Professional Development

Being a Professional Nurse

Your upcoming role as an ESN will likely be the first step in your professional nursing career. While this may be a bit daunting, your career will likely span decades. The habits you create now will help set you up for success. We’d like to get you started off on the right foot!

The following sections will help you to create good work habits, establish a strategy for lifelong learning, and guide you to supports & resources that can help with your transition from student to Employed Student Nurse. As you go through the sections, remember that “The first three months of employment following graduation is the most stressful time in a nurse’s career” (Jewell, 2013). Think of how you can use this opportunity to create a personalized plan for yourself to help mitigate those stress factors upon graduation.

Tips & Tricks

Here are some useful tips & tricks to help get you started:

  • Booking shifts – plan out school/personal commitments ahead of time. You don’t want to cancel them, and you don’t want to burn out quickly!
  • Working nights – wear ear plugs, use white noise (i.e. run a fan in your room), and simulate darkness (i.e. blackout blinds, face mask)
  • Review the “Shifting to Wellness in Healthcare” book, found below. (Make sure to check out pages 11-13 & 21!)
  • Taking care of yourself - drink lots of fluids, maintain a nutritious diet, and bring lots of healthy snacks to work
  • Plan out your schedule to include some “me” time to replenish your energy
  • Know your resources for support: family, friends, other ESNs and EFAP
  • Maintain a healthy lifestyle with good food and regular exercise
  • Ask trusted friends & family for feedback about your mood
  • Connect with other ESNs to talk about experiences
  • Reflect on your experiences & interactions with patients, families & the interdisciplinary team that you “belong” to (For example, start a journal to write down thoughts and ideas, use your CCA tool to reflect on your practice, or simply take a moment to mentally review your day.)
  • Know the stages of transition are normal (honeymoon, shock, recovery, resolution)
  • Talk to your unit educator about patient population, common themes & policies used to identify knowledge gaps
  • Talk to your previous clinical instructors for feedback on areas to improve your practice
  • Talk to other new grads about what helped them when they first started
  • Reflect on the indicators in the attached CCA tool to see how you are meeting each standard; areas may be identified to write a learning goal
  • Make sure to use the SMART (Specific, Measurable, Achievable, Realistic, and Timely) principles when developing your learning goals

Shifting to Wellness

Lots of people struggle with shift work. If we choose not to adjust our lives to the realities of shift work, we can experience excessive fatigue, increased stress, and be prone to accidents. The below handbook was created with the shift worker in mind, and contains strategies on how to best prepare for working shiftwork.

Shifting to Wellness in Healthcare

CCA Tool

Identifying learning needs, learning goals, and formulating strategies to help fill these gaps is a key part in creating habits which will lead to lifelong learning, improvement, and expertise. To help optimize your learning and foster your growth in deliberate practice, you will complete the Continuous Competency Assessment (CCA) tool after you finish your Unit Orientation. Note that the tools are based on your chosen profession’s Standards of Practice.


Steps to completing the CCA tool: 

  1. Download the appropriate CCA tool
  2. Complete after 8-12 shifts post-orientation
  3. Please keep in mind that this is a tool to help guide your learning, not a formal evaluation of your performance. Be honest with yourself
  4. E-mail to your Regional Clinical Educator (RCE) when complete

Please keep in mind that this is a tool to help guide your learning, not a formal evaluation of your performance. Be honest with yourself, and accept that nursing practice is a journey which you’ve just started to embark on!

ESN CCA Tool
ESPN CCA Tool

Professional Image & Social Media

As you probably already know, there are lots of policies to help guide your nursing practice. But did you know that there are also professional policies & guidelines in the workplace? Two particular policies that you should be aware of include the Professional Image Guideline, and the Social Media & Online Communication Policy. Be sure to review them when you’re on site. Here are some of the key points:

  • These views are my own and not those of VCH. “When publicly identifying as an employee of VCH, Staff must make it clear that their contribution to any Social Media or Online Site is as a private individual and not as a representative of VCH. In this case, Staff must include a disclaimer in their “About Me” section or somewhere on their profile, such as: The views and opinions expressed here are my own and do not necessarily represent those of my employer.”
  • Social media isn’t the place for medical care. “Staff must not use Social Media or Online Sites to provide medical advice online.”
  • Don’t post about patients or coworkers. “Staff must not refer to patients, clients, residents, students or volunteers in a disparaging manner online, even if the individual is not identified.”
  • Personal relationships with clients are off-limits. “Staff must not engage in any sort of personal relationship with patients, clients or residents online. This includes initiating or accepting friend requests on various Social Media channels.”
  • Look professional. “...wear work clothing and maintain grooming that reflect[s] a professional appearance, maintain safe standards of care, and [be] suitable for the work they perform”.
  • Clinical uniforms required. Wear “...clinical uniforms in clinical areas.”
  • Display Photo ID. “All staff must wear their photo identification cards when working.”
  • Display name tag. “Staff who work with patients, residents, clients, family members and visitors are to wear a name badge at upper chest level identifying their first name and designation.”
  • Be well-groomed. “Hair is to be clean, neatly groomed and off the face. When giving direct care, hair longer than shoulder length should be tied back. Moustaches or beards should be neatly groomed.”
  • Use unidentified or VCH scrubs. Please do NOT wear your school associated uniform to work

Please note that you will be provided a name tag with your designation of “Employed Student Nurse”. Your employee Photo ID will arrive in the mail. You shouldn't use your regular school ID.

CCRS

Although you already have a school-related CCRS account, now that you’re a VCH employee you’re required to create a VCH, employee-related CCRS account. These instructions were provided in the e-mail you received along with your Regional Orientation information.
The below CCRS courses may be of use to you for your own professional development.

CCRS Useful Courses

Reflection Question

Open up your pdf copy of the “ESN Reflections” file. Take some time to answer Question 10:

10. Thinking back to the quote: “The first three months of employment following graduation is the most stressful time in a nurse’s career” (Jewell, 2013), how might you use your ESN experience to help mitigate the stressors related to this?