To Change or Not to Change
Yes, it has been awhile since I have posted and I apologize. I have been attempting to get used to my life as an ICU resident and it is not easy. I feel like I've forgotten everything I've ever learned in nursing school. No one ever tells you that what you learn in school basically gets thrown out the window and you have to adapt to it. So many times I have found myself thinking, "That's not how we learned it in school," or "That's not the way the book says to do it." HELLO! That is the hardest thing to do, throwing away everything you think you know and trying to do something you know the book didn't teach you.
Take IV's. God bless my instructors at Lourdes College for teaching my how to "properly" tape an IV, but frankly, I have not used that technique outside of school. It is just not something that gets used. And for goodness sake, learning to put Foley catheters in NEVER works the way you learn it in school. Not at all. Not unless you are inserting it in a corpse. But I digress.
The school way and reality are at opposite ends of the spectrum. Just because you learn it a certain way in school does not mean that it will be set in stone forever. The school way will not always be the be-all, end-all of nursing techniques. I have had to throw some things completely out the window and adapt to the real world of nursing, which includes not using a u-chevron to secure an IV, doing wet-to-dry dressing changes without forceps and using non-sterile gloves while doing so. It's hard to throw some things away and adapt, but sometimes it's hard to so you just keep doing it the school way. Some things that I still do according to the school way include the technique for pushing IV meds, assessment, and giving shots.
On top of adapting to these changes, I have to accept change every three weeks as I change units that regularly and I change preceptors even more often than that. And don't get me started about preceptors. I have been blessed to have preceptors that rival the angels of heaven and I have been cursed to have preceptors that rival the spawn of the devil. The latter are the ones who feed you to the wolves without thinking twice. They leave you completely alone, fending for yourself, and then try to take credit for what you have done. I am not kidding. It has happened to me and it is not a picnic. I have had to ask to be moved from my unit because I swear I have been tempted more than once to toss my preceptor out the window. Sometimes those thoughts are all that gets me through the day.
But alas, I am a lowly new nurse, and I've taken a lot of crap for having a Bachelor's degree from some of the above listed satan spawn. To them, Bachelor's educated nurses don't have the clinical experience. We are not as prepared as our Associate degree brethren. However, after being paired with some new ADN nurses, we all feel that we are in the same boat. We all feel like we know nothing, that we lack what they don't and vice versa. Just because I have a Bachelor's doesn't mean I'm dog poo. Far from it. Sorry I didn't wait to get 30 years under my belt first, but I don't plan on being on a unit forever. So I played it smart. Big deal, get over it.
And another thing about the whole Bachelor's/ADN thing--the new ADN nurses I have been working with have become some of my closest friends at work. Because there are only five BSN's in this residency, three of us in ICU, all of us from Lourdes, we are kind of hard to come by and we get paired up differently every few months. These girls have become my lifeline at work. I can't stress enough how important it is to form relationships with your work peers. These friendships have gotten me through so much thus far.
So, all of you nurses graduating in May or those of you just starting out and everyone in between: take it from me, being a new grad is scary, stressful, awesome and fun all at once. You need to be open to change and have the ability to adapt. Without it, you will go nowhere fast. Alumni | Kimberly
Wednesday, April 16, 2008 6:01:34 PM (Atlantic Standard Time, UTC-04:00)  |
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