You got the job. Now build the career.
Starting a nursing position means learning a new clinical environment, understanding expectations, developing professional relationships and recognizing what deserves follow-up.
Know what you're walking into.
Before your first shift, review what you accepted, what orientation includes and where important workplace policies can be found.
Orientation should produce measurable progress.
Ask what you're expected to demonstrate, how progress will be evaluated and when formal feedback will occur.
Requesting expectations
“Could we review the competencies I'm expected to complete and the timeline for completing them? I'd like to make sure I'm focusing on the right areas.”
Requesting feedback
“I'd appreciate specific feedback on what I'm doing well and what you want me to strengthen before our next check-in.”
Requesting a learning opportunity
“I haven't had many opportunities to practice this skill yet. If an appropriate opportunity comes up, could I complete it with supervision?”
Requesting another preceptor
“I'm committed to succeeding in orientation. I believe I would benefit from a different teaching approach and more consistent learning opportunities. Could we discuss whether another preceptor may be available?”
Following up in writing
“Thank you for meeting with me today. My understanding is that I'll focus on [EXPECTATION] by [DATE], with support from [PERSON OR ROLE]. Please let me know if I misunderstood anything.”
Ninety days, three different jobs.
Each stage has a different focus. Learning comes first, verification comes second, and formal review comes last.
First 30 days
- Learn workflows
- Review policies
- Identify clinical resources
- Ask questions early
- Request specific feedback
- Begin an accomplishment log
Days 31 to 60
- Compare progress with written competencies
- Request missing learning opportunities
- Clarify inconsistent feedback
- Document achievements
- Address unresolved concerns early
Days 61 to 90
- Request a formal progress review
- Confirm outstanding competencies
- Discuss development goals
- Save nonconfidential commendations
- Update résumé accomplishments
- Follow up on unresolved workplace patterns
Say it clearly, and say it once.
Six short modules for the conversations that decide how your first year goes. Open any module to read it.
Personal notes never replace the record.
If it could affect your practice, write it down.
Consider keeping an objective personal record when an event may affect your orientation, evaluation, schedule, assignment, workplace safety, professional standing or ability to practice within policy.