Didnt you just create a thread about this same issue?
Seems like you work 3-11? If the vanc was to be hung, why didnt the two shifts before you do it? I dont understand that.
Anyway, so, okay, - you did call lab which was good. The supv wasnt aware of that so you likely didnt document your correspondence with lab... which was bad. (Lol. Document these things, op).
You didn't hang the vanc, though, because it was 'too late' -- what does that even mean, OP? (lol) What is 'too late' when the pt was supposed to recv ABT two days ago? What are you people waiting for - sepsis? (lol)
But, you think this is about the lab not sending timely faxes? And you're all offended that the supv called you "on your day off" about the giant boo-boo you made? "She yelled at me -- !"
Well, you know what, OP? Jesus would've had to 'take the wheel' from me, too. (lol) This is the second thread from and every correction is met with a rebuttal. "...but, they didnt -"
"...but, but, but --" Jesus...take the wheel! That's your pt. That is your pts life youre dealing with. This is serious business.
No one wants to see you fail, OP. But, no one wants our pts harmed, too. If you need help, if you have questions, just ask. Just...ask, honey. For one thing, Im sure you told nightshift about the vanc situation in report. So... unless theyre new too, I cant believe that nightshift wouldnt correct you on the spot. If they did, and I'm almost certain they did, you shouldve hung ABT before you left.
You shouldn't have quit. Youre just gonna run into the same issues at your new place. Waltzing around with gloves on, not assessing/documenting injury, leaving keys all over, wasting narcs on your own, etc.... That's you on the floor. You're told to not pass in the dining hall. You do it anyway. You hang ABT whenever you feel like it. God forbid that someone RIGHTFULLY and sternly correct you or youll swear up and down that youre being bullied.
"Aint nobody got time for alluh dat!" , OP.
You only had 20 pts. 1 ABT, Im assuming. Handful of accuchecks -- that's nothing. Seems like a decent place, to me, because that's a cake assignment. Youre so new, you dont even how good you have it! I work at a few facilities. You dont even want to know how many pts per nurse there are or how many accuchecks/crappy PEGs that are forever clogged/bolus/iso/IV pts exist in the bunch. You shouldnt have quit.
-- At your next job? Request more days of orientation and stay away from 3-11. It's the hardest shift in most places Ive worked, imo, because they do everything mornings does PLUS The admissions, the phone, the visitors, the sundowning, a heavy 5p med pass, and MINUS the support. It's too much for a new nurse. Most new nurses that Ive seen just dont last on that shift. They crash and burn. 7 t 3 or 11 t 7 is best. For you, Id recommend 11 t 7 while pulling am shifts throughout the week BECAUSE you wont learn everything you need to know on nightshift (or weekends) because you dont have to do whats commonly done on mornings. 7 t 3, allows for a more wellrounded skillset. In my opinion.
- Get in the habit of writing things down. I take report with a notepad. Everyone gives report differently. Even if I only recv info on 2 rooms, I write a list of room/bed numbers and I jot down things as they happen during your shift. Every prn given with times, every accucheck, every O2sat/temp/bp taken, etc....
- When you accept your pt assignment, you need to know: Your diabetics. Your bolus/pegs. Who is crushed/whole. Who is ABT. Who fell/had seizures. Your PRNs. Your hospice pts. Of course check folks with status changes first.
- I dont chart until the end.
- Youre new. Youre going to be slow. Its okay. Start earlier if you must.
- Always check your people at the start of the shift. It doesnt always occur to new nurses to do this. Im flexible but I do prefer bedside reporting.
- Make sure the carts ready for next shift. Even if youre running behind, you shld be ready to surrender keys at the appointed time. I finish my medpass, check narc count, clean/restock the cart...sit down and chart. If I'm behind and reliefs coming in 10-20 minutes, I stop and make sure that the count is good so that they can start their work.
You want to keep things timely. "I have to see the TAR/MAR to --" No, Im using it. Fill in holes when Im done or fill them in tomorrow. Get off the cart and get outta the way. (lol) The other shift has work to do. You work around them, not the other way around. Im projecting a bit, I'll admit. To be clear, Im not talking about being 5 minutes late. More like a whole hour. One of my workplaces, two nurses who repeat offenders. LPN and an RN. The LPN, I followed. Experienced but 3t11 shift is nasty at that place. I know how she works so Im never bothered. The RN was new to ltc/snf and couldn't be timely. It happens but the bad news was, she was nightshift and would hold up morning shift. Im talking a full hr before 7t3/7t11p could get the cart. Routinely. I had to work behind her on mornings on occasion. It was a mess.
-- If you work nights, get your urine specimen at the start of the shift with the aides. I have more luck then.
Good luck, OP.