I am a old 'new grad' graduated last year May. Recently started on a stepdown med/resp floor. lots of unstable/critical patient. I get 3 weeks of orientation, and I am really struggling right now.
one big problem I having trouble is remembering reports and getting a big picture together after receiving reports.
I feel after received report, I should be able to retell the report to another nurse right after or give the CNA a brief report but I can't
often I feel I am barely having time to writing down report, and after report is done I still don't really know why the patient is here, what has happened, etc. All I can remember is the not-so-important things such as pt has a PIV at left hand, family was at bedside..uggh! but the big picture - why was the patient first admitted, why is pt still here? what are we treating? what's the plan of care? I can't remember them!!!! I am so frustrated with myself. And after getting report I actually feel MORE anxious & panic. I know I can read up H&P, but I really want to be able to just get a big grasp of patient during report, and use the H&P to fill in more detail information.. not the other way around. I know you can ask the nurse to repeat, but I feel I literally need them to regive the whole report.
The inability to put a big picture of my patient together stop me from prioritizing things I need to do for the rest of the day. I am really worried and wonder if I really gone through nursing school at all..
I tried to communicate this problem to preceptor a few time, but she doesn't seem to understand what I mean, I guess no one else had the problem before..
I was mostly an A student in nursing school, I have struggled with report before in school, but never this bad. I could at least give a little bit of the story after getting report. I wonder if it's because I just need to adjust to the clinical more? Even though I graduated last year, my last actual Adult med surg was 3.5 years ago.. Because I did my preceptorship in Pediatric and my last 1.5 year of school we were doing community health and Ped/OB, etc. many terms, dx, medication, treatment are all so new to me.
I feel so overwhelmed, and out of place. Any tips/advice?