GrnTea, I didn't look at it as eating your young. Matter of fact, I really hate that saying. Making it off orientation is an initiation of sorts, time to show them what you're made of, if the 8-12 weeks they invested in you has paid off..I get that. My patient load was bad, no way around it.
1. 1:1 sitter for behavior issues, if the aide needs to step out the room guess who has to step in?
2. patient with chest tube, PICC that is clogged, need to get an order for tPa so I can draw his labs
3. pre-op patient, gotta get her paperwork ready for 0630 procedure
4. admit a patient with nausea, vomiting, "no Tyl#3 with codeine won't work, I need MORPHINE!" Gotta push that q2, and Zofran
5. complete care in isolation, colostomy, foley, TPN, med every hour, gotta help aide with cares and reposition q2
6. my only "easy patient", but only spoke Spanish, so communication was limited
Time management was my biggest challenge, and yes I passed. But like I said in my initial post, I'm almost afraid what my next shift has in store for me.