Do you use a cheat sheet?
Write down every major task on each patient for the day, add as orders come in. Check often for orders.
I use a "Box Grid" type set-up with pts. last room number only [139-B would be "9"] (incase I loose it, it's loaded with pt. info)
I time it vertical down the side in 15 min increments. Room numbers horizontal across top.
I list Medications, Allergies, Lab to check on/check in, Procedures, Tasks (dsg. changes, turns and repositions, ROMs), Consults, Pt's Doctor, VS/Pain Assessments, Basic Assessment, C/Os, Diet Type vs. NPO, %eaten from meals, Activity level, and I/Os. Cross things off as you do it, Draw one line through your VS when you chart them, so they are still legible.
It also helps when a physician asks, "How is Mrs. XXXXXXX today?" or your shift end report. Have some blanks for new admits, and cross off discharges when of floor.
If your depending on memorization, you are setting yourself up for failure, Most mistakes I see new nurses make is organizational related, or wouldn't have been missed. Omission errors are the highest I see, or something is "missed."
I have a time check-off every hour for new orders check, once its off my list, it's off my mind.
The sheet is invaluable when I start charting!!! I cover my bases well with it! Mistakes will happen, but the more prepared you are, the less they will come.
If you get this "art" mastered, you will be amazed how much time it can save you! You cannot remember everything!!!!
If I sound to harsh, it's because I want you to succeed, and have a long happy and fulfilling career! I want your patient's to be safe (and I know you do too), we have all made mistakes-but we HAVE TO learn from them!!
NO NO NO, LTC is not the answer!! More patients, more medicines, and more treatments=more potential mistakes.
The easiest person to change is ourselves. I just want the best for you. And, Remember our problems can outrun us!! You can never outrun them, they will follow you until you face and defeat them.
Great Luck in Your Career, Sorry this Happened to You!!!!