{"id":4872,"date":"2016-03-16T00:00:00","date_gmt":"2016-03-16T06:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2016\/03\/16\/new-grad-nurses-are-rookies-no-longer\/"},"modified":"2018-08-07T14:37:37","modified_gmt":"2018-08-07T20:37:37","slug":"new-grad-nurses-are-rookies-no-longer","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/new-grad-nurses-are-rookies-no-longer\/","title":{"rendered":"New grad nurses are rookies no longer"},"content":{"rendered":"
<\/div>

This is the fifth and final installment of our series chronicling the experiences of two nurses in University of Colorado Hospital\u2019s Graduate Nurse Residency Program.<\/em><\/p>\n

Maggie O\u2019Connor, RN, with the Transplant Unit, and Sarah Doble, RN, with the Surgical\/Trauma ICU (STICU), began their residency in February 2015 as part of a cohort of 50 nurses. They were among the 46 who finished the program and were honored March 10 at a completion ceremony in the Bruce Schroffel Conference Center in AIP 2.<\/em><\/p>\n

Teams from each unit put their evidence-based projects \u2013<\/em> a requirement of the program<\/em> \u2013 on display as part of the ceremony. Nursing leaders, including Chief Nursing Officer Carolyn Sanders, RN, PhD, and Associate Chief Nursing Officer Cathy Ehrenfeucht, RN, MS, reviewed each of the 19 poster presentations, chatting with and asking questions of the new grads, including O\u2019Connor and Doble.<\/em><\/p>\n

O\u2019Connor and Transplant Unit colleague Kelsey Christopoulos, RN, reviewed the effectiveness of a tool used to assess the acuity of patients admitted to the unit. Doble and her team \u2013 STICU new grads Jonah Cantor, Sara McPherson and Erica Schick \u2013 researched the importance of assessing patients for delirium. They received the \u201cOutstanding Scientific Merit Award\u201d for their work.<\/em><\/p>\n

Sanders and Mandy Moorer, RN, coordinator for the Graduate Nurse Residence Program, addressed the grads and congratulated them for their accomplishment.<\/em><\/p>\n

After the ceremony O\u2019Connor and Doble sat down to reflect on a year they both described as challenging but also personally and professionally fulfilling.<\/em>
\n\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/p>\n

A year ago<\/a>, new grad nurses Maggie O\u2019Connor and Sara Doble spoke with nervous anticipation about a residency program they\u2019d barely begun. Doble, assigned to the Surgical\/Trauma ICU, figured she\u2019d \u201cjust keep swimming\u201d as the information and new responsibilities poured in. Asked the biggest challenge she\u2019d faced so far, O\u2019Connor gave two words: \u201cLearning curve!\u201d<\/p>\n

A whirlwind 12 months later, the two nurses have finished their residencies. They both feel they\u2019ve only begun to develop as nurses. But they also have a much stronger sense of confidence forged by long hours of classwork and many 12-hour shifts learning the ropes on their units and earning the respect of their colleagues.<\/p>\n

\"Maggie
Maggie O\u2019Connor (left) and Transplant Unit colleague Kelsey Christopoulos (center) discuss their evidence-based project poster with UCH Chief Nursing Officer Carolyn Sanders.<\/figcaption><\/figure>\n

\u201cMandy [Moorer] reminded us we\u2019re not babies anymore,\u201d O\u2019Connor said. \u201cI feel much more confident. I\u2019m still not at 100 percent and still have questions, but there is less panic and less fear. I feel much more in control. I might not be calm, but I feel like I can fake being calm better,\u201d she laughed. \u201cAnd if someone asks me a question, I can actually answer it.\u201d<\/p>\n

\u201cI feel a lot more confident in what I\u2019m seeing with my patient assessments,\u201d Doble added. \u201cWhen I was brand new, I\u2019d say, \u2018Okay, this is what I think<\/em> I\u2019m seeing.\u2019 Now I know if I\u2019m seeing something, it\u2019s probably what I think it is. The instances where I\u2019m not sure are much rarer.\u201d<\/p>\n

