I am a new grad, 4th week on my orientation on a Step Down MICU. The ratio is 1:3 and currently I have had the 3 pts since 2 weeks ago. My preceptor has 1 pt and is still there to answer questions, etc.
12 hrs dont seem enough to get everything done. 3 pts might not seem a lot, but being a step down icu some of these pts are very complex. Another thing is we do a lot of transfers and admits t/o the shift.
We need to have the main charting [Assessment/POC] done by 9am, we start @ 6:30am. At 10, we need to chart on any new changes on our patients and do the same @ 2pm and 4pm. With all these charting and medications its hard to find the time to stay on top of things. Meds for the most part are 8am, 12pm, 2pm, 5pm, but some pts required constant prns, drips, etc.
Apart from the above calling the MD/DOs, answering questions for families, preparing pts for procedures etc its just very busy. I know time management should come with time and experience, but it just feels so overwhelming at times.
I would appreciate any advice, tips, words, anything you can to assist me and other new grads how to handle or better this issue.
Thanks in advance.