurse Tips, Orientation, Orientee, Preceptor, Problem Solving

Some preceptors just don't get it right. They don't let you ask questions. They demean you. They don't provide you with adequate resources. Here preceptor Kim Rapper, RN, BSN, shares the signs of a preceptor who may be struggling to train you right.

Related: Assertiveness, Authority, Boundaries, Communication, Confidence, Conflict, Feelings, Hostility, New Grad, New Nurse, Patients, PCT, Power, Professionalism, Respect, Stress

I am a brand-new nurse--just two weeks off orientation. I am 20 years old but look a few years younger. I have had issues with two PCTs who are probably in their 50s, and have worked together on my floor for about 30 years. I haven't had issues with any of the other PCTs.

One issue: They feel insulted if I ask them if they did [...]

Related: Authority, Communication, Conflict, Emotions, Feedback, Feelings, Learning, Mindset, New Grad, New Nurse, New Nurse Tips, Nurse Support, Orientation, Orientee, Preceptor, Problem Solving

If you're tempted to ask for a new preceptor, watch this video first. Experienced preceptor Kim Rapper, RN, BSN, suggests you ask these questions to help you determine if you ought to persevere in the relationship or seek a preceptor who will equip you for your future.

Related: Assertiveness, Attitude, Authority, Conflict, Expectations, Feelings, New Nurse, Preceptor

When I first started as a new nurse, I had 2-3 patients on my own for the first week. I was given 7 patients after the first week, and then the next day 8!

My preceptor told me to handle all the patients, and if I needed her, to come ask any questions. I handled it the best way I knew how.

But when I asked [...]

Related: Abuse, Authority, Boundaries, Communication, Conflict, Fear, Feelings, Gossip, Hostility, Morale, New Nurse, Non-Verbal Language, Nurse Relationships, Power, Professionalism, Respect, Sabotage, Seasoned Nurses, Support, Teamwork, Violence

A man walked past a few kids with a bucket of sea crabs. One of the crabs was crawling to the top of the bucket, so the man told the boys to get a lid. “Mister, you don’t know anything about crabs,” the boys said. “As soon as that crab gets to the top, the others will pull him right back down. Never fails.”

The expression [...]

Related: Assertiveness, Authority, Communication, Confidence, Doctor-Nurse Relationships, Labor and Delivery Nursing, Patient Advocate, Professionalism

Working the night shift on a Labor & Delivery floor, I often know what’s going on with the laboring mother-to-be better than the doc does. And sometimes, I actually have to tell the doctors what needs to be done.

Of course that’s a challenge. Who am I? I think. They’re the doctor. They know best; they are “above” me. But when you are looking out for [...]

Related: Assertiveness, Attitude, Authority, Boundaries, Doctor-Nurse Relationships, Doctors, Professionalism, Respect

In the OR things can get hairy—real fast. And in those moments of peril, doctors seem to be the most disrespectful of nurses.

I’ve had doctors yell at me for not having what they needed in the room. They bawl, “Hey, nurse, why isn’t such-and-such instrument/med ready? Why isn’t it here? I need it now!”

In those moments, I cover my name badge and say, “Do you [...]

Related: Anxiety, Authority, Mistake, Patients, Professionalism, Respect

Everyone wants to be treated with respect; nurses are no different. But we often exhibit behavior that undermines our professionalism. Over the years, I've developed a list of the 5 things that scream, "I am not a professional!"

1. Sharing too much of your own story. I've done this several times. Once when I was assisting my doc with a Pap smear, the patient mentioned [...]

Related: Anxiety, Authority, Doctor-Nurse Relationships, Doctors, Power, Respect

As a new nurse, you find out quickly the doctors who are approachable and willing to offer you suggestions and those whom you should try and avoid.

Eight weeks into my nursing job, I had a run-in with one of the “unapproachables.” He actually caused me to break into hives.

It happened when I had to call an orthopedic surgeon for a consult. He wanted to know [...]