Related: Career, Education, Goals, Leadership, Learning, Nursing Shortage, Professionalism, Resume, Teamwork

The way you start your career as a new nurse is important—but often overlooked. With so much to learn, we tend to focus mostly on the job – we’re so worried that we’re going to hurt a patient. It takes a while before we discover that we’re never going to know everything. So as you start your new job, think about launching your career. Here’s [...]

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 [...]

Related: Attitude, Caregivers, Doctor-Nurse Relationships, Mindset, Patient Advocate, Teamwork

Why, as caregivers, do we often assume we are the only ones doing the caring, and the rest of the medical staff shows up only to collect a paycheck?

We nurses often see ourselves as the only patient's advocate and turn advocacy into an "us vs. them" tug-of-war. What happened to the team approach to patient care? Don't think it's only "them" that are responsible for [...]

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, Bureaucracy, Communication, Complaints, Confidence, Conflict, Doctor-Nurse Relationships, Doctors, Management, Mindset, Mistake, Nurse Relationships, Nurse Support, Patient Advocate, Power, Professionalism, Stereotypes, Teamwork

Doctors and nurses have been trained to be suspicious of each other.

So writes Suzanne Gordon, author of Nursing Against the Odds (Cornell UP, 2006). And while this has historical roots, it is particularly dysfunctional today. In this RealityRN interview, Gordon describes the complicated relationship between nurses and doctors—and gives practical advice for nurses to help remedy the situation.

RealityRN:  Describe the history of nurse/doctor relationships.

Suzanne [...]

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: Complaints, Conflict, Nurse Relationships, Patients, Prioritizing, Teamwork

So much of whether you like your job connects back to your relationships with colleagues at work.

A new nurse recently wrote, "I tend to spend a lot of time addressing patients’ emotional needs prior to their operations (calming them, answering questions, or just being with them during the transition). I find other nurses resent me for not spending more time prepping in the operating [...]