I'm fairly new to ICU, less than a year. It seems like everyday my mornings go fairly well, but sometime around 3-4pm it all goes to hell and a hand basket and by the end of the shift I am behind and having to leave a few small things behind for the on coming nurse. I HATE leaving stuff behind. I know it's 24 hour nursing care and I wouldn't have a problem doing it occasionally, but it seems like it's everyday. I feel so disorganized and flustered. Some people seem like they just breeze through the day, have everything done, everything charted and they are right out the door. I have tried my hardest, but I can't seem to find what is putting me behind everyday in the late afternoon. Around 2pm we usually have meds due, then 4,5, and 6 meds plus accuchecks. I try to bundle the meds and do all my 16:00 charting as I'm doing those together and then bundle my accuchecks, emptying foleys, taking out the linens and the trash together but somehow I get behind. I seem to be leaving everyday around 8-8:30 because I have to stay late to finish totally my I&O's and finish my 16:00 charting.
Does anyone have anything that helps them keep organized or any idea how I can improve on this? I'm starting to wonder if ICU just isn't a good fit for me.