Hi everyone. I am the 3-11 charge of a subacute unit in a long term care facility. I am under so much stress and am unsure of what to do next. Here is my story: On Saturday I came in to work and I did not even get my jacket off when I was literally <shoved> into a conference room where someone from DOH was investigating a hotline call.
So of course I am nervous and stressed, but I get through it. I then had to pass meds because of call ins. Well I get home and out of no where my phone rings at 0120. A pt was stating I didn't give her her meds. AND THEY CALLED ME?!? One was a narc and signed out in book, others were signed off in med book. Either way, very bad sleeping night. I came in the next day 3 hrs late d/t massive h/a (had to take imitrex injection). But I made it through. Well then I come in on Monday. Complete chaos. There are 40 pts on the floor and the MD/NP had seen 26! All had orders or dictated reports. Plus I was getting a new admit. Plus I was then called into Admin's office and had to talk to DOH by phone. I then head back to the unit and discover that one of my pts needs a blood transfusion and another needs a PICC placement. My unit clerk starts scheduling all of those while I go to work on everything else.
Long and short, unit clerk made appts, I assumed she had done her job and set up peripheral stuff (early trays, putting on calendar, etc) and she had told me it was all taken care of.
Next AM I get a call asking me what time appts were. I had NO idea. Apparently clerk had not written them. Apparently this snowballed into some big issue. Though they cancelled PICC anyway and other pt did have transfusion. So Then I go to work last night and my NM is there. Said "I want to talk to you. I don't have time today, we'll do it tomorrow." I just know I am going to get chewed out! Please help keep me calm, because I am almost ready to