I just started about a month ago on day shift on a consistently busy med/surg floor. I am so overwhelmed that I can't hardly breathe! They messed up my orientation a bit b/c I was scheduled for a different med/surg floor and then decided before orientation started that I'd rather be on the floor I'm currently on. So I was on the other floor for 2 weeks with one preceptor, then they switched me up and put me on my current floor for the next 2 weeks with a different preceptor. I think that might've jumbled me up a bit. But this was supposed to be my last week of orientation and I asked to have it extended one week because I'm having so much trouble with everything.
First off, I usually have like 2-3 patients out of 7 going down for procedures/tests first thing in the morning. So just when I'm getting out of report the transporters are there to take them when I haven't even gotten to LOOK at them nevermind give insulin if they are blood sugars, or call down to ask if they can have their morning meds. Much less can I chart an assessment which I think is incredibly important to have done before a pt goes off the floor. That can come back on ME if something bad were to happen. So there's that.
I can't seem to find the time to get all meds passed within their time frame (for 0900 meds we have from 0830 til 0930 to get them passed otherwise it's considered a med error) for SEVEN people all receiving 0900 meds. Especially if I have elderly patients that either need them thru a tube, or crushed in applesauce. Most of the time if I have to go the applesauce route it takes forever to get them all down due to a lot of complaining of the taste and refusal to take them!
Charting is another biggie. How am I supposed to do meds/assessment charting on each patient in about 1-2 hours on 7 people!? It's just too much to get done. Not to mention I am always interrupted by a call of "so and so needs pain medication" or "so and so's family would like to speak with you now" or a call from a family or doctor.
GAH I'm just so frustrated. It'll only get better when I have to do major things such as giving blood/dressing changes (complicated ones...I usually only get simple ones thank goodness), blahblah you know the list...it goes on forever!
I can keep pretty organized on paper, but when it comes to actually doing it, I go crazy. I haven't really been taking my full lunch breaks because I can't get everything done before my shift is over.
So then my report ends up a little jumbled because my mind is in 5000 different directions! My current preceptor is fabulous and he really tries to help me. But I feel like an idiot when he's having to cover my med passes so they don't become med errors.