Starting a new nursing assignment, whether travel, per diem, or a full-time permanent position, fills most nurses with equal parts excitement and nervousness. You can expect to encounter new faces, new ways of doing things, and patients who need you as soon as you walk in the door. That first week on a new assignment sets the tone for all the days that follow. Here’s what you should know so that the new assignment is a success for you and your new employer.
Don’t Expect to Be Perfect, But Be Prepared
Nobody expects you to know everyone’s name or where the supplies are kept when you start your first shift. But you should show up on time, with all of your paperwork in order, and in the appropriate scrubs. Before beginning your first shift, confirm your start time, the facility’s dress code, where to check in, where to park, and any other details you need to know.
Make copies of your credentials, certifications, and paperwork specific to the healthcare organization or facility. You may have already submitted your paperwork digitally, but remember, things happen, and showing up with physical copies underscores your professionalism and organizational skills.
Observe First; Keep Opinions and Advice to Yourself
You may be tempted to refer to how things were done at your previous workplace. Please don’t. Every facility has its own way of doing things, its own culture, unspoken rules, and workflow protocols. That’s perfectly fine and expected.
In those first few days, you should observe how the team handles handoffs, responds to call lights, and interacts with leadership. Ask questions. Your colleagues will expect you to. But come from a place of curiosity and not criticism. Please never refer to how things were done at “your old workplace.”
Build Relationships with Your Colleagues and Teammates
You’re part of a new team, and you will need your coworkers. Begin forming relationships the first week on a new assignment. Here’s how:
- Learn names
- Be ready to jump in and help
- Offer your aid to an overwhelmed colleague
- Don’t disappear when a task is complete.
- Treat CNAs and support staff with respect. They are your essential teammates.
Know the Non-Negotiables
You must have a clear grasp of the critical stuff within the first few shifts of your first week on a new assignment. How do you call a rapid response code? Where are crash carts located? How is EMR structured for the most common calls? How do you reach your supervisor?
Don’t wait for an emergency to know the answers to those questions. If you feel the subjects were rushed in your orientation, advocate for yourself, ask for a shadow shift, or ask someone to walk you through emergency protocols.
Self-Care is Crucial to Your Energy in Your First Week on A New Assignment
Even the most experienced and confident nurse is exhausted physically, emotionally, and cognitively after their first week on a new assignment. You’re digesting a huge amount of new information, getting to know new people, and possibly a new geographical area. That’s a lot for anyone.
Take care of yourself and permit yourself to blow off steam in your off hours. Go for a run. Get to know your new town. Get plenty of sleep, good food, and time to relax. Burnout is a risk for any healthcare professional. Be intentional about self-care, especially during that first week.
Keep This in Mind
Your first week on a new assignment isn’t about proving yourself as the greatest nurse they’ve ever worked with. It’s about demonstrating your adaptability. Letting your coworkers know you’re a reliable coworker. Show up as a humble professional who cares for their patients, and you’ll soon gain confidence in yourself and your ability to fit in.
For more on what nurses should know about new assignments, or to find a position as a travel nurse, per diem nurse, or full-time employee, please contact BOS Medical Staffing.
