Posts Tagged ‘preceptor’
I have not posted for almost 4 years! What happened? Life happened and it still goes on. I am still an ER nurse, still working in my local county hospital ER, but I picked up a second job at a large urban level 1 trauma center. It has been a goal to work in a trauma center and be in the middle of the chaos and excitement. I started there 18 months ago and am now fully trained to take care of whatever patient comes in the door. I love, Love, LOVE my job. I work with great staff of nurses and docs, including med students, interns and residents. I learn from just standing in their midst, although we rarely just stand around. This ER is busy, I work night shift there and it gets crazy with crashes, falls, gunshots and stabbings; not to leave out the regulars, drunks and psych cases. Never boring. My other job now feels like a walk in the park.
As for the other job, I have moved from being the new grad to teaching the new grads. I am now precepting my fourth new nurse. I really like teaching. Although we don’t get compensated at this facility for it, I feel like I get to train someone to be the kind of coworker I want to work with. I work very hard to encourage them and foster a helpful collaborative attitude.
I have a few new goals, first to pass the CEN. The certification exam for Emergency Nursing. I also want to get beck to regular blogging. I find that writing helps me sort out my thinking and my emotions. I am usually exhausted when I come home from work, then by the time I have recovered, I have forgotten details about what I want to blog about or I am headed right back in to another shift. Any suggestion from you readers about how to be better at this?
Until next time…
Each week of orientation we are supposed to work towards some goals. They start out pretty basic such as find various supplies in the unit, identify where the medication resources are, care for one patient from arrival to discharge. I have two preceptors that I am working with, both wonderful nurses but with very different styles. This is a good thing for me as it gives me the perspective that there is more than one way to do things. One of my preceptors is also a nursing instructor at one of the local colleges so she is very much into writing out my goals and how well I accomplish them each shift. At the end of the shifts though, the last thing I want to do is organize what happened into a list of goals fulfilled! But I try. I am getting to the end of week four in my training and my goals are a little harder to reach. This week I am supposed to care for respiratory and cardiac patients, take two patients with increasing complexity, and improve my assessment skills. I did get a baby with croup this week and if you have never heard the cough that these little one produce when they have croup it will scare you to death! It is a loud dry bark, and it sounds like they are not going to be able to get their next breath in. I settled mom and dad in the room with this baby and tried to listen to his lungs and he started screaming. A good sign that plenty of air was getting in, he was pink and warm too. So I rushed off to get some Albuterol and set up a blow by nebulizer, and pretty soon he was sounding better and playing with his dad. Then I had to get some IV Decadron in him by mouth. This stuff tastes terrible, I am told, but I did manage to get it in (kind of like getting a cat to swallow a pill) and rewarded him with some nice cold apple juice. We treated him with some humidified air for an hour or so and sent him home with instructions for his parents to use a humidifier or a shower to help him breathe.
I never got a cardiac patient, but I did get quite a bit of experience tracking down the responsible MD for my two admitted patients that were staying with us while we waited for beds to open up. They ended up staying the entire shift and I spent a lot of time paging MD’s to come see them and write some orders so I alleviate their pain while they waited. I learned about tracking down surgeons and advocating for my patients.
Then last night I had a dream that I totally screwed up the computer charting by departing my patients in the computer while they were still here! I was getting yelled at by the clerk and the MD’s to not ever depart patients and I woke up woke up trying to figure out how I was supposed to get them off the tracking board without departing them? And feeling frustrated that I don’t have a good grip on all the logistics of using the patient tracker. Ahhh! Just got a call from the nurse educator that is running our orientation and we are being pulled from the floor to do some more training on the computer tomorrow. I hope to get a better grip by the end of tomorrow. Whew!