So, I'm a casual LPN in ltc, which means I shedule myself to work when I want and hope there are openings. Yesterday (pm's) was my first day on the floor alone. I'm also in my last clinical semester at school for adn. I've oriented a total of 6 times in the facility and I'm brand new to the lpn world. Anyhoo, the last time I was there was about 3weeks ago. Then clinicals started and I needed to know my school schedule so I was unable to commit to work. I get to work and find out that I'm on a wing I've never stepped foot on and have 28 residents. The most I've had are about 22. I also have 7 blood sugars/insulins to give before supper.
I'm trying to be positive so I start out trying to remember what to do first. Treatment book, get report, get my cart ready, etc. Before I know it, residents are eating and I have yet to do 3 bs checks and insulin! I haven't finished my 1600 med pass that I started at 1500 amd it's now 1715! I take a deep breath, curse out management for putting me on this wing (inside my head of course) and expecting me to make it, and carry on. I finally get most of the med pass done by 1800 and instantly begin my next med pass.
Oh, I have to add that the nurse down on the other wing has been there for years, starts med pass late, finishes early, and never even asked how I was doing! I had my first physician phone call regarding a high bs (actually got that one on time)and had to ask her what info I would need besides the obvious. Turns out I was fine with the info, but I go to call and the numbers listed are all fax numbers. I go running down her hall again to ask where the numbers are kept. She looks at me like I'm clueless (I pretty much am at this point) and tells me where to find the roladex. Gee thanks for letting me know where it was the first time I was down here. All this is time away from the med pass. I get verbal orders (now, what do I do with those?) and think pt first and take care of him. I hand write the orders because I have no idea how to put them in the computer. I can't run anymore because I have to pee and haven't eaten since 11am, but I move down the hall and continue on my med pass. The only thing keeping me going at this point is my reward to myself. When I finish the last med, I'm finding the bathroom. Believe it not, this is what keeps me going.
Its now 10pm and I finally go and find the bathroom. I pee and cry at the same time. I then pull myself together and realize that although my shift ends in 30 minutes, I haven't started Medicare charting on the 5 residents that need it. The bs in my pt from before is still way too high and he's new. He's ill and getting iv antibiotics which I realized could have major impact on his bs. Nurse tells me not to call doc, just pass it on. Ok? I'm defeated at this point and pass the info on. Noc nurse agreed about not calling doc again. Ok, I know I'm new and have much to learn, but I don't think any more about it. I give report and begin my charting at 11pm. I finally clock out at 0100 and drive the 40 minutes home. I was honestly too tired to cry, but still felt and feel totally defeated and like the worst lpn ever.
