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Providence Careers Blog
Caregiver Stories

From new grad to cardiac nurse: one Kadlec RN Resident’s first months on the floor

December 5, 2025

Starting your nursing career is an exciting time, but it can feel overwhelming as you move from school learning to caring for patients each day. RN Residencies are important for bridging that gap.  

Jack began his journey as an RN Resident at Kadlec, part of the Providence family of organizations, and experienced that transition first-hand on the cardiac acute floor. Jack shared how his first months as a resident built his confidence as a nurse and gave him a strong foundation for a long and rewarding career.  

A structured start: orientation, preceptors and didactics 

Moving from the classroom to a fast-paced unit requires a lot of support. Jack, who went to Boise State University for his nursing degree, says that’s exactly what he experienced from day one at Kadlec Medical Center in Richland, Washington. He was paired with several preceptors—experienced nurses who guided him step by step. Having multiple mentors gave him access to a range of nursing styles and wisdom, helping him develop his own preferences on everything from patient communication to decision-making. 

After only a few months into his residency, Jack said he already felt comfortable asking for help from caregivers at any level. “I could go to anyone, from my manager to my educator, with any questions,” he says. “There’s never any judgment, just support.” This kind of open-door and open-heart assistance means RN Residents can learn and contribute confidently from their very first weeks. 

Jack says the first two months meant working day shifts alongside preceptors, getting to know the rhythms and the real teamwork involved in cardiac acute care. After building his foundation, he transitioned to night shifts for a period, which was an important opportunity to experience around-the-clock patient care and to adapt to the needs of both patients and team members on different schedules. 

The RN Resident learning journey goes beyond shifts on the floor. New nurses also participate in a robust didactic program with simulation labs, virtual classes and regular cohort sessions with fellow residents across the system. Whether it’s learning about cardiac meds, mastering neuro concepts or reviewing diabetes management, the curriculum is designed to build residents’ clinical confidence no matter what specialty they choose.  

Trust, teamwork and being heard 

Walking into a large medical center for the first time, Jack, like many new grads, felt a mix of nervousness and awe at the size, pace and professionalism. But those feelings quickly faded as he experienced the genuine teamwork and respect that define Kadlec. 

He saw firsthand that nurses’ voices matter and that physicians rely on the insights, observations and concerns of RN Residents just as much as their seasoned colleagues. Feeling seen and respected allowed him to find his voice faster. 

Jack says, “The doctors really believe in you, and they push to make sure that you know, ‘Hey, we trust what you say. If you come to us, we listen to you. We want you to communicate as best you can to help us do our jobs effectively.’ I had other experiences where the doctors want to be separate, so it’s been wonderful just having that respect from other care team members.” 

Building confidence: knowing your limits and asking for help 

Many new nurses worry they’ll be expected to know more than they do when they start out. Jack shares, “You won’t come out of nursing school knowing everything, and that’s okay.” He emphasizes that what matters most is your willingness to acknowledge your limits, ask questions and seek help when you need it.  

Jack says with a laugh, “I ask them all stupid questions with no filter, and they bear with me and help to get me up to speed on what I need to know, where I fit in, and how I can help the team.” He adds, “Knowing when to reach out and ask for help isn’t a weakness, it’s a strength. It’s what keeps our patients safe and helps us grow.”  

Making time for self-care 

Residency can be challenging, but Jack finds ways to recharge. He jokes that the main thing he does off the clock is sleep, but he centers himself in other ways including piano, rock climbing and running. “I try to take advantage of the beautiful scenery that we have out here,” he says. 

Jack tries to stay mindful throughout his day, often taking a moment before leaving his car in the morning before work to think about his plans, what he needs to focus on and what he’s looking forward to.  

What we’re looking forward to is cheering Jack on as he continues to grow as a cardiac nurse. 

Your journey begins with us 

If you’re interested in an RN Residency that gives you the tools, encouragement and hands-on experience to go from school to the floor with confidence, learn more about our program today. And don’t forget to sign up for our Talent Network or update your profile so recruiters can reach you with the right opportunities. 

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