Advice please! - page 2
by RNurse2 1,511 Views | 13 Comments
I have been working at my first job for four a little less than four months now. It's a busy med-surg floor. I had a pretty lengthy preceptorship compared to some I've seen here, but I don't think it was very good. I don't know... Read More
- 1May 3, '13 by NewbieNurse1As far as getting/giving report, it often takes way longer than it should (when you do a walking report) because of distractions and interruptions. I think it would be beneficial to tell the tech/CNA that you will not answer call lights etc while giving report, even though you are out on the floor. It is too important and info might be missed or left out. Make a sheet with reminders (last BMs, skin assessments, etc) or whatever is helpful for YOU! Other nurses might look at my sheets and think they are strange, but they work for me and help me stay on task. Don't be too hard on yourself, you are new and nursing is a very intense and demanding job. You will develop a routine and things will get easier!
- 0May 3, '13 by PA_RN87This could easily be me right now. I'm on a medical-oncology floor finishing my 5th week of orientation and I feel like I'm drowning. I have horrible anxiety and I feel incredibly pressured to be "wonder nurse" right away. My worst fear is that I'll be fired for not being "wonder nurse." I'm so stressed all the time, and it's taking a toll on my physical and mental health. Everyone keeps saying it will get better, but I feel like I'm being judged for making mistakes or running behind. I've been told that "nurses eat their young," and I'm finding that may be more true than not.
I tried a nurse's brain sheet for the first time the other day, and I really feel like it helped me to organize my day, thoughts and remind me to chart certain things. I'll be tweaking and altering it as I find out what works and doesn't work, but it seems to help me keep organized, and my day seemed to go a little more smoothly.
I wish you all the luck, because I truly understand how you're feeling. I was 2 steps from quitting the other day because I felt like I couldn't cut it. You aren't alone, and I'm glad I'm not the only one who feels this way and struggles with the same types of issues. If I wasn't so concerned about preparing for graduate school, I'd be perfectly happy to work in a physician's office, school, or other "less intense" environment, but I want this type of experience to move forward with.
I've literally been surviving by taking it one day at a time. I have an incredible support system at home, and I try to focus on the good days when they come. I spent all of today on the internet researching others' experiences, and we're not alone. I've attached the brain sheet I'm using (and tweaking).
- 0May 5, '13 by Tammy121I feel the same way!! 6th week on orientation on step down cardiac floor. I feel like an idiot when I give report. I try my best to keep organized with all that went on throughout the day for the main purpose of change of shift report. Change in meds, doc orders, etc. Because I have felt stupid about forgetting these things during report, it has made me develop a habit of writing them down on my "rounds report" (which is the sheet we get that summarizes what is going on with the patient... Not sure if every hospital uses them or calls it that).
Anyway, what I do to organize, which is working for me, I use the rounds report throughout the day and that is where I write all my information. I get to work 45 early, print out all rounds reports on my patients, highlight important info, then look up labs. If I have time, I look up radiology tests. I also find extremely useful doctors reports because that gives you a quick snapshot of the patient plus the patients history. On the front of my rounds report I have several boxes, one contains the labs, another box is for my assessment, another box is for vitals and another for blood sugars, and a box for "to do" throughout the day to keep on task. On the back of my rounds report, I write shift report on the top, on the left i write shift reports assessment, on the right is a box for "open" procedures, on the bottom is for doctors orders and med changes. So I have everything I need for that one patient all on this rounds report that I carry around all day and update throughout the day. It's working for me and took me 6 weeks to figure out! Ugh. It still needs perfecting but I feel really good about it. It keeps me organized.
I love reading these posts because I feel so inadequate everyday at work, I beat myself up for making stupid mistakes. Like I don't know what it is but I can't keep all these details in my head like my preceptor does. I am improving though. Just taking one day at a time.