Brief about me:
New lpn grad in Dec. 2012, Licensed in Jan. 2013, first hospice agency job lasted for 3 weeks. 2nd job is at rehab center.
I had 2 weeks of orientation. Yesterday was my first day on the floor by myself doing 3-11 shift, which known to have the most admissions. (I oriented doing admissions for 2 days. And it took me the whole 8 hours to do 1 admission. It was very stressful, I was hoping to change shift or change floor because they also have a LTC floor with slower pace. ) luckily I didn't have any admissions the last 2 days. However it was my first time going thru the whole cart with 18 patients. One thing that stresses me out the most is the nurse aids. They don't seem to respect me I guess bc I'm new and nice. Anyone have tips or advice how to be stronger when dealing with them? I guess I am new that's why I don't have much confidence. Another thing is calling MD's, im afraid i say things wrong or doesnt makes any sense or even pronouce meds wrong. we had to look at labs and call md for abnormal values and know what meds they are on. So much i dont even know! i forgot what are the labs are for!
But day one I didn't get out until 1AM. I live about 30 min away too so i was kinda worried. I did not take any breaks, havnt have dinner ever since I started this shift. Maybe it's a good thing for my upcoming wedding.
but yeah I was really thinking about changing major!
Day 2 i got a little bit organized, learned a bit from day one and tried to do the bs check first. My pts were so happy and excited that I'm the nurse for day. That made my day, proved me that I need to be there to be a good nurse for them. There were no labs nor admission for me today, so just med passing.
Day 3- off day. "I want to be at work" feeling.
How to be organized? What should I do first or last? How to be confident? How to talk? What to review or study? What do I need to know? How to be faster? Thank youu!
Mar 22, '13
You bring back memories! It comes with time. There were some days in the first two weeks on my own where I was crying in the med room and conteplating quitting. It was very overwhelming. 1am isnt that bad, my first 3-11 shift on the rehab floor I was there until 2am.
Organization: You have to find your own rythm on this one. Some nurses call them shortcuts, but really you need to find what works for you and what doesnt. For instance, I find that I save time if I do blood sugar checks during med pass rather than before or after.
Confidence: Also comes with time. I was terrified of calling the doctor when I first started. I still dont like calling the doctor because I work nights and I have to wake them up, but the confidence is there. I lacked confidence in so many places, as an authority figure to the CNA's, in my assesments, in my pronounciation skills. I still pronounce meds wrong sometimes but I just laugh about it. My co workers either think Im stupid or hilarious because I pronounce ALOT of things wrong. If its something that really bothers you then just look up the medication or disease before you call the doctor so you know how to pronounce it. I just dont care all that much
Review: I dont know that anything specific is going to help you. You should review your labs, know what they are for and what an odd result means. For instance, if the patient has a BUN of 42, but Cr and GFR are normal you know the patient is dehydrated. You should also know your diuretics because that is the main med that goes with an CMP (besides any potassium supplements). The rest will come with time. This job has taught me more than school ever did. I work as an LPN but have my RN Degree so that should tell you something.
Faster comes with organization.
Dont be to hard on yourself, give some time to adjust and you will be fine. Best of luck.
Last edit by tellis6645 on Mar 22, '13
: Reason: addition