Precepting: Revisiting Ground Rules with My New Grad RN

A return to precepting.

By Suzanne D. Williams/Unsplash

There is no question that precepting new grad RNs requires a lot of extra thought, time, and energy for bedside nurses also looking to take care of our patients and their family members. But even as an introvert who finds it challenging to talk nearly nonstop for an entire 12-hour shift, I have in the past still enjoyed precepting. I’ve found it deeply rewarding to watch someone under my mentorship grow in skill and confidence as a young nurse.

When the pandemic hit and sent my young children home for distance learning, I took a break from precepting, as my capacity for additional mentoring at work had shrunk significantly.

Now that my children are back on their school campus, I am preparing to precept a new grad who is part of a cohort that went through nursing school during a pandemic with considerable limitations to their clinical experiences. As I dust off my own preceptor hat, I have found myself revisiting what I want to lay out as a foundation for my new preceptee. […]

Caring for Transgender and Gender Diverse Patients: A Primer

“You must be Olivia! I’m Sara, and I’m going to be your nurse this afternoon.”

The patient looked up, taking a deep breath before speaking. “Actually . . . can you call me Ethan? I’ve been going by Ethan for the past six months, and I use he/they pronouns.” He watched Sara anxiously.

Sara stopped short for a moment, unsure what to do, seeing the name “Olivia” very clearly in the EHR. But she noticed how nervous the patient was, and she wanted to put him—them?—at ease.

Photo by Zackary Drucker/The Gender Spectrum Collection.

Providing informed, affirming care for transgender and gender diverse (TGD) patients can seem complex, especially for novice nurses. As authors Caitlin Marie Nye and Amanda […]

2021-09-29T08:59:27-04:00September 29th, 2021|new nurses, Nursing|0 Comments

What Would It Have Helped to Know as a New Nurse?

An incomplete record of starting out as a nurse. 

When I think back on my first year as a nurse, I always say two things to myself: “I wish I had written more,” and “I wish someone had given me a more realistic how-to manual.” I try to remember patients from back then. What would I have shared, had I written about each one?

I was never not writing about something (sometimes what I wrote was published on this blog), but over time, as I moved away from bedside care and into administration, I wrote differently: policies and program plans, research protocols and systematic reviews. Although I rarely worked directly with patients anymore, their positive outcomes continued to motivate my every word.

I like to think my writing has grown with me. I’ve learned the power of the active voice; the structure required for the APA Writing Manual. 7th edition; and the deepening of understanding that comes from reading and reflection. But I will always wish for more writing—of any kind—from that first year. Even a scribble to jog my memory. This nursing birth of mine, like any birth, began my nursing life in a very specific way. I was challenged and tested, understood and got lost, and, tragically, […]

2023-01-30T10:34:04-05:00October 22nd, 2020|new nurses, Nursing, nursing career|0 Comments

A Detailed Look for New Nurses at What Happens During a Code

Photo by Ashley Gilbertson / The New York Times / Redux.

There’s an article in the July issue that I highly recommend to all new graduate RNs—or to anyone who is returning to acute care. The article, one of the offerings in our Transition to Practice column, which is geared to new nurses, is “Surviving Your First Code.” It offers a detailed look at what happens during a code and the various responsibilities of the resuscitation team.

You never forget your first code.

I clearly remember my first code—and I bet every nurse does as well. I had seen cardiac arrests before, but that was when I was a nurse’s aide and my job during a code was essentially to get out of the way. It’s very different when you are a nurse and play a role.

It was my fourth day as a new graduate nurse working in the ED. We heard the sirens coming from a long way off. When the ambulance arrived, the stretcher came crashing through the ED doors with the paramedics yelling that the patient had just arrested as they arrived.

My role that day was to be the crash cart nurse, so I put myself in front […]

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