I recently graduated from nursing school in January with a BSN. Got my RN and am now working FT (day shift) on a sub acute floor within a nursing home.
I like my job and feel so lucky to actually HAVE A JOB in this economy. I love my patients, and it is so nice to get to know their personalities, quirks, habits, etc. However, everyday I end up getting stressed out because I cannot see how I can possibly get everything done by the end of the day shift. Like most places, overtime is frowned upon. In fact they recently implemented a new policy where you have to get someone to sign off on the fact that you missed your punch and had to stay late. I think this is their way of making it very difficult for nurses to stay late. Trust me I don't want to stay late, the OT isn't worth it to me. I end up staying late because I cannot manage to write all my nursing notes by change of shift, so I usually end up giving report and then going to write my notes.
So, my question for all nurses is how do you possibly manage 20+ patients who are on a lot of meds, have a lot of wound care treatments, treatment documenting and nursing notes. There is hardly ever a day where I can do my med pass without getting roped into toileting, listening to patient complaints, answering phone calls, talking to families, etc. It doesnt halp that we only have 3 aides for 35 + patients. Additionally we are expected to take vitals on nearly every patient, regardless of whether they are on meds with parameters. I sometimes have to float to the other straight nursing home floor, and it seems to be much easier there. Not as many treatments, notes etc. I feel like management holds our floor to the same standards as the nursing home floors but yet we have so much more work it seems. On the days I have off I am sure the per diem nurses get out on time, but then when I go around to do my treatments, the same tape with my initals from the previous day is still on the pts even though these dressings have to be done every day, and they don't do nursing notes even though we have to. So, what is the secrect/trick? Should I start to sign off on treatments even though they really weren't done? Should I just stop doing nursing notes? I know that's not the right thing to do but I have been told that in order to survive in LTC, you have to learn how to cut corners. Any suggestions or tips for a stressed out, exhausted, new grad? I would like to find some balance so that I can get out on time, keep my job and not be dead to the world every night at 9:30...