take flight or stick it out in telemetry

Hello. Now I am a happy person. I am a people person and love caring for others and I never let anyone get to me. Being in psych for over 3 years has helped me overcome the most difficult of people. Before psych I worked in home care for 2 years.
I thought I landed my dream job. So much to learn.
Now I am about to come off orientation on a tele floor soon. The first month was difficult, I cried and just thought I couldn't do this but still learned so much. Then I went on to night shift and my new preceptor helped me with a fast routine and taught me so much. But now I can tell he just don't want to deal with me. He has been condescending even on a personal level and he is extremely ocd. In the beginning his ocd was helpful to learn routine n how to do things right. I am relearning everything. It may be harder for me than a new nurse because I haven't been dealing with medical in forever.
One day I had someone else and I had no anxiety and had a great night. She is such a outgoing nice person. I felt free to talk to her.
and then after her I had HIM. It was the worst night ever. I wanted to cry n quit. Then I heard someone else talking negatively about me. Then I had an emergency. The night got worse n worse.
I cried in my car, at home and the next day I was a zombie from depression n confusion.
I don't know if this is for me. Is it the floor? Am I going to be able to handle this? Am I just dumb and forgetful? Should I tell my supervisor I can't handle?
Should I try for an ortho floor ? Or some other floor without such fragile patients???
I have 2 children and bills and a school loan to pay but am not happy. I feel incompetent and dumb.
Nights are tough to get used to. The start of any acute care job in an area that is not familiar is also tough. You have only been doing this less than a month. Psych and home health are who different ball games, so give yourself time.Take what was given to you and you can use, throw the rest away. When you are your own primary nurse and you continue to practice, you will find your niche.With all that being said, I am more prone to psych. The thought of cardiac is daunting, is OH so not my thing, and I just don't find it an enjoyable part of nursing. Could it be that you are just not that into cardiac?Don't cry in your car and get all worked up about other people's issues/ocd/foolishness. Go in, do your thing, and leave. Take a look at if, with your experience, cardiac is a good fit for you. It may be if you LOVE cardiac (<----ewwww, really?! HAHA) otherwise, think about where it is you might rather be.You have been a nurse for 5 years, lots of experience, think about where else you may want to go/do if this is not happening for you.Best wishes
Thanks for your reply.I really wasn't sure what I liked. I figured let me get in whatever I can and learn and see what I may like. I really liked the fact I can learn so much on this floor. But I feel that the rapid responses are extremely stressful and throw me off. And an emergency, someone who is tachycardic at 150 and needs your full attention and everything involved in that.....is giving me a heart attack! They throw me off. There has been 2 nurses who quit since I've been there. It's a ton to deal with.
I'm going to go ahead and answer your question of "Is it the floor?" ... It quite possibly may be. But at the same time, it could also be complicated by the fact that this is your first real experience on a medical acute care unit. You were a psych nurse and a home health nurse for the last 5 years. Telemetry is definitely a brand new animal for you, and the patients you will encounter are unlike any of those you will have ever seen (home health possibly would have seen typical patients there but not as sick or else they would be on a tele unit). I'm not surprised that you are having a tough time at it, it's a new environment and a different style of nursing than you are accustomed to. In some respects, you're probably feeling like a new grad all over again. And maybe a prior poster is correct, maybe this is not a specialty for you? I can tell you this tho ... Sounds to me like you have had some awful preceptors! That can make or break your experience. My preceptor on orientation was more interested in courting his future girlfriend by text than overseeing my orientation on the unit, and another nurse opined that he clearly let me go on my own sooner than I was ready. So in essence my training was trial by fire.I am a telemetry nurse, have been so far for my entire three years of nursing, and I agree that it can be stressful because you never know what's going to turn on a dime. A walkie talkie patient can suddenly collapse with VT or an a-fibber can suddenly go RVR. This is why they are being monitored, and this is why we have to be vigilant and act fast. But I should say, you have to want to do this kind of nursing, it's not really a specialty for the weak of heart (pun intended). I say give it some more time and stick with it for at least 6 months because it does take a while to get it. With your background, you really do need more time to absorb the acute care setting. You have worked with relatively stable medical patients your whole career, so it's no surprise that you would get unnerved with a rapid. The experience with those comes with time. By the way, what kind of ratios do you have? If it's high, that can only add to the stress.I'm different from all of you in that I love cardiac! ❤️❤️❤️ ... My goal is to advance later into critical care, a CCU or maybe in ED. And different from all of you is that I hate psych! LOL! I never have and likely never will. I once had a psych pt transferred to my unit because he had to be on dialysis. His primary psych dx was schizophrenia, and at times he seemed like a time bomb, I did not like dealing with that at all. I would not be happy just working with someone's disabled mind, I prefer fixing other failing organs. I mean I know psych pervades every nursing specialty, I just can't work with psych being the primary nursing focus. Besides, I love scrubs