I am a new grad RN in dialysis & absolutely drowning. Very bad preceptorship hasn't made it easier. My biggest problem is time management. How do I perform pre-TX assessment on 9 patients and put on 1-3 patients per shift? Also, take off those 1-3 patients and do post-assessments on those 9 patients, plus do the same pre-TX routine with the next shift coming in?
One clinic was a little easier, in that we could document a little later. But another clinic says you need to get all the documentation in right away.
I feel like it is impossible to do an accurate assessment on 9 patients within such a short time. Anything less feels irresponsible or unethical.
Advice from successful dialysis nurses would be greatly appreciated!