Congratulations on your new position in dialysis. Firstly, I focused on mastering nursing skills (i.e. endobj 59 0 obj For the first 6 months working as a new nurse, I constantly struggled with the idea of leaving nursing altogether and going back to the food and hospitality industry. Secondly, I became quite vocal in sharing my concerns with management, which provided an additional level of stress within my new role, but in the long run, helped me establish a working relationship with the team. I was so upset and taken back that I could not leave without discussing my first shift with the director of nursing (DON). 2 0 obj As a new graduate nurse just eight years ago, I specifically remember thinking upon my graduation - "Nursing school was the hardest thing I've ever experienced!" The period of transition from a student to a graduate nurse is a demanding period that is filled with new experiences and there are several concerns and factors that can affect the transition process. <>9]/P 21 0 R/Pg 9 0 R/S/Link>> I worked sub-acute before moving to a acute-care hospital on a medical-surgical unit. endobj I was very excited to begin my new career as a Registered Nurse and was eager to please my nursing management - to show them what I was really made of. In the event that you find yourself really struggling with specialty area you are working in, be sure to discuss your concerns with the nursing management before deciding to quit. Focusing on mastering your skills from day one can drastically reduce the negative effects of reality shock later on. ), which helped me gain the first level of comfort within my new position as an RN. During my first shift at my facility, I was supposed to have a unit orientation with a preceptor, and the goal of the day was to shadow her and perform a few hands-on skills so I could get comfortable in the new setting. 41 0 obj The Four Phases of Reality Shock In Nursing. endobj endobj Now let's get you through this reality shock! <>/MediaBox[0 0 612 792]/Parent 3 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/StructParents 0/Tabs/S/Type/Page>> Specializes in NCLEX Prep Expert - 100% Pass Rate!. <>/Metadata 2 0 R/Outlines 5 0 R/Pages 3 0 R/StructTreeRoot 6 0 R/Type/Catalog/ViewerPreferences<>>> In fact, the majority of the time it was downright scary! 39 0 obj The new graduate nurses (NGN) are faced with various issues and challenges especially in their first year of nursing practice. My shock just out of school was good rather than scarey..... remember your preceptor is still there, people know you are a new grad and will not put you in a nasty situation. endobj My first job was a charge nurse position for a sub-acute rehab facility, day shift 7 am until 3:30 pm, Monday through Friday. 1-612-816-8773. Here are the four stages of reality shock: 1. This is where you see your new role in a positive light. <> The Honeymoon Phase: New Grads are happy to be done with nursing school and excited to start their first job. I love to help nursing students, new graduates and nursing professionals alike to develop strategies for success! Given the increasing complexity of acute care settings, high patient acuity and demanding workloads, new graduate nurses continue to require greater levels of support to manage rising patient clinical care needs. �D�sEvo2�m���t�J�6�Rj�V-�yFOR�){�q��?�����Y�(�:�w��� ����1)tE�^Т��.cə�z�͇_A���#�/�+/G/��aw�:x�2�,Wx����t��2g�u�1��eN������Kť�6���m&���D�s�e�3�. Thank you dialysisnurseLC, LPN, RN for that positive feedback! stridor, weak cry and about 7 weeks old. [����_v,&�Oj��^t��t{�F����試�q�R���X�o4�`�^KBSH����לJꕒ�M�%�ߏ�"!j����e�g���Bl-@G���P��d��� ��UF������E=ڂ�q�pɗ)��L'� �i�7��B��`|L��Ohr�R�/��!�Dm���2���s-��r�5;�~��]��%�k�#�Fxʝ|��\��@;���I���1��4em�X�|$Ef*����w��Ĺؙ8�%�X�Da��7���#L��u�������o���,{�������"�:'�� @d���k��g���q�v��/�f� Q2 <> Prince 12.5 (www.princexml.com) Thank you....it helps to know that this is not forever and I am not the first nurse to be in this position. endobj The period of transition from a student to a graduate nurse is a demanding period that is filled with new experiences and there are several concerns and factors that can affect the transition process. From what I hear - Dialysis Nurses love their jobs. Although at that time that statement did nothing other than add to my frustration and concern regarding working in my new position, it has since then stuck with me and has been proven to be true in every single position I've held as an RN. I had a few to choose from and was lucky enough to get to shadow with different potential employers so I had an idea of expectations. This is very pertinent and timely advice for struggling new grads. Please know that excellent nursing care arrives with effective teamwork and flexibility. The new graduate nurses (NGN) are faced with various issues and challenges especially in their first year of nursing practice. I hope that you find my journey inspiring and that you can utilize the coping strategies to help you swiftly move from reality shock to that of career satisfaction! It seems that everything I learned in nursing school sugar coated the reality and most days I feel like a well paid servant than a critical thinking health care professional. <> <>19]/P 22 0 R/Pg 9 0 R/S/Link>> <>stream The first six months to a year is an important time for you to work on improving your ability to perform all client care and administrative nursing skills independently, thus boosting your confidence and satisfaction within your new role. In our discussion, I made sure to focus on Patient Safety, Staffing Ratios", and Structured Training to emphasize my level of concern and the sincerity of my intent to do a good job. endobj As others have said, timely and great information. As many of you finish up your new hire orientation - I’d like to personally congratulate you for making it through the trials and tribulations of nursing school, the NCLEX, the application and interviewing process, and now your new hire orientation – I understand the hard work, pain and sacrifice you’ve endured! <>36 0 R]/P 41 0 R/S/Link>> Although my heart is in caring for my patients and promoting the best health care outcomes for them, it can be difficult when many other pieces are not in place. <>13]/P 22 0 R/Pg 9 0 R/S/Link>> She grabbed my hand and then uttered these following words: "Nursing is a commitment to doing whatever it takes to provide safe and effective care for our patients regardless of personal gain, and it is unfortunate that the people who are in charge of signing our checks use our compassion against us.". The term ‘transition shock’ is a relatively new concept used to describe the experience of moving from the comfortable and familiar role of the pre-registration nursing student to the professional registered nurse (RN) 1. My shock just out of school was good rather than scarey..... remember your preceptor is still there, people know you are a new grad and will not put you in a nasty situation. 15 0 obj 32 0 obj I cried nearly every shift. endobj Don't let other nurses convince you of anything different. In many cases, new graduate nurses are eager to begin working and accept the first specialty that was offered. <>30]/P 25 0 R/Pg 9 0 R/S/Link>> Reality Shock. Regardless of my many frantic attempts to bring some form of stability to my crazy shifts, I felt like each shift was an uphill battle. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. The goal is to learn every day, and to learn from mistakes. endobj This is more than applicable at the moment. 2020-02-06T10:25:06-08:00 Well, let's just say that I quickly found out that working as an RN did not turn out to be fashionable. 24 Articles