Related: Balance, Caregivers, Caring, Charting, Expectations, Mindset, Morale, New Grad, New Nurse, New Nurse Tips, Organizational Skills, Patient Advocate, Patients, Prioritizing, Professionalism

As a new nurse, your goal is to make a difference. You want to heal people. You want to engage with patients, communicating to them your professionalism and that you care. But countless tasks and a steep learning curve may prevent you from the patient interaction you were expecting. According to Donna Cardillo, considered to be the “guru of career development” for new nurses, this [...]

Related: Assertiveness, Attitude, Caring, Doctor-Nurse Relationships, New Nurse Tips, Patience, Patients

In 2008 I will:

Be more patient with difficult patients.

Be more patient with difficult families.

Be more patient with myself.

Be more assertive with difficult doctors.

Be less difficult to work with.

Be more assertive with anyone who keeps me from giving my patients the best possible care.

Be more accepting of working the crummy shifts.

Be more accepting of being the "new nurse".

Stop spending more than I have so I don't [...]

Related: Balance, Energy, Healthy Living, New Nurse Tips

Laura’s plate of cookies sits at the nurses' station after the unit potluck. You walk by and take one. It’s just a harmless cookie. When you pass by again, you take another. Pass again: another cookie. By the end of your shift, you’re not sure how many cookies—and calories—you have consumed.

Gretchen Vanderbosch, a dietician for Advocate Good Shepherd Hospital in Barrington, IL, calls this cookie [...]

Related: Attitude, Expectations, Mindset, New Grad, New Nurse Tips, Night Shift, Nurse Relationships, Seasoned Nurses, Support, Time

The seasoned nurses on my floor have called me a complaining, spoiled brat.

Okay, maybe I complained.

I guess I felt justified. Just out of nursing school, I suddenly was working nights, weekends, holidays--all the hard shifts. I wasn’t used to not being able to spend “normal” time with my friends and family; it was a difficult transition.

When I expressed my frustration--said something like, “I’m tired,” or [...]

Related: Caregivers, Communication, Confidentiality, New Grad, New Nurse, New Nurse Tips, Non-Verbal Language, Patient Advocate, Patients, Professionalism

You can’t meet each patient’s emotional needs. You’d never be able to leave your work behind. Or get anything done. But there are times when some patients need a little extra support and will drop hints to get you to respond.

What are those hints and how do you sensibly help? Read this interview with RealityRN Senior Advisor CeCe Grindel, PhD, RN, CMSRN, FAAN, to learn [...]

Related: Attitude, Compliments, Failure, Feedback, Feelings, Goals, Learning, Mindset, Motivation, New Nurse Tips, Nurse Relationships, Nurse Support, Stress, Success, Teamwork, Truth

Everyone has to work to stay positive. It’s human nature to focus on what went wrong. As a new nurse faced with situations that are terrifying and challenging, you have to work doubly hard at it.

All new nurses have been there: at a point of giving up because they’ve repeatedly told themselves they know nothing and will never get it all right. But you will. [...]

Related: Career, Communication, Networking, New Nurse Tips, Professionalism

Like every other professional, nurses need networks because they are an invaluable source of information and opportunities. A network is like a treasure chest. And you can put wonderful things in it that you never know when you’re going to need to pull out. For example, you might dig into your chest when looking for a new job, when looking for advice on the job [...]

Related: Caregivers, Caring, Communication, Embarrassing Moment, Humor, Morale, New Nurse Tips, Patient Advocate, Patients

Leslie Gibson’s patient had gotten the boot from her nursing home. The 96-year-old crotchety woman commonly assailed nurses with bare-knuckled blows. Once home, neighbors witnessed the elderly woman’s emotional crash—and called in Leslie, a visiting nurse at the time, for support.

When Leslie first met her cranky patient, she saw that pain, anger, and confusion shrouded any vivacity that might have once been present.

Leslie had a [...]

Related: Balance, Caregivers, Caring, Charting, Communication, Delegation, Expectations, New Nurse, New Nurse Tips, Patient Advocate, Patients, Prioritizing, Teamwork

Reports, charting, administering drugs, assessments, tidying up, more charting, and more reports—and no meaningful interaction with the patient.

Suzanna’s first year was a nightmare.

Suzanna, a new nurse on a pediatric ward, didn’t like having to live by the laundry list of to-dos. She was most fulfilled spending time with patients, making sure both their emotional and physical needs were met.

The bottom line: You can’t be a [...]

Related: Confidence, Fear, Feedback, Learning, Mistake, New Grad, New Nurse, New Nurse Tips, Precepting, Preceptor, Quitting, Success, Teamwork

It is the profession’s worst nightmare: a nurse draws 3 cc’s of insulin instead of 3 units.  Thankfully, a preceptor is there to double-check the dosage. It could have been lethal.

The first few months of most nursing jobs begin with working with a preceptor—a mentor who is by your side to make sure nothing goes amiss.  Whether you are fresh out of nursing school about [...]