I'm a brand new RN (I've had my license for less than a month). I'm also a new grad and am in training in a peds unit. This is also the first job I've ever had. I have to give you a little info about the unit for you to understand the situation. It's a peds/mother/baby unit. Most of the nurses are mother/baby nurses and some of them float to peds, but only a few. There was only one ped pt for the day so my preceptor was the only peds nurse there. Then there was me, but I don't count myself as a peds nurse yet since I've only been working there for 3 weeks and I'm supposed to have 12 weeks of orientation before I can work on my own.
Ok so here is what happened. My preceptor went home sick and the charge couldn't find another peds nurse to replace her. It was a weekend so the manager wasn't there. The best they could do was an LVN who hadn't done peds for years, but was willing to do it. Our ped pt was on IV antibiotics and the LVN could not give them legally, or even cosign with me. So I gave the meds. I gave them correctly and charted correctly etc. But now that I think back I'm wondering if this was safe or legal since I'm supposed to be working under another RN. Also, the next day I worked with a different nurse and she said that all peds meds needed to be cosigned by another RN. My preceptor had never told me that. She would check meds with me the first time I gave them, but I don't think she ever cosigned the meds I gave. So even though no errors were made I'm wondering if I shouldn't have been giving meds at all when I worked with the LVN, or if I should've checked them with one of the mother/baby RNs even though I wasn't really working with them. No one told me that I had to be cosigned or that I shouldn't be giving meds. I'm just really confused. I hope that my manager or preceptor will give me some kind of feedback about what happened over the weekend and if I did something wrong.
I came home after the first day feeling really good about myself and how independant I had been, but after the second day I felt like a complete failure and now I'm dreading going back to work tomorrow.