I survived, somehow. I had 5 patients (D/c'd one but picked up another right after). For a while I thought I was doing really well...2000 & 2100 meds were all passed on time, patients were settled in, I had three of five chart checks done and was sitting down to grab the last two so no unexpected orders would hit me later on the shift. Then all hell broke loose.
Ivacs constantly beeping. Pt's constantly on call bells, never happy. One kept complaining of pain but wouldn't take pain medication or even let me reposition her in bed! New orders upon new orders for the new admit; lots of timed labs based on med admins. No secretary for the shift to help with that. Antibiotic administration hell...I think I hanged 10 antibiotics this shift, but at least they were on time. In the hussle I didn't notice the new admit needed cardi monitoring until the end of shift...but I did get it on her and up on the screen before I left.
I think what bothers me the most is a catherter I had to insert. The insertion went great. Pt was draining clear, yellow urine when I left the room. An hour later it's blood tinged. The patient was confused, so I don't know if she was tugging at it? But now that I'm home I'm sitting here knit-picking on how I put the catheter in wondering if maybe I caused the bleeding somehow when I know it's not likely...but I just feel awful that it happened and on my first night of all shifts. I was so worried about it during the shift I asked my charge nurse to look at...she reassured me it was probably nothing...that people sometimes bleed with an insertion and she very may well be messing with it to keep draining blood tinged urine. I felt so stupid after I made her come all the way in there just to tell me not to worry...
Sitting here running the shift through my mind I keep stalking the clock. I keep waiting for a phone call from my manager to lecture me about a mistake I made without even knowing or about how slow my charting was for the shift.
Sorry for the long post. Just needed to vent!!
Any tips to keep this hurricane from happening again...I thought I went in fairly organized, apparently not!!