Unexpected Setback as a New Grad
I graduated with my BSN this past December and passed my NCLEX on the first attempt in February. I had a job lined up at a PICU in North Florida that I started at in March. Peds has ALWAYS been my dream, so to say I was beyond excited for this opportunity is an understatement.
The hospital I worked at did not have a super structured new grad residency like most hospitals do these days. All nurses, no matter their amount of experience, did the same 14 week orientation. New grads had a couple of classes here and there, but as mentioned, it wasn’t structured.
I did two weeks of classes before starting in the PICU. My first day on the floor was awesome. I was so happy to be in a job I knew I would love. My second day was a different story. I asked my preceptor for feedback on what I should try to improve for my next shift, and she told me “You are so sweet, but I really think you lack the foundational knowledge to be in this field.” That was so devastating to hear, especially after I, like all nurses, have worked really hard to get to where I am.
I spoke with management the next day. I told them that I thought my preceptor was an outstanding nurse, but her teaching style did not match my learning style. She never showed me how to do anything. Everything was a guessing game and if I did something wrong, she’d snatch things out of my hands or yell at me in front of patients and their families. Management placed me with a different preceptor and they suggested I do weekly check-ins with them to set goals for myself. These goals included things like knowledge of safety precautions, JJ researching diagnoses, and improving on documentation and charting.
Fast forward to the beginning of May. I was in the middle of my last shift of week 4 on the floor. Management called me into the office for our weekly check-in, which I expected to go well due to recent preceptor feedback. They asked how things had been going. I explained that charting had gotten a lot easier and I felt I was getting more adjusted to skills and equipment. I also mentioned that switching between preceptors was a little difficult due to them having different expectations of me.
I probably talk for 5 minutes before I’m handed a sheet of paper I’d never seen before. It was titled “Expectations of the Orientee RN in the PICU.” There were 5 phases of orientation broken down into weeks worked and skills expected to be performed and mastered. They asked me where I would place myself. I look through the list. Phase 1 (weeks 1-3) were skills that I believed I already mastered. Phase 2 (weeks 4 & 5) had some skills I performed, and some skills I hadn’t. The same for Phase 3 (weeks 6 & 7). I told them I would place myself between phases 2 and 3 because I mastered phase 1, but because of the type of patients I’d been assigned, there was quite a bit of skills I had not yet performed.
My manager and CL then tell me that, “based on preceptor feedback, you’re still in phase 1 which is way behind of where you’re supposed to be. It’s in both of our best interests if you resign and find a job elsewhere.” I start to cry and break their silence by asking what my next steps are. They explain that there aren’t openings on any other peds floors and they can’t transfer me to adults since I haven’t been employed through the hospital system for 6 months. I ask if I’m allowed to leave, which they agree to. I also ask if I’m expected to come back, and they said “we are not expecting you to, but we can offer two weeks.” I told them I would be going home and would not be returning. Then I was told, “we will need that letter of resignation though. It looks better for the both of us.” I was in a pure state of panic and shock. I left the room and wrote a letter stating my resignation with my signature. I handed that to my preceptor and asked if she could give it to management. I walked to my car, called my parents, and sat in the parking garage for two hours before driving the hour and a half commute back home.
I want to make some things clear. I LOVED the job itself. I love kids, I love families, and I love being a nurse. I’ve had this dream since I was 11, when my aunt became a nurse. But this job never supported me. From day one, I felt zero support, zero encouragement, and nothing but pressure and anxiety to know everything. I was assigned the same low-acuity patients day after day, giving me limited exposure to equipment, medications, and higher levels of care. I thought I could “find a friend” in management but each week, their personalities got less bubbly and more annoyed. The only people I could talk to were other orientees, who also agreed they were having hard times. There were several instances of me hearing conversations about me between other nurses. I felt like such an outcast and was scared to be there every day because of the way I’d been treated. Another thing to add, on the week I started, 3 people had just turned in their resignations. By the week I left, an additional 8 people had also done so.
I put a lot on the line for this job. I commuted 90 minutes both ways to be there. I accepted this position over another offer where I would be paid significantly more. I sacrificed sleep and ultimately, my peace. Peace that I had worked a really long time on getting.
It’s been two weeks now. I’ve updated my resume to include my experience there and just applied to some jobs this weekend. I feel like my confidence is damaged. Even though I know I’m not a failure, there’s that little voice in the back of my head telling me I am.
If you have any advice or words of encouragement, I’m more than open to hearing it. 🫶