Related: New Grad, New Nurse, Orientation, Orientee

I just graduated in May and passed boards in July. I found a job with no difficulty in a pediatric unit of a rural hospital. Since I was the only newly hired nurse at this hospital, I had a 4 hour "mini" orientation to cover JCAHO standards and basic hospital measures such as handwashing, etc. Nursing orientation was delayed until more nurses were available to [...]

Related: Charting, Mistake, New Nurse, Orientee

We have recently had to stop student nurses from charting their assessments on the computer. There was discussion about whether or not the student's charting could be used against an RN in a court of law if the assessments did not agree. There was also discussion about the RN who signed off on the student's charting be liable for that assessment when we [...]

Related: Expectations, Failure, Goals, New Grad, New Nurse, Nurse Resident Programs, Organizational Skills, Orientee, Preceptor, Residency, Stress

I graduated in June, got married in July, moved in July and decided to wait a little while until finally starting a new job in Dec. I found a residency in an ER thats really close to my house, and I was really excited. However now that I've been there for 4 weeks, I'm feeling sooooo overwhelmed. The first week and a [...]

Related: Addiction, Confidence, Delegation, Drug Addiction, Failure, Fear, Goals, Mistake, NCLEX, Nurse Relationships, Orientee, Perfect Nurse, Stress

As we come to the end of 2008, I thought it would be good for us to do a little RealityRN review.  You know, think about the good, the bad, and the ugly of a year almost gone.

I spent some time reviewing what the "hot topics" have been.  We certainly have covered a lot of ground--that's for sure.  We've talked about drug addiction, the NCLEX [...]

Related: Learning, New Grad, New Nurse, Orientee, Preceptor, Residency, Seasoned Nurses, Stereotypes, Student Nurse, Success

According to preceptor Kim Rapper, RN, BSN, new nurses should expect their preceptors to act differently at the end of the precepting experience. Rapper points out the signs of a healthy precepting relationship at the end of orientation—and they might surprise you.

Related: Attitude, New Grad, New Nurse, New Nurse Tips, Non-Verbal Language, Orientation, Orientee, Preceptor

Understanding your preceptor's non-verbal cues can make or break your precepting experience. Kim Rapper, RN, BSN, shares how a preceptor's attitudes can influence the way they interact with the orientee—and offers advice on what an orientee can do about it.

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: 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: Anxiety, Confidence, Failure, Fear, Mistake, Morale, New Grad, Orientee, Second Career Nursing, Stress, Weaknesses

I am a second career nurse—53 years old and a new grad.

I landed a job at a teaching hospital because I love to learn and felt it would be a good place for me. But I feel like I have bitten off more than I can chew.

Every day I make at least one mistake. I’ve already made two medication errors which resulted in my having [...]

Related: Attitude, Confidence, Fear, New Grad, New Nurse, New Nurse Tips, Orientation, Orientee, Preceptor

Kim Rapper, RN, BSN, has years of precepting experience; she understands that preceptors have fears, too. In this video, she shares common fears that every preceptor experiences--and strategies for matching preceptors with orientees.