I am two weeks out of orientation. I've felt pretty good being on my own(typical stress of a new grad) but I'm always so nervous during my shift. I work on a typical medical unit, and this past friday I'm afraid I may have made a med error, and didn't realize it until yesterday when I was trying rethink my day through. It was a very hectic day. One of my pt's was to have dobutamine stress echo. She was NPO for the procedure, she had several BP meds that morning, along with paxil. So, I held her 0800 meds, and she went on her way. In the mean time, I had a discharge and a new admission on the way,along with my other pt's, and I was so focused on getting all the admission assessment stuff done, and the discharge paperwork ready to go. I finished my up my shift feeling very uneasy...I'm always so paranoid that I will forget to chart something, or that I will just forget something major. Well yesterday as I was reliving my shift in my head, I realized that I forgot to give the pt who was NPO her 0800 meds when she got back.
I suddenly got this quesy feeling in my stomach and thought oh, no, I think I just made my first med error. Of course being a new grad, and already feeling not too confident I started to question whether or not I'm really cut out to do this. There is such an unbelievable amount of charting, along with a million other things to do, I'm wondering how others don't forget things. I mean honestly I'm wondering how I will remember everything all the time. Any suggestions, maybe I'm just not organized enough?? I keep the pt's report sheet with me that goes from shift to shift, along with my own sheet of meds, VS, assessment, I&O, diet, code and allergy info, etc.
I'm wondering also what others do to keep things straight on a really hectic day??? I love nursing, but feel so worried that next time I will forget something even bigger.....
This turned out to big a longer post then usual....guess I needed to vent more then I realized. Thanks for any suggestions/support!