So now that I’ve earned my license and I’ve floated on cloud
9 for a while…REALITY hits quite fast and hard.
I came home last night feeling defeated, deflated, and
depressed. I unloaded my stress and
fears unto my hubby before bed and cried myself to sleep. I hope my hubby wasn’t shocked or upset by
the many things that spurted out of my mouth like, “I don’t want to be a nurse”,
or “I thought getting the license was only the hard part”, or “I just don’t
want to work this hard”.
Part of this stems from the sacrifice of my family time
through school, all of summer studying, and now getting used to my RN job in
OB. I just want time with my
family. I want to enjoy them. I want to put work and “learning new things”
on the backburner or auto pilot so I can focus on what really matters to
me.
I’ve been working in OB for almost 2 years. Right after graduation I transitioned to
graduate nurse until I passed my boards.
I’ve had about 2.5 months of orientation on postpartum and labor and
delivery. Unfortunately my orientation
was scheduled to accommodate my need to study to pass my boards which meant a
lot of overnights. Many times I only saw
vaginal progression of labor, but few deliveries and zero c-sections. In fact a little over a week ago, I set sail
off of orientation, on my own without even seeing or knowing what to do in a
c-section. One of my two preceptors was
appalled that I hadn’t seen one yet, because as she put it, “potentially any
delivery could become a c-section and you have to be prepared”. I think she must have thought my other preceptor
showed me one and vice versa. Either way
Wednesday of this week my boss switched my schedule around to get me some time
through an entire c-section from prep, to section, to recovery.
Bless the nurse I was following that day, she made me a
little to-do list, which helped but there are always things that get forgotten,
and the day wasn’t running smoothly. She
had forgotten a med to give and lab forgot to draw a platelet count that the
doctor ordered to have done before the c/s, so the surgery was delayed over an
hour. Ultimately things went well after
that, and I did most of the recovery.
Fast forward to yesterday (just a day later) and I was
helping a co-worker through a twin delivery.
The doctor for good measure had the mom delivery in the OR “just in case”,
because she was having them vaginally. After
she pushed the first twin out, the second twin started to get in trouble. The whole situation went from stable to
emergency stat c/s asap! I didn’t know
what to do and I just froze. The
secondary MD looked me right in the eyes and yelled “SCRUB HER BELLY NOW”!!! So I did.
If I hadn’t been in the c/s the day before I wouldn’t even know what to
grab or what to do. The Lord was with me
through that but I was still shaken up.
Afterwards the docs and nurses all sat around the nurses
stations digesting what had happened but I just listened. I went on break shortly thereafter and called
my hubby and cried about it. I went back
up to my unit, and nearly broke down to another co-worker who said “geez you’ve
been through a bunch of tough situations right after being off orientation”, “how
are you doing”? I told her if I stopped
to talk about it I would cry and I had to round on my next set of patients so I
didn’t have time.
After I got done with rounding, the charge nurse told me
that my manager wanted to talk to me for 5 minutes and to go to her
office. When I got there she wanted to
know how I was doing, if I thought I felt comfortable on my own, and did I need
more orientation time. I admitted that I
don’t feel comfortable in L&D with either a vaginal delivery or c/s. I’m fine and feel confident after baby comes
out and recovery, but leading up to that is hard for me. I’m okay for the most part as far as checking
the dilation of the cervix except if she’s a mul-tip because the cervix
stretches. I can’t figure out
effacement, nor do I understand station well.
And because there’s soo many small details and things to accomplish
before delivery, and not wanting to hurt the cervix I don’t know when to tell
mom to start pushing. I’m fine during
the actual pushing and moving out of the way for the doctor when the mom starts
crowning.
After relaying all this to my manager and then some, I also
followed up with the fact that I ask lots of questions and never hesitate to
stop if I don’t know something or don’t feel right about something.
Basically she just agreed that I’m not ready to be on my own
yet. She suggested I take 2 more weeks
of orientation, sit down with her assistant manager and go over critical
thinking exercises, ask a different co-worker for a list of “to-do lists” she
created when she was brand new and see how it goes from there. They’re going to follow up with me weekly to
see how I’m doing.
…But really, all I want to do is run and hide. I feel embarrassed that I haven’t gotten to a
place where I feel comfortable yet. I
really just want to quit, maybe find a desk job. At least until my kids are on their own and
not home as much… Then I could work bedside and be gone for a 12 hour scheduled
shift that turns into 14/15 hours.
I say all this because I went to http://allnurses.com/general-nursing-discussion/new-nurse-feeling-177487.html
and found a good post called “New nurse feeling overwhelmed” posted in
2006. One of the responses was from
anne74, and she said “after I hit the sixth month mark, I'm having
moments of feeling -sort of- like I know what I'm doing. I still ask questions
constantly, but there's no way of knowing everything without experiencing it
first. And the only way to experience it is to show up every day and learn.
That doesn't always feel good and it's frustrating, but you'll get there.
You will start to see changes, you'll be able
to answer questions more often and you'll start to catch things all by
yourself. You'll even feel comfortable suggesting things to doctors, etc. The
only way to gain this wisdom is through experience, and you'll get there in
time. Seriously - it gets better. But it doesn't happen in a nice, linear
fashion. It goes in spurts - good days, bad days, etc.
No one really tells you how hard - and awful
- your first year of nursing is. I think the people who have it the hardest are
the ones who are challenged the most, and in the long run become the best
nurses.
A piece of good advice I got from my Mom (a
retired RN) is after every shift, think of 3 new things you now know how to do.
Before, I was only focusing on mistakes I made, and totally ignoring my
accomplishments. Take time to see how far you've gone already, and it only goes
up from there.
After reading
that, I was inspired to write a blog post.
I just have to look at where I’m at and say for instance, I learned on
Wednesday how to scrub the abdomen during a c/s. That came in handy because I put my skills to
the test the following day.
I am learning, I
am growing, but I just wish I didn’t have to sacrifice anymore family time
along the way.
