July is a hectic time for Nurses working in an Academic/Teaching Hospital. You see, the next class of Medical Students begin their Residency.
So, once again, we must increase our level of patience, provide that gentle guidance, and be evermore vigilant for the aberrant things that occur when a Novice enters the world of Experts!
It has been just over a week, and so far, so good! A few minor blips, mostly to do with timing and prioritization... yet my fellow Nurses and I will not wait for a Physician to "catch-up" with a patient's condition. We will usually implement and do what is necessary in an emergency situation, just telling the new initiates what needs to be done/ordered/etc.
I was most impressed last night, as a 1st year Resident actually asked me to review the orders she had just entered and offer suggestions as to what wasn't covered/what I felt was needed! Now that Physician, will do very well in her career! Less than a week into it and already a collaborative approach to providing care... one down, 1000 to go!
There is a definite difference between a 1st year and a 4th year. It is also entertaining to watch the transition that occurs. From being completely scared to death that they are now responsible for people's lives, to that overconfidence that builds, which leads to a correction when a Nurse refuses to do or insists on something, to eventually learning to trust and listen, to the point that they begin to actually rely on others. And hopefully, eventually, they become 2nd years!
And the journey continues...
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