I've got 3 more days with my preceptor, and I KNOW the things that I need work on...getting faster, getting better at IVs, finding the veins quicker, asking the right questions to zero in on the pt's issues, ordering all the right labs & xrays, etc. Those are just things I know already, but need to get better at. Then there are the med issues...trying to remember what the dilutions and time to infuse or push for the usual meds...most antibiotics you're safe if you use 100ml NS over 30 minutes, but then there's Vanc, and Levaquin...but those are the things that I KNOW that I don't know, so I'll keep looking them up each time until I know them by heart.
My concern is all those things that I dont' even know that I don't know, ya know?
Like last week several nurses were running around looking for filter tubing to hang some mannitol...well, I remember reading somewhere about mannitol used for ICP, but I don't remember that it needed a filter. So if it had been my pt, I wouldn't even have KNOWN that a filter was an issue. I would have looked it up, since I"d never given it, but I would have looked only under "rate of administration" and "dilution", I don't have time to read the entire section on every single drug that I look up.
So I just worry about all those other things that I don't even know that I don't know. You can't learn everything during orientation, and there's SO MANY things we didn't get the chance to do during orientation...
Getting nervous about being on my own...guess you can tell!