I am really starting to question whether I should be a nurse or not. Long story short got my license in 03 worked two years in med/surg had to move and stayed out of the field for a year working for my husband, returned for 2 years,resource, did a little of everything and as a homehealth director. Decided i am a med/surg nurse and I want to work a flex schedule, after being told by another employer
I was not working out, not enough experience with IVs basically.
So I am working with a crushed self esteem at the moment...Last night I am on my third full day of orientation on a med surg floor. I have three patients, one gets d/c'd within the first couple hours, the doctor doesn't write to DC just tells the pt he is dc'd. Needless to say the pt is antsy, wants to go, I have to wait for the order and then put it into the database along with his dozen meds and all that info, takes me about an hour in between things. I think he was okay, not perturbed when he left,then my next pt has to go to get a stress test...more and more unfamiliar paperwork, rushing his few meds and off he goes, during this time my charge, who should be orienting me to their process is bogged down due to understaffing, so if i have a question I am on my own and was.
Then the charge shows up and wants me to take an admission right before I am told my stress guy is going to another facility for a cath. No, I do not know their procedure here. The secretary does tell me to call report to the other facility and to fill out this and that. In the meantime, they have put my new pt in his bed and never notified me. So I am running like a crazy person without a clue and my new guy has a fever 104, I medicate immediately, stop what I'm doing, and do it. Tear off his blankets, his condition is known for these fever spikes.The supp. brings his temp down within 30 minutes, I check 101. barely over febrile 100.4. So okay good,back to my other responsibilities like verifying new orders, getting them started then at 6p the news comes, he is at 104.6 now. I again tell my charge and I also tell the supervisor. I give him a supp. thinking it has been 4 hrs, when the computer prompts "too early" I can not get out of the program (can not find a soul to help me). I go ahead and give it 15 minutes early and call the doctor at the advice of the supervisor as I am a little worried and in my own 12 hr work coma. Dr calls order after vitals are given of tacypneic, tachycardic, >103 T and temp spike and decrease. Nurse sup seems to think the info I gave is not enough?? He seemed disoriented ,yes, he had a high fever and I saw it dissipate when it came down. We put a fan on him and give him new med. His temp drops down a degree and he is more conversational, in better spirits, even his wife agrees, A&Ox3.My shift is over and I am waiting for report off so I go check his temp again it is still north of 103 after 30 minutes.
Bottom line, I feel like a failure, never had a guy go bad so fast and I am home today praying he is okay. Hopefully they sent him to the unit as night nurse asked why that was not done when I gave her report. Any hoo, I missed a med and didn't know until I was closing out, good times, good times, so I went back and gave it late...It is a routine med so I wasn't too sick about it.
So I am freaking out, about my lack of critical thinking, I should have called the Dr with the first spike but it was in my head that he (said dr) was just in the room with the family and warned them of this so I didn't get concerned and the temp responded so well to the suppository tylenol.
I don't know if I am meant to be a nurse....I have never not given
a med on time, let alone missed one. Oh, and my cath pt should have gotten a PNA shot prior to departure, didn't show up on my MAR and it does not alert on the computer, old system, pt unmedicated, another first!! Also, maybe I was too laid back about the temp the first time. What do you all think and have you had these days from hades. And should I go to my supervisor? Let her know about my errors in judgement or med giving....Or the fact that I am in orientation and do actually need someone to guide me somewhat.