OK usually daytime sleeping, thus far, has been no trouble for me. But today I woke up at 12 and haven't been able to sleep for the past over an hour, I have to go back tonight. I just keep thinking about all the things I may have done wrong or forgotten on my pts or not done as much as I could have or something- I keep trying to forget and relax but my mind keeps going back to things and I feel awful about them! I know I gave report to three very competent nurses today and my pts are going to get awesome care but I feel like I didn't leave them (nurses) in good situations, but I am not sure why.
One thing one of my pts was supposed to be NPO after midnight but forgot and drank up till 1 a.m. And he has an immunodeficiency but I couldn't tell the nurse his most current WBC count when it had been critically low at one point in his admission although not causing any problems at this time. Then another pt admitted last night has a wheezing protocol that has to be done t/o his admission and I didn't do any of it last night- he was febrile and having issues but still I could have done a LITTLE! And I guess I just feel somewhat incompetent in general... last night hanging TPN/Lipids on a pt, I almost gave them someone else's lipids solution but another RN caught it!! I also gave some IV meds late... what is your strategy when you have several IV meds for different pts due around the same time, and closely sequential in one pt? That always seems to get me behind. And my fellow RNs on the shift helped me out a lot, like with an early in shift admission my charge nurse did the history and room orientation, and helped me with the IV and VRP, and I feel like I didn't do anything much for other nurses in return. It is common for the charge RN to do history etc. on admissions that come at change-of-shift but still I should be able to do more of that myself. I don't want to drag others down with me!! OK I am done now... maybe just writing it out will get it off my mind and I will be able to sleep. Thanks for listening!!!
Oct 12, '05
Hi, I'm a new grad and I KNOW exactly what you're talking about...you feel (or at least I do!!!) with trying to stay on top of things. What I found what works for me for all my patients that have tons of meds (including IV meds) is that I make a time sheet (a "TO DO LIST) and write down all the meds and tests, etc. that are due and stick it to the front of each pt chart, that way it is right in front of me and I don't have to keep going through all the orders and it is easier to keep track. As far as the no sleeping part because you're thinking about things that you forgot, I think it is something that everyone goes through...I do that all the time and feel bad that I didnd't do more. Don't feel bad about the experienced RN's that are willing to help you, chances are they are the ones that still remember what was like to be a new grad! They are great resources...I've learned very quickly who to trust and who not to trust, and I appreciate the help I get from those that want to see me succeed....Good Luck and I wish all the best!!
Last edit by ERnewbie on Oct 12, '05