I too was oriented to charge days after my graduation, actually before I took my boards.
I have to say I too was nervous and didn't think I would do well, but when I got there
and met with my preceptor my training kicked in and I did very well.
As a charge nurse I'm assuming you will be handing out patient assignments, taking
orders, monitoring the sicker patients on your report list and charting. It sounds
overwhelming, and might be for the first day but you will quickly get the hang of it.
Just remember to communicate with your supervisor well, keep track of the 'sickies',
document thorough and make sure the staff you are in charge of are doing everything
that they're required to do.
Keep track of the call bells and make sure none have been ringing for longer than 3
minutes. Monitor the staffs break time and make sure they aren't going over.
Keep track of your I/O's, BM flow-sheets (anyone with 3 days no BM needs to start
with the bowel protocol if your facility has one). Make sure you remind your med nurse
if you are assigned one that she/he should be checking for meds that need to be ordered
from the pharmacy and have them notify you if any meds aren't there. When their med
passes are done for that shift, make sure there's no missed med notifications on their
computer, or if they use a paper MAR make sure each med has been signed off on the
whole book. Also look at the treatment record and make sure the same thing is done.
Make sure during mealtimes everyone that is needing to be fed is assigned an aide
or nurse to help feed them. Make sure all of the meal consumption is documented
accurately and report anyone that ate or drank less than 50% of their meal.
At the end of the shift, make sure all of the turn and position sheets are electronically
or physically initialed and that any resident on a turn and position schedule is on the
''side they're supposed to be on''. Make sure each client is comfortable, medicated for
pain (if applicable) and has their call-bell and fresh water within reach. Make sure all
tube feedings are running per order or not running per order, and also make sure that
all foley catheter bags have been emptied and the output recorded.
Finally, check over your 24 hour report sheet or similar flowsheet to make sure all
issues are relayed to the appropriate supervisory staff and make sure your report
sheet is accurate, then give your report to the oncoming charge nurse.
Your day is done!
Trust me, you'll do fine.