I am a registered nurse working full time in a medical/surgical unit in New Jersey. On occasion, I precept nursing students and new graduates. I love my job and I love teaching. Although years of working experience is a great asset in building confidence, dedication, passion, knowledge and the willingness to learn are ideal attributes for new nurses.

I see the transformation from student nurse to working nurse and I know how scary it is. It wasn't too long ago when I first started as an independent nurse "on the floor," so I can empathize and perhaps share some light, comfort and wisdom with all new grads.

Remember, you earned it. You graduated from an accredited nursing school; you passed your boards. Now breathe. You have the knowledge to be a nurse. You are a nurse. Now, when you begin your first day with your preceptor, watch, listen and ask questions.

Do not "Yes, I know" your preceptor to death. You may lose the opportunity of learning a new skill or technique. Take this opportunity as a refresher. Now pay close attention, because nurses move fast and you must keep up. But don't fear ? if something is not clear and the moment is not right for intense explanation, approach your preceptor at a later time. That's what we're there for.

Don't fear uncertainty. I see the fear in every new nurse. With fear comes uncertainty. You must be "certain." If you doubt something ? anything ? question it. Whether administering a medication or performing a procedure, stop, question your concern and confirm the answer. Don't be afraid of uncertainty. All RNs have it, new and old. It's your red flag to say, "Wait, something's not right."

Discard insecurity and think positive. You are a nurse. Do your job. Don't doubt your abilities and don't think negative. Begin your day with a positive outlook. Know that you will get that line in. Know that you are a smart, caring and capable person.

Don't give up. If things start to feel hectic and chaotic, and it seems like you have lost control, don't give up. Deal first with what's at hand, think critically and prioritize. Eventually you will develop your own technique. 

Remember, you're not alone. Don't be afraid to ask for help. You are not less of an RN if you ask for assistance. It is your duty and the patient's safety warrants it. As an RN, at the end of a busy day, it will get done. The job doesn't end at the end of your shift. Don't give up hope.

You are starting a great, fulfilling, rewarding career. We're glad to see you join our team. 

Welcome new grads . we all welcome you!

Sidneia Sharif is an RN at Overlook Hospital in Summit, NJ, and often precepts nursing students and new grads.