I've been a nurse for about 6 years. I've always had issues with time management, but have made progress. I am always, always fighting the clock. I keep a 'brain', and I try to prioritize, but it is always a struggle. Since this is a struggle for me, I am always looking for ways to speed up. I must be careful sometimes, in how fast I do tasks, because I will make a mistake, like charting on the wrong patient, or reviewing labs or orders because sometimes I will misread (possibly a learning disability?). I am very careful with meds and my record shows.
Now I always read that the key to time management is prioritizing. However, this is what I am finding:
1) Pts who ask me "What are you doing?" when I check pedal pulses. ("No one has ever done that to me!") but they are charted-also amputees with pedal pulses charted.
2)Pts with home meds that have not been given in DAYS!
3) Full assessments charted on Psych patients, but I'm the only nurse who has a stethoscope (I float sometimes)
4) Meds charted that haven't been given.
5) Clear lung sounds charted on pts whose lungs are ANYTHING but clear.
6) Pts charted as 'non verbal' or 'comatose' who, though slow or quiet, can verbalize, and make their needs known.
I must begin to clock out ON TIME, EVERY SHIFT.
So what gets left out of my shift in order to finish on time? Do I sacrifice accuracy for speed? What am I missing? I worked hard to get where I am and I need this job, but this dilemma makes me want to leave nursing as it causes me a great deal of anxiety. Thank you for any help and opinion. Does anyone else find this? Am I too thorough??