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Overview Transitioning to professional practice is a critical phase for the novice Registered Nurse. Managing professional role requirements, organisational technologies and team dynamics while on shift can be challenging. This is often accompanied by changed personal circumstances, with graduates balancing shift work, working full time and socialisation with friends and family. The case study below highlights the professional and personal challenges you may face as a Graduate Registered Nurse. Critically analyse the following case study to answer the essay questions. Case Study Background Toby is a Graduate Registered Nurse (RN) who is 8 weeks into his first graduate rotation at the local metropolitan, tertiary hospital. He is currently working on an Medical Ward. For the first four weeks Toby worked alongside his nurse preceptor, predominately rostered on morning shifts. Toby has just completed his first five (5) night shifts yesterday morning and is back on an afternoon shift today (Saturday). Toby is still trying to manage his roster and other commitments like cycling with his friends and hiking. Today, Toby is feeling tired and frustrated because he slept through his alarm this morning and missed hiking activity to celebrate his best friend’s birthday. He is also disappointed that the he can’t join his cycling group in the evening. On Shift Toby has arrived 15 minutes prior to this shift starting. On arrival, he realises that he hasn’t worked with the Nurse-in-Charge before but there are other nurses on the shift that he has met. Toby feels a little nervous, but he knows two (2) of the patients he has been allocated from his recent night shifts and he is allocated a further two (2) patients who are to be discharged this afternoon. He has not arranged a discharge before so he prioritises these activities as he prepares his shift planner. A short time later the Nurse-in-Charge tells him that his patient allocations have changed due to skill mix. A different nurse will arrange one (1) patient discharge and Toby will be receiving a new patient from Emergency Department
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