I am so grateful to hear your words... I am a new nurse of about 2 months. And here is half of my day:
6:30 Get to work early to print my patient med list. Look at new orders. Highlight my morning meds.
7:30 Start assessments. Get stuck talking to patients. Try to extricate myself because I know I have 5 patients with about 15 different meds each and some have to be crushed and hand fed with applesauce. Check FSBS if I need to for diabetic patients to see what insulin is required before breakfast since they were not checked prior to the shift although they were due at 6:00 before my shift. Chart. Anxiety begins.
8:30 Begin giving meds. Not all the meds I need are in the one Pyxis, so I go to the other Pyxis. Pharmacy has not yet sent up an antibiotic I need to hang by 8:30 because Patient #1 is having surgery. Fuss with the plum pump. Patient #2 in another room calls for pain medicine and Patient #3 calls because the pump is beeping. Patient#1 I am giving meds to has to go to the bathroom RIGHT NOW. Help patient to bathroom because the techs are already run to death. Giving one patient meds=30 minutes.
9:30 Still giving meds. Have accomplished three patients and have given pain medicine and am starting to collect my cup of another 20 medicines. Pharmacy sends up antibiotic for Patient #1. Go hang antibiotic. Two charts are flagged with new orders. Check those. Patient #2 now needs a potassium piggyback and a urine culture NOW. Go to Patient #2's room. Patient #2 does not have to urinate, and pharmacy is sending up the potassium piggyback. Put this in my mind to remember. Tell Patient #2 to call when he has to pee. Patient #5 is going home and needs her meds immediately, so I go through the process of the Pyxis, the other Pyxis, and patient specific medications. Crush medications and feed patient meds with applesauce. Get family to sign discharge papers and DC catheter and IV. Ambulance is called for transport and nursing home is called to accept patient. Patient's daughter needs help dressing her mother, so I help. During all this I get called about Patient #2 who needs to pee now.
10:00 Go get pee. Send to the lab. Patient #2 asks when Dr. Somebody will be in. I do not know, and the patient says, "Well, doesn't anyone around here know anything?" I go check for the patient's KCl, find it, and hang it.
10:30 Still giving meds. Patient #5 has been discharged. Busy with Patient #4's meds. Collect all 10 of them. Go to Patient #4's room. Family is livid that it took so long to get their mother's medications. There are five family members in the room to step around. Hang a new antibiotic, have to explain why. Have to explain why these pills look different from the pills the patient takes at home. I have to pee, but it will have to wait.
11:30 Finally done with 9 o'clock meds. Chart. Give meds that due. Patient #1 is mad because he is NPO. Patient #3's pump is beeping. #2 is complaining of pain again. #3 is quiet. Have a new order to catheterize #4. This is an endeavor and I am called many names. #4's amazingly large family aks how long I have been working here, and can they get a new and more experienced nurse. Take a 5 minute break to cry in the staff room, then cover up with concealer and retouch my mascara. My charge nurse talks to #4's family. #3 needs a FSBS and the techs are slammed, so I get the blood sugar, which is 260, and go to refrigerator to get Humalog insulin, which is not there. Panic panic panic. More time wasted. Call pharmacy. Wait. I still haven't had time to pee. I am getting hungry. That will have to wait.
12:30 A new patient is being admitted, and it is a direct admit. Plan to be in the room for at least 25 minutes doing the admission assessment and setting up equipment. Patient is COPD and SOB. Call respiratory. Meanwhile, #4's pump is beeping, #3 feels nauseous and needs some Zofran, and Dr. Somebody wants a report on #2's H&H. My charge nurse helps out, thank God.
1:30 Forgot to file papers and report a stat H&H on #2. Get chewed out. Take five minutes to pee and cry again. Cover it up. Grab a graham cracker to stabilize my own blood sugar levels, which are getting low.
Well, I'd tell you the rest, but this is a long story now
Hope someone can relate.