Yesterday was a rough day for me...I'm a new nurse and have only been on my own for a few weeks. Yesterday was the first day I had 5 patients. I felt like I couldn't balance everything. It was going alright until I got the last patient, and then I felt even more overwhelmed for the rest of the day. The patient originally came in with a low bp, and when I received the patient, the bp was normal. When the CNA checked vs in the afternoon around 4:15, the bp was elevated around 179/75. When I saw the vs in the computer I asked the CNA if we could recheck it in a little while. I rechecked it myself and it was still high. I noticed that one of the PA's was on the floor, and told her about the pt's bp. She wanted one of the patient's PO bp meds given early since it wasn't scheduled until nighttime and had originally been held with the low bp. I gave it around 6:25. I called the doctor before I left to see if they wanted anything else done, and they said to give one of the other po bp meds early. I passed this on to night shift, and I stayed late to finish charting. I asked the night nurse how the pt was doing and he said the pt's bp was up to 215/100 at around 9:15, but that he was not worried and would take care of it, but I was still worried and scared that the patient could have a stroke or something. Did I act fast enough? Was I wrong to wait and recheck the blood pressure?
The doctor also told me that he wanted an MRI of the patient's brain. I know that he wrote other orders for the patient, but I am not sure if he wrote this in the chart. I wrote it down on my sheet and I think I forgot to write it in the chart. I passed on to night shift that he wanted an MRI of the brain done but now I don't think I ever wrote it or if night shift would remember to check. I don't know what to do and I feel like the worst nurse ever. I feel like I forgot to pass on so many things to the night nurses even if they will see them in the chart, and I couldn't finish everything. I really don't want to give up but I feel like the patients aren't getting good care because of me...I had a tough assignment the previous day and the charge nurses said I was doing well and the director said she had heard that I was doing well but I still can't believe that...and after yesterday and me feeling like I missed everything I feel worse. Did I mess up horribly? I feel like a terrible nurse and person. Please help
. Thank you.