Saturday, December 14, 2013


 In knowing That We All Start Somewhere…
                        

My Little Piece of Advice to New Floor Nurses


If I could write you a little letter as you get ready to begin your career as a new nurse, it would go something like this:

I know you might be anxious to finish school. We all are! I know you might think that once nursing school is over or better yet, once NCLEX is over and done with, and you are officially an RN life will be that much brighter. I know you have picture you’re name with those two letters at the end countless times. And let me tell you it does get better but it is one crazy, exciting and life-changing ride.
Study hard for NCLEX, you've worked so hard to finish and it’s your last step. Give it all of you have for those two or three weeks and I promise you, it will pay off. You will succeed and you WILL be a nurse because a nurse is more than a license, it’s who we are in our hearts. I hope however, that you learn to brush things off and get back up. You may not pass, and that’s okay. Just know that test results never made anyone a great nurse. Pull out those NCLEX books again and work just as hard because you've worked too hard to just give up.

I hope that you never, ever give up and keep your heart full of hope. There will come a point when the NCLEX is the least of your worries because you are now a Registered Nurse. Now you can find a job, a job which may not come fast. I hope that you don’t give up; you've worked too hard to just give up. A nurse is WHO YOU ARE and I hope you don’t let life’s disappointments take that away from you. You may apply to twenty different jobs, attend five different interviews and never get that call back, and that’s okay. I hope you keep going and that you keep searching, the right job is out there . . . somewhere . . . waiting for you.

Journal I Received From My Unit Manager 
And then there will come the happy day when you finally get that call and you know what that means. You will finally become the nurse you dreamed of becoming. At this point, I hope you don’t forget why you became a nurse in the first place. Because this is a tough part, but oh how much you will grow! At this stage you will learn what you didn't learn in the past 4 years of nursing school. Let me put it this way, some nurses may forget they were once learning too. Yes, I hope that you never become this way after you have 5 years of experience under your belt. However, it can easily happen to anyone. There will be times when other nurses make you feel stupid, wish you did things faster, wish you already knew how to do it. And let me tell you this, it’s okay that you don’t, and never stop asking questions. We all started there, we just forgot. No matter how stupid or incompetent you may feel, I hope you find confidence in yourself and know that you have every right to be there. You are an RN for a reason and though you may be learning, as we all are, you have every right to practice nursing. So walk in that patients room with confidence, talk to those doctors like you know what you’re saying, because the truth is, you probably do. 

There may come a point when you think you’re the only one who’s struggling and question whether nursing is indeed the profession for you. I hope that at this point you learn to let things go, brush them off, get back up and leave work at work. If someone yells at you, I hope you let it slide and keep smiling. As a nurse you really don’t have time for that, you have patients to take care of! Also, never be too scared to go for it. Are you terrible at starting IV’s? Find every chance you can to do it and be confident but never be too proud to ask for help. Soon you will find it as easy as priming an IV line.   And whatever you do, stay away from gossip at work. Oh, there will be plenty of it and you don’t want to be part of it because

A) It will bring you down
B) You have better things to do.

Those first months you will learn time management like you never have before. Find your routine, and GROUP CARE. Remember that was always the correct answer in the “select all that apply questions” on NCLEX? Well, that’s the one answer that is also correct real world nursing. Always do as many things as you can at once. Make sure you set deadlines, for example by 10 o’clock chart this, by this time start pulling out medications, by this time complete this part of charting and if that’s not working for you keep changing until there’s a routine that works. But whatever you do, know that your patient comes before charting . . . PERIOD. Know that for those next twelve hours or however long your shift may be, your patients are the most important people in your life, no matter who they may be.   There may be times you cry or you may have a terrible headache because you forgot to drink water or pee for a whole shift but I hope that, that just reminds you to take care of yourself to be able to take care of others. And after a couple months or a year you may start seeing the light at the end of the tunnel and this is why I say don’t give up and remember why you became a nurse. All of a sudden you will start connecting the dots. You will make great friends with those who helped you grow, strengthened your skills and always believed in you. You will know how to best use your resources and before you know it, you too will be orienting a new nurse.

 And once you are well settled into your nursing career I hope that you enjoy it. I hope nursing really is all that you want it to be and that you are proud to be a nurse. I hope you never lose your heart for people and that you learn to love ALL your patients. The mean ones, the dirty ones, the ones that cuss at you and even the ones that make your shift extra hard. I hope that you never become too insensitive to your patient’s needs that you tune them out. And lastly, I hope that you realize that nursing is an art.

No book can teach you to care,

No book can teach you to love,

It’s just who you are,

A Nurse 

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