new nurse Archives - Page 4 of 4

In Defense of On-the-Job Learning in the ICU

Image via Wikimedia Commons

By Marcy Phipps, RN, who is a regular contributor to this blog. She emphasizes that the identity of the impatient practitioner described in this post has been altered in significant ways to prevent any chance of recognition.

“This is why new nurses have no place in critical care!” said the trauma physician. “I’m sure she’s a fine nurse, but she should be getting experience with these situations on the floor!”

The issue of whether new nurses should work in critical care comes up from time to time. It seems to polarize people, and it always touches a nerve with me. I was hired directly into the ICU upon passing the boards, as were many of the nurses I work with. My hospital offers a program to new graduates that includes training and education specific to critical care and an extended clinical experience with a preceptor. Admittedly, there is a steep learning curve, but I wouldn’t consider it unsafe—and comments that suggest the contrary irritate me, because they undermine new nurses and foster negativity.

This patient probably would have pulled his PEG tube out no matter how experienced his nurse was, and I’m not sure the step-down floor would have been a “better” place for a new nurse to manage that situation. The patient acuity is lower on the floor, but there are also fewer nurses around to help out, and a […]

Marcy Phipps, BSN, RN, CCRN, CFRN2016-11-21T13:11:33-05:00November 2nd, 2011|career, Nursing|6 Comments

What Do You Wish You’d Learned in Nursing School?

Dietetics class for nurses, 1918/Cornell University Library/via Flickr

By Christine Moffa, MSN, RN, clinical editor

While I was going through nursing school I imagined that our clinical rotations would prepare us for the reality of working in a hospital. I was very eager to graduate and get my first job. Had I known that I was in for the hardest year of my life, I probably would have changed majors. I was hired to work the night shift in the float pool of a children’s hospital. That is a bad idea right there and I wish someone was there to talk me out of it. But on top of that, I found it difficult to express by opinion when residents and nurses with more experience did not heed my concerns about patients who were decompensating. And calling the attending in the middle of the night did not seem like a good option. I wish I had been told in nursing school that the nurse supervisor is a great resource to go to in times like these.

We often hear stories of what a shock it is for a nurse to finally start a nursing job after finishing school. Is there anything nursing schools could do to change this? What do you wish you’d learned?