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 [...]

Related: Boundaries, Communication, Doctor-Nurse Relationships, Learning, New Nurse, Respect

I was a Family Practice nurse for a doctor just out of residency. She was young and sweet (just like me), still had some learning to do (okay, just like me). We had three exam rooms, and her office was in one of the hallways, and my work area was in another part of the small building.

When the doc would finish with a [...]

Related: Expectations, New Nurse, New Nurse Tips, Organizational Skills, Seasoned Nurses, Stress, Time

It takes time to look like you have it all together.

“I’m frustrated as I watch the more seasoned nurses find time to take breaks and read magazines,” writes a new nurse, “while I can’t even find time to take a bathroom break. They appear to have it all together, but I never seem to get all my charts and reports updated before the next [...]

Related: Anxiety, Career, Fear, Mistake, New Nurse, Quitting, Stress

There may be times when we need to take a turn as the patient – and let somebody help us.

A new nurse recently wrote, “I’ve been having anxiety attacks. I’m wondering if I’ll make it another week—let alone another day—in my job. My patient load is overwhelming. I can’t, in good conscience, handle the number of patients I’m charged with. I’m [...]

Related: Career, Job Search, New Grad, New Nurse, Quitting, Success

“I knew something wasn’t right when I wasn’t enjoying it.”

So says oncology nurse Melissa Granger of her first position working nights on a general medical floor. A self-proclaimed optimist who dreamed of being a nurse since the age of five, Melissa never expected to dread going to work.

Melissa now knows she should not have waited to pursue the job that fit her personality.

“I always wanted [...]

Related: Abuse, Assertiveness, Authority, Boundaries, Bureaucracy, Confidence, Conflict, Doctor-Nurse Relationships, Doctors, Fear, Handmaidens, Hostility, Management, New Nurse, Nurse Relationships, Power, Professionalism Sabotage, Scapegoat, Seasoned Nurses, Stress, Support, Teamwork, Truth

The new nurse was doing the best she could. But it wasn’t fast enough for the emergency room doctor. As the doctor struggled to triage the patient, he became more and more agitated. Finally, he yelled and threw a bloody sponge at the nurse—right in the middle of a procedure.

When physical and verbal abuse takes place in the workplace, immediate action should be taken. But [...]

Related: Assertiveness, Communication, Confidence, Doctor-Nurse Relationships, Doctors, Expectations, New Nurse, Nurse Relationships, Patient Advocate, Patients, Professionalism, Respect, Stereotypes, Success

Suzanne Gordon, author of Nursing Against the Odds (Cornell UP, 2006), says new nurses need to train others for respect. Here are four tips to do just that:

1. Introduce yourself in a professional manner.
When you introduce yourself to doctors, don’t say, “Hi, I’m Susie.” If you want to be respected as a nurse, you shouldn’t be “Susie in the angora sweater” or “Cheerful, smiley Susie.” [...]

Related: Mentor, Mindset, New Grad, New Nurse, Nurse Relationships, Nurse Support, Prioritizing, Success, Support

“Find a mentor” is a phrase verging on cliché. But it became a call-to-arms because it worked. If you are a new nurse, a mentor relationship can work for you—to answer your questions, guide you through conflict, or discuss your next career move.

RealityRN senior advisory board member and nursing professor Cecelia Gatson Grindel, PhD, RN, CMSRN, FAAN, talks straight about the benefits of a mentor, [...]

Related: Communication, Delegation, Management, New Grad, New Nurse, New Nurse Tips, Problem Solving, Seasoned Nurses, Success, Teamwork

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 [...]

Related: Career, Confidence, Education, Feedback, Leadership, Management, New Grad, New Nurse, Nurse Educator, Nursing Associations, Professionalism

“What do you want to be doing in five years?”

It’s a question that 33-year veteran nurse Patti Ludwig-Beymer hates. It never helped her focus on what she really wanted to do. In fact, new nurses who are able to articulate a five-year plan are the minority. Most nurses just hope to make it through another day.

But goal setting is essential to developing as a nurse [...]