Hi fellow nurses:
I'm writing today just off of the worst shift I've had in quite a while.
The patient load was fine, I had seven lovely patients, but somehow I just messed everything up between 5a and 7a. I ended up staying 40-minutes late to undo some mistakes I made and I'm just really down on my skills.
Fairly new as an RN, I've been in the field for four-years (previously as an LPN and a CNA). I really pride myself on my meticulousness and patient education, but today I just seemed to get everything wrong, miss all the worst possible points.
To add to this, one of my favorite PCAs told me that, "Man, I like you, you're a great guy, but I would never want you to be my nurse if I came here." It really floored me when he said that. Everyone calls me the "spaz". I get my charting done, I connect with most of my patients well, but I can never seem to live down my craziness. I arrive 30-minutes early every day to check the orders, get things ready, and somehow -- like today especially -- I miss things.
I try my best to calm down and stay focused, maintain composure, be effective...but things just seem to fall through the crack. I keep telling myself I've only been on the floor for 6-months...but, I don't know.
Thanks so much for letting me share, I could use some good suggestions. If it helps, I'm really this way in everything I do, I've been thinking of seeing someone for ADD, OCD, and such...but I'm really opposed to Meds.
Any suggestions are greatly appreciated -- thanks for the help!
A few questions for you:
1. How much caffeine do you consume prior to your shift?
2. What are your eating patterns like? Do you eat healthy foods? How often? Do you eat breakfast?
3. What do you use for a "stress outlet"? Do you exercise, run, bike?
4. What's your homelife like? Do you feel happy/fulfilled at home? Do you have many distractions or other duties that you tend to after your shift?
The reason I ask these questions is that you seem like a bright guy. There are MANY reasons that we lose focus.
Too much caffeine can have a negative impact, making you scattered instead of focused.
Eating junk...you know it's terrible for your synapses!
Stress outlets (healthy ones) can help to center you and get rid of the static in your mind.
Regarding homelife, I will share this story with you:
I didn't realize it at the time, but when I was "missing" things at work a few years ago, I couldn't for the LIFE of me understand what was going on with me. I pride myself on attention to detail, meticulous planning, and timely follow up. But like you, I was aghast when I found that I dropped the ball a couple of times. I thought I was going nuts.
I talked through my concerns with my BFF, who is a social worker. I spent a long time talking to her. I vented, I questioned my skills, berated myself over and over. I hung my head, exhausted from my self-flogging. Patiently, my friend listened.
Just when I was at the point of tears, she leaned forward, took my hand in hers, smiled softly and shook her head. Then she said, "You don't even realize that this is the week of your Mom's death anniversary, do you?"
Nope. Sure didn't. I had subconsciously blocked it out. The result of that was obvious in my scattered thought patterns. I hadn't slept well, hadn't been eating much of anything, and was overly anxious about everything.
Funny how our feelings don't send memos to our brains, eh?
The point I am trying to make (and I can almost hear my Mom's voice saying, 'Land your plane already!) is that you need to take a look at the peripheral things in your life that might be affecting you negatively.
Last edit by canesdukegirl on Mar 17, '13
Mar 18, '13
by kChoRN, MSN, NP
Quote from kChoRN
. This is my personal brain sheet. Instead of writing by hand, I type much faster and save it for next day as well. Assessment on left, orders, plan, results, on right. Labs in the resident format. Meds are printed out pt by pt by screen capturing the mak and printing. I'm highly organized...things just still fall through. Suggestions to improve the sheet?? I just came up with it when I saw one of the MDs do something similiar.
moderator note: removed dropbox link
Last edit by Esme12 on Mar 18, '13