Struggle of This New Nurse

As my orientation season begins to wrap up, I can't help but think about how I felt when I started, and also how I'm not sure I can do it on my own. So far I can get the basics down, but there is always someone watching me and right next to me.

When I need another syringe, they are right there supervising and will run and get it. They are there to answer my millions of questions, without me ever having to leave the baby's bedside. They help one mom breastfeed as I assess and situate the next baby on my assignment list. They make milk, give baths, and do all of the cares that I cannot seem to fit into my work list because I am still slow in the tasks I do as I begin to figure out my muscle memory and routines. They help remind me when I have a med to give, I need to look at labs, and they help me be able to talk to the providers (NNP and neonatalogists) so that I do not get eaten alive just yet.

As I begin to get down the basics, I'm finding more and more that I am so far from knowing how to be a nurse on my own. Orientation for me ends at the end of September. I finished my last day shift orientation yesterday and I begin night shift orientation on Sunday...

To say "the struggle is real" is an understatement.

As I go about learning the ins and outs of a "typical" day, I have found some serious things I struggle with:

1. Breastfeeding. I don't have children. I don't know what it is like to breastfeed. I try to learn what I can from the nurses I am precepting under, but I feel terribly unqualified. When parents and grandparents of the babies ask if I have kids, I have to shamefully respond that I do not. That is followed with them asking how old I am and how much schooling I have left... Apparently the make-up I decided to start wearing so parents wouldn't be freaked out with how young I am, isn't working at all.
2. Families. The baby's families scare me. For every sweet, loving, adoring, easy family, there is an equally "different" family just down the hall. The kind of family that tells you they were a NICU nurse at the hospital I work at, but after further investigation you learn they were in the float pool and only floated the NICU one night to act as our unit secretary because we were severely short-staffed. There are families where we worry if the parents are on too many pain killers because they are falling asleep holding their 3 pound baby and asking the same question over and over. There are the families that we wonder about the safety of the mom because the dad is overbearing and there are signs of domestic violence. Parents who don't seem interested in the child. Women who tell the staff they will be adopting a baby that is in our NICU, throw a fit when they are not allowed to see said baby because we have no paperwork to say they will be the kid's guardian, and then we find out later there was never a plan for this lady to ever be involved in the care of the kid. Now, many of these situations are simply the stories from the nurses I've worked with, but I have experienced some of them between the few hospitals I worked at in Home State and now Small Town Hospital. Parents/family members scare me!  They blame us for what has happened to the baby even when the kid would have died if we didn't come help. They get upset with us for a positive drug screen in a 2 hour old infant, but I know we aren't the ones doing drugs through the pregnancy... I get that many of them are scare, and coping (though not always effectively coping), and they are in a situation that was unexpected and stressful. I get that. But I need serious practice with the parents and family members.
3. Time management. As soon as I feel like I get caught up, a kid pukes, poops, pees, or the family comes in and puts me right back to being behind. Through in a child needing a bath and bed change and I don't know how I will ever do it without having my preceptor there to help me out.
4. Remembering all of the "little" things. Little things like checking the med list for the babies every time I do an assessment so that I'm not late with antibiotics. Knowing how to give certain medications... Knowing who to ask for, how to ask, and what to do when I am needing a certain supply. Remembering the normal vital ranges and care tasks for babies when I am still so used to adult numbers and cares. 
5. Staying out of the cliques. Now, this one is a little different for me because I already have a target on my back. My grandmother (Mema) works in the NICU at my hospital. She has been there for years and years and years. My great aunt (Mema's sister) is the DON of the floor containing the NICU, L&D, the women's med/surg specialty floor, newborn nursery, and other various similar care departments. She is also the one who does the hiring and runs the meetings... So, you can see how many of the girls on the floor could be concerned and upset with me working there. Throw in the fact that night-shift NICU crew is known throughout the hospital for being ridiculously "cliquey" and I already starting with a handful of major disadvantages. So, while I need to work on time-management and all of these other things so that I can be "on-time" with all of the tasks I need to do, I am so very grateful that I am slow and always having something to do to stay busy because it keeps me from even being in a place where I could have downtime to have to talk with the girls. Maybe, by the time I get to a place where I am okay at being a NICU nurse, I will be so used to being busy that I will remain out of the clique scene all-together and nobody will ever know that there is another way for it to be.

So, here I am, about to be pushed off a cliff. Time to see if I will sink or swim.