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- It was just a really great feeling
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to be able to walk into someone's room
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and have them think that I'm not a new grad,
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and I really feel like I got my comfort
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and my time management skills
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from the residency program.
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- A new graduate nurse faces a lot of challenges.
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For starters, they're transitioning
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from the student nurse role
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to the professional nurse role.
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And that presents challenges
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because they're going from a place
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where they weren't necessarily held accountable
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or weren't responsible for the patient's care
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and now they are.
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There's a lot for them to learn.
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- I think the first challenge
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is that it's not what they expected at all
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in terms of what, school wise,
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school has prepared them.
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But in terms of like, I guess, like just the rhythm
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of the hospital and what is expected of them,
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they're not really sure.
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- Often in school there's a thought of
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once I complete school, I'll have time for my family,
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more time for myself and then, in fact,
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once they graduate, there are additional work commitments,
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and time commitments related to starting your career.
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So it's a challenging time.
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- Basically time management and organizing themselves
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is probably the biggest challenge
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that new graduates face.
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- Today our new graduate nurses, then,
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are hired with the expectations
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that we will provide support.
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We have on the job training for them.
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We have one-to-one preceptors for them.
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We have classes that are offered for them
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that are taught by clinical experts,
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within and without our system.
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And we also have networking and support
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which we know then, helps to lead them to success.
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- It was just incredibly scary starting out on your own.
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I mean when you're in school, you know that you have
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a preceptor there the entire time.
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But before we started the residency,
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I just knew that I was gonna be on my own
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and that, you know, I felt like this huge fear.
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- Well Meagan's progression through the program,
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when she first came in she was nervous.
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At first I would round with her in the morning
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when we do bedside reports
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to make sure that I met the patients too.
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But eventually, it got to the point
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where she would round herself.
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I'd round after her.
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And then she'd just call me with needs,
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and I'd just sort of be in the hall
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and she eventually slowly but surely
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needed me less and less.
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- The residency helped me feel more comfortable
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with the type of patients that I have on my floor.
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The residency gave me a huge comfort level.
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You know, you're sort of tied to the cord,
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and then slowly but surely, you cut the cord.
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But yeah, that was sort of her progression.
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- The biggest benefit is that they all start
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as one group, one cohort.
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And they network with each other to support each other.
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And as the nurse residency coordinator,
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I try to provide support and guidance to them when needed.
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Their preceptors serve as very valuable resources.
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But one of the biggest benefits that residents
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themselves have said is the support
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that they provide each other.
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I liked how the residency program, it incorporated
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the clinical aspects, but it also, you kinda had a chance
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every week to go to a class and meet with other people
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who were going through the same experiences
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as you were going through.
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- When we're in class, it's encouraged
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that they talk about their experiences
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on their unit, things that have happened that week,
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and they kind of discuss with each other
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what's going on.
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So it gives them a valuable time
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to be able to lean on each other
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and provide that support network.
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- You didn't feel like you were in it alone.
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You really had a lot of support,
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and I really liked that sense comradery
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that the new grad program provided.
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- Our ultimate goal is really to be able to have them
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be comfortable in our environment,
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as well as retain and want to stay in nursing.
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- So the residency is structured
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so that in the beginning, the first three weeks actually,
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there's more time spent in class.
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The first week they complete nursing orientation
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just like any other new nurse hire.
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Week two and week three,
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there's a class on Monday and a class on Friday
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for those two weeks.
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So two class days for week two and three,
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and then the rest of the time is available
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to be spent working on their unit with their preceptor.
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And then from that point on,
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it depends on the specialty,
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but it's structured to spend the majority of your time
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on the unit that you're hired onto
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with your preceptor being trained.
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So guided, unit-based orientation.
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And there is, on average, about one class a week.
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The residency is 10 weeks long for med surg and rehab,
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and then other specialties, labor and delivery,
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critical care, specialties such as that are 13 weeks.
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So it's 10 to 13 weeks.
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- It was like you were still in school in a way.
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I mean, we met with classes and we had lectures.
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Weaknesses that I felt that I had were covered
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in the residency in those lectures.
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So it was kind a nice.
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- We went in depth about pulmonary, cardiology,
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endocrine, things like that.
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And it really helped, because when you're on the unit
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and you're taking care of patients,
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sometimes you don't get to learn
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every single little detail
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about the patho.
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And it's really nice to review that information
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on a week to week basis.
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- We have not utilized one set curriculum
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and stuck with that.
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We actually get a lot of feedback from educators, directors,
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and then from residents themselves.
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And based on the feedback that we get,
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we have updated curriculum, changed classes,
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changed the structure of the program
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to be able to allow for the best learning.
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- I had one of the most amazing preceptors.
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I love her so much.
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She, I mean would check in on me,
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and really tried to style the learning for me
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based on how I learn best.
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Knowing that she was there, I mean I could text her,
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call her outside of work,
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was just a huge comfort for me.
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- Usually I find out a week beforehand
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that I'm gonna get my new graduates,
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so I make them a binder
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of all the important telephone numbers,
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all the important policies that they're gonna need to read.
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And then on the day that they're coming,
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I get there a little early
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so that I can greet them, find out who they are,
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and then see, I guess, what challenges
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they expect to face, what they're scared of
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and then for the first two days,
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I just let them follow me,
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so that they can get the flow of things.
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And then they start taking patients.
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- When you're a new grad it's really good
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to hear where you can improve.
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And they're very honest with me,
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but very supportive too.
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It was never intimidating
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when they would tell me
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that I needed to work on my organization skills
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or something like that.
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And that kind of feedback
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was extremely valuable and I felt like I became
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a better nurse from that.
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- We have always felt it was important
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for new graduates to be able to have support
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which makes them successful,
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and so today we've just been able
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to really raise the bar.
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And with all of the evidence that is out there,
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and all of really the expertise that we have
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within the system, be able to meet
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what our mission, vision and values are
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for them as well.
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- I feel like I am set to a higher bar
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because I feel like St. David's
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has invested so much in me.
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But knowing that they have invested that time
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is great and makes me wanna be a better nurse
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and continue on with my education.
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- St. David's really appealed to me
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because their mission statement, I just,
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when I went for my interview,
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I saw the, just the spirit that they provided
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care to their patients with.
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Everybody was extremely supportive,
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and this new grad program,
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once I was introduced to it,
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this was just a, this was a extremely appealing
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thing for me to come to.
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- The things that we have done specifically
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that have made the residency successful
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are allowing the new graduates
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time to support each other
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and an opportunity to support each other
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and talk to each other.
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Without the residency, a new graduate
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may be the only new graduate on their unit,
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so they may not get that kind of interaction.
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And then providing a ongoing evaluation
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and feedback to the residents.
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If you don't know what you're doing wrong,
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you can't fix it.
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- You really get what you put into this program.
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It felt like every week I was really trying
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to work on the things that my preceptors
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were telling me, and because of that I was able to
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overcome some of the difficult things that I was facing
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as a new grad.
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- Use the residency program to your advantage,
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because most nurses don't get that opportunity.
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- I think it's successful because the system as a whole
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really buys into the value of lifelong learning.
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And really feels that the new graduates
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are important and are key to our success.
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- It feels amazing.
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Knowing that I'm the person
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that can really make a difference in someone's life,
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just really helps my heart.