I was googling about medpass and came across this thread. I am SO glad I am not the only one that feels this way about LTC! This is my very first nursing job after graduation. I am an LVN in an RN bridge program and I took this job to gain more experience. It took me 7 months to land this job. I am grateful to be working in this economy, but needless to say, I am completely traumatized right now!
I had 6 shifts of orientation which I really think was not enough. My first night I was stuck on NOC because they were short staffed and I was told that I was going to handle 59 patients (supposedly on the slow unit), but that another nurse would be floating between two units to help me. Well, just my luck, another nurse called in sick so that one floater nurse only helped me for 1 hour that night. I had 16 diabetics who all needed BS checks and insulin before breakfast, all medpasses before activities, and some that needed to be ready for dialysis appointments. Not to mention I also got stuck with doing med recycling and replacing 200 or so medications for all 3 shifts between 2 medcarts. Another nurse started the process, but I was pretty much responsible for 70% of it...and I had no clue what I was doing. Unfreakingbelievable.
I didn't leave until 10:00 am the next day. I was supposed to be off at 7:30am! I was in tears. My next (and most recent shift) I was on the floor by myself again, but on AM (day) shift. I started the day off with my cheat sheets, etc. but somehow didn't finish passing morning meds hours later, which made me late for noon meds. I didn't leave until 5pm, and I was supposed to be off at 3:30! Again, I was in tears. Both days I didn't eat lunch, didn't pee, didn't take a 5 minute break. I was literally standing for 8 hours straight until my charting had to be done after I punched out.
I am now scheduled to work the PM shift in 2 days and I am not sure if I even want to go back. I am thinking of ways to make my medpass go faster, but HOW? I don't want to give insulin too early in fear of someone going completely hypoglycemic on me...but if I don't start FSBG checks earlier my medpass will fall behind. I am so confused. Experienced nurses, any tips you can share to make med pass easier?
I was lucky enough to have another nurse help me with my labs during my AM shift, but I was reminded that next time I would have to do all the follow-ups on my own. I was grateful for the help, but how in the world can anyone fit all of this into 8 hours and go home at a decent time? Please help. Thank you.