They both admit to being somewhat intimidated at first by the bustle and mix of more experienced providers on their units. With time, they\u2019ve found their place and established their positions as team members who collaborate with colleagues.<\/p>\n

\u201cI feel like I\u2019ve got a validated place now and know what my function is,\u201d Doble said. \u201cI know my part and where it goes from being something I need to do to something I know somebody else needs to do.\u201d<\/p>\n

Still a long road<\/strong><\/p>\n

\"New
Sarah Doble (center) listens as her STICU colleague Erica Schick (back to camera) explains their team\u2019s evidence-based project. Associate Chief Nursing Officer Cathy Ehrenfeucht (to Doble\u2019s left) listens.<\/figcaption><\/figure>\n

O\u2019Connor said that while she knows she\u2019s come a long way in building her skills, \u201cThere is always something you\u2019ve never seen before.\u201d She related the example of recently having a patient on peritoneal dialysis.<\/p>\n

\u201cThat\u2019s not a big deal but I hadn\u2019t had a patient on it before.\u201d O\u2019Connor needed a little help from a colleague when the patient asked to use the bathroom. She said there are still instances like this when she feels she shouldn\u2019t have a question, but does.<\/p>\n

\u201cBut the fact is, we\u2019re still learning,\u201d Doble said. \u201cNo patient is the same. No situation is the same. You can have someone who has a similar injury [to someone else], but you\u2019ve got two different prior medical histories, and that\u2019s going to change how you treat them. I have a charge nurse who always pushes me with questions, and I love it, because I can flat-out say, \u2018I don\u2019t know.\u2019 It\u2019s nice to have people who want to keep you on your toes and encourage you.\u201d<\/p>\n

Tip of the hat to teachers<\/strong><\/p>\n

Both nurses give great credit to their preceptors for answering questions and showing them the right way to do their jobs. A central message: Always treat patients and their families with respect. For O\u2019Connor, the primary purveyor of that lesson was Martha Karnell, RN<\/a>.<\/p>\n

\u201cShe always taught me not to ignore the family,\u201d O\u2019Connor said. \u201cAddress them when they are in the room. I remember a lot of what Martha taught me, and I still think about it, more so now than when I first started. I feel like she\u2019s still following me around. That\u2019s a good thing.\u201d<\/p>\n

Doble said she too learned from her preceptors to be an advocate for the patient and the family. \u201cYou\u2019re invested in their care,\u201d she said. A big part of that care, she added, is learning to \u201cconstantly think critically\u201d and ask questions about what more could be done to manage each patient. That includes ensuring safety. Doble recalled a preceptor \u2013 \u201cOCD to the max,\u201d she said \u2013 who constantly drove home the importance of keeping patients\u2019 lines untangled and clearly labeled.<\/p>\n

\u201cShe always made sure there is a very clear path of what is going into the patient,\u201d Doble said.<\/p>\n

It\u2019s the job<\/strong><\/p>\n

\"Research
The STICU team received the Outstanding Scientific Merit Award for their project on delirium. Research Nurse Scientist Kathleen Flarity (far left) made the presentation to team members Sara McPherson, Erica Schick, Sarah Doble, and Jonah Cantor.<\/figcaption><\/figure>\n

The two were satisfied from the start with their units and are very comfortable staying with them. Still, they work in a busy academic medical center that treats complex patients and deals more than occasionally with capacity issues and spot staffing shortages. Any given shift can bring less-than-pleasant moments that are part and parcel of providing health care, like the patient who peed on O\u2019Connor\u2019s pants recently. She took it in stride as part of the job.<\/p>\n

\u201cI thought, \u2018This is my life now,\u2019\u201d she said.<\/p>\n

Doble said she still struggles to come to terms with caring for patients who have poor outcomes. \u201cI always feel that there should have been something more that I can do,\u201d she said.<\/p>\n

They have learned to deal with the stresses of nursing in their own ways. O\u2019Connor makes a point to take a few minutes to go outside and get some fresh air or eat lunch. \u201cEven if I think it\u2019s the worst shift of my whole life, I say to myself it\u2019s 12 hours, and I\u2019ll get through.\u201d When she has off time she likes to get outside for biking, hiking and decompressing.<\/p>\n

