I have recently started working at an LTAC hospital and I am still considered a new grad because I have worked for just under a year. I love the hospital and in fact my preceptor is a great nurse who is very balanced about helping me out and letting me fly on my own. One thing that I am having a lot of difficultly with is working and organizing my time in isolation rooms.
I took three patients today, one was a vent who was being weaned on CPAP for the first time, and one on trach mist with frequent desats and a weaned patient with a healing trach wound, both taking some meds still through the G-tube. Each one was an isolation, two with AC/HS accuchecks with Levemir and sliding scale insulin and two on Q 6 hour vitals, which nurses are asked to do, not CNAs.
I find it very difficult to get my vitals, accuchecks, insulin and 730 meds(and everyone has them!) done before 8:00! My day is filled with daily wound changes and meds and my beeper going off every time someone has a decrease in HR or SaO2! How do I organize my time? We do not do charting by exception and everything must be checked or filled out and by 9:00 I can't remember who is who, and when I try to stop and gather my thoughts, alarms start going off and my pockets are buzzing and I feel like I just can't stop and think, I have to go react!
I know it will get better with time, but right now I feel so disorganized! Any helpful tips?