Quote from ashrnbsn12
I'm working in CVICU and just graduated last May. I feel like a crappy nurse because there is still so much I don't know. I leave work after a shift and the next morning when I show up for my shift the next day, my preceptor/ night shift nurse ambush me with things I did wrong or issues that they noticed (i.e. forgetting to hook a heparin line, mix my antibiotic, chest tube was off of suction, a med wasn't given etc.). I'm almost off my 12 wk orientation and I still feel like I can't do anything right and don't know if I'm just being too hard on myself. Anyone else ever experience these issues when they were starting out? Words of wisdom?
All of these are serious matters. 3 med errors and a treatment error. You are right to be concerned. Hopefully, they did not result in problems for the patients.
That said- and you do already know it, right? - where is your preceptor? Isn't he or she supposed to be teaching you how to not make these errors? Does she bear some of the blame for letting this stuff happen by her preceptee?
By this time - at the end nearly of your orientation - you need to put a stop to all these errors. Now. You are NOT being too hard on yourself.
You simply need to figure out a way to remember everything. Lots of folks here use a "brain". You simply write down every single patient's name, all of their IV's (rates, location, type of fluid, piggybacks, etc.), all of their oral, topical, eye, orifice, aerosol, spray, etc. meds by name and time, write down everything about each patient, everything. Tests and treatments they're scheduled for, discharges to be done, and so on.
Follow your list, check each item off after you do it, do not allow yourself to be pulled into giving any bedside direct care that you don't have to do. Let the aides answer lights if at all possible. Once you are 100% on your RN duties, you will be able to help with other things. If anyone faults you, give in and do other than RN stuff if you think the person will crab about you not doing it even if you explain why you're not jumping at the bit to give baths and get people in and out of bed - unless these are absolutely expected of you.
Do your I&O's on time. Try to round with the doctors. You learn a lot and can ask questions that might help prevent calling the doctor later.
Get some extra sleep and take your vitamins and become a real whirlwind. You can do this. You are working in what I assume is your choice of jobs. So give it all you've got and come back and tell us you made it!!
BTW "ambush" - it might feel that way, but they do need to tell you when you do stuff wrong. I hope they don't try to make you feel stupid or tell you stuff you did wrong in a public way. They know you're new, they should be helping. Take their informing you of errors as teaching, which you do need. Thank them for caring enough to let you know. What does your boss have to say about these things?