For Doble \u2013 an admitted adrenaline junkie \u2013 stress relief is rock climbing. \u201cIt\u2019s meditative,\u201d she said. \u201cWhen I\u2019m doing it, I\u2019m thinking, \u2018What\u2019s my next move?\u2019 I can\u2019t think about the upcoming four shifts that I have.\u201d<\/p>\n

The strategy carries over to nursing, Doble added. She tries to organize her tasks and move through them methodically. \u201cI have to think about what\u2019s my next high priority on the unit,\u201d she said. \u201cIt\u2019s my go-to thought process.\u201d<\/p>\n

On to the next<\/strong><\/p>\n

\"Sarah
On to the next: Doble (left) and O\u2019Connor after the Graduate Nurse Residency Program completion ceremony March 10. They plan to stay with their original units in year two.<\/figcaption><\/figure>\n

Learning was a constant throughout the year, and the experience opened other avenues they\u2019d have liked a little more time to pursue. O\u2019Connor wishes there had been time for elective courses in areas like wound care and glucose management. Doble, who is firmly committed to critical care, would like to have floated to the hospital\u2019s other intensive care units. \u201cICUs have so much to teach,\u201d she said.<\/p>\n

As they prepare for year two, the nurses can mull many possibilities. Doble has been asked to take a preceptor class. \u201cIf I feel like I\u2019m ready, I\u2019ll go for it,\u201d she said. \u201cI feel like the coming year will be about feeling out what I\u2019m passionate about.\u201d<\/p>\n

O\u2019Connor thinks about joining professional organizations and says she\u2019d like to precept \u201ceventually.\u201d She also looks forward to continuing to glean knowledge from her colleagues and learn techniques for things as typical as hanging fluid bags.<\/p>\n

\u201cIt would be cool at one year to shadow a 10-year nurse to see how they do things,\u201d she said. \u201cIt would be interesting to see how they set up their day.\u201d<\/p>\n

For those coming after them, they have straightforward advice.<\/p>\n

\u201cI would tell new grads there will be ups and downs, and those are to be expected,\u201d O\u2019Connor said. \u201cI know they will be surprised by how fast it goes. I am excited for them.\u201d<\/p>\n

Commitment and patience are key, Doble added. \u201cThere will be rough days and days you say, \u2018I don\u2019t know if I can do this,\u2019\u201d she said, \u201cbut those moments will pass. It doesn\u2019t get easier, but you do get better. You are learning in order to be better.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

This is the fifth and final installment of our series chronicling the experiences of two nurses in University of Colorado Hospital\u2019s Graduate Nurse Residency Program. Maggie O\u2019Connor, RN, with the Transplant Unit, and Sarah Doble, RN, with the Surgical\/Trauma ICU (STICU), began their residency in February 2015 as part of a cohort of 50 nurses. […]<\/p>\n","protected":false},"author":2143,"featured_media":2335,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[1321,294,1320,263],"class_list":["post-4872","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-maggie-oconnor","tag-nursing","tag-sarah-doble","tag-university-of-colorado-hospital"],"acf":[],"yoast_head":"\nNew grad nurses are rookies no longer - UCHealth Today<\/title>\n<meta name=\"description\" content=\"This is the fifth and final installment of our series chronicling the experiences of two nurses in University of Colorado Hospital\u2019s Graduate Nurse Residency Program. 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Maggie O\u2019Connor, RN, with the Transplant Unit, and Sarah Doble, RN, with the Surgical\/Trauma ICU (STICU), beg...","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.uchealth.org\/today\/new-grad-nurses-are-rookies-no-longer\/","og_locale":"en_US","og_type":"article","og_title":"New grad nurses are rookies no longer","og_description":"This is the fifth and final installment of our series chronicling the experiences of two nurses in University of Colorado Hospital\u2019s Graduate Nurse Residency Program. Maggie O\u2019Connor, RN, with the Transplant Unit, and Sarah Doble, RN, with the Surgical\/Trauma ICU (STICU), began their residency in February 2015 as part of a cohort of 50 nurses. 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