The transition from pediatric registered respiratory therapist to adult registered nurse has been… difficult, to say the least.
Six months after graduation, I’m two months in to my first job, still on new-RN orientation, and question my decision on a daily basis. Nursing is not inherently a difficult profession as compared to respiratory therapy, but it is a completely different one.
After graduation I promptly took and passed the NCLEX, went to Europe, then began applying for jobs. I was contacted by an adult pulmonary step-down unit, interviewed, and hired. After three weeks in hospital orientation, I was released onto my floor, and then realized my mistake. This unit, and perhaps this career is not for me. Transition sucks; it is a time that brings out all my insecurities and fears, and having multiple preceptors and an unavailable nurse manager and educator has not made this easy. As a RT, I knew what my job was, and how to do it, and who to go to when I had questions. In this position, I have different people telling me how to do things differently on a daily basis. While I understand that everyone develops their own system for doing things, it would be helpful for people to not constantly tell me I am doing ‘this’ wrong– whatever ‘this’ may be.
The transition from working essentially independently under protocols in several areas of the hospital to being confined to one area and essentially having to ask permission to do anything with a patient is a hard one, and it has confirmed my decision to become a nurse practitioner sooner rather than later.
I am already looking into what my next steps are going to be. I start my BSN next semester. It should take one year and then I can apply to NP school… which was my goal for becoming a registered nurse to begin with.