I have a feeling I'm being watched.
I'm a float who has been working on a severely understaffed unit so much that some of the nurses think it's my home unit. I think I am acceptable to that unit's manager, but now I'm wondering. The following things happened on various shifts in the past month.
"Your phone number is not on that patient's whiteboard." I'm usually very good about updating white boards on first assessments, but that day, my assessment with one patient required immediate interventions, and when I did assessments on other patients, I had to do them more quickly and get first round meds out, and the whiteboard wasn't a priority at that time so it slipped my mind.
"If the state sees these meds out, we'll get dinged." I had a student and clinical instructor working with me, and she handed me these properly-labeled meds to put back in the patient-specific bin right as I was doing an admission. I put them down, and it slipped my mind to put them back when I had a second.
"The patient in xxx is in pain." She just so happened to round on a patient after I had left to get the order for pain meds. (The residents forgot to put in an order for pain when the patient came in with it!!!!)
"The patient's family member has written down the information the docs wanted. Can you speak with her?" I knew what the information was, and I knew that it just needed to be put in the chart because, you know, I actually talk to my patients. I can pick it up from the station after I finished catching up on charting, otherwise, I'll be running waaaay behind.
"This call bell has been going off a lot for longer than three minutes each time." The first few times, I answered it, but I realized that the patient is messing with the TV and keeps hitting the call bell!!! I'm not the only one on the floor!
Snapshots vs. The Big Picture. I fear it's giving me a bad rep. When I get questioned face-to-face or called about it, I just say, "I'll take care of it/I'm taking care of it," and I do! I usually don't give a long-winded explanation because it sounds defensive.
There are more, but these are all I can remember. I have no idea if other nurses get the same interrogation about every aspect of our work because I don't pay much attention. It could well be that everyone gets it. I just don't know.
Any advice on how to address this before it blows up in my face?