Anxiety!

[Tobygo2]

Help! I'm a new grad that just started on a med-surg floor. I'm paranoid over every little thing I do. Apparently the other day a pt received more IV fluid than he was supposed to and it might be my fault (no harm was done) but I didn't even touch the IV pump!!! When does the anxiety and jitters start to at least diminish??? I'm afraid everytime I have to administer a med or there's a new order written.

Thanks in advance.

[GitanoRN, BSN, MSN, RN]

needless to say, the anxiety that you're referring to is having to put into practice what you learned, and those jitters will diminished the more practice you get. however, always triple check your doctors orders and do the same once you're setting up an iv or mixing any med. keep in mind the following below...as i wish you the very best always... aloha~

itdc.lbcc.edu/cps/nursing/vn225/nv225.../passing-medi-notes.html

1. six rights of medication administration plus 1 extra

medication, route,time,client,dosage,documentation, who ordered it.

2. routes of administration

oral, by mouth, by gastric tube, by nasogastric tube, buccal, sublingual

3. routes of administration

topical - to treat skin or mucous membrane (oral, nasal, ear, eye, lady partsl, rectal) transdermal - for systemic dosage.

4. routes of administration

parenteral,intradermal - testing,subcutaneous,intramuscular,intravenous medications, rn only direct intravenous push,intermittent "piggy back",continuous infusion.

5. nursing responsibilities

only administer meds you have prepared,know the purpose and expected outcomes,do not leave meds at bedside, check armband before administering, some meds. need checking by another nurse, im injections - no more than 3ml at one site

6. responsibilities cont.

consult with supervisor or md if dosage is outside of recommended range, do not administer medications calculated by someone else except pharmacist, extra caution with pediatric patients iv pump does not replace the responsibility of the nurse.

7. standard precautions

wear gloves for parenteral injections,wash hands before beginning medication pass

keep medication cart clean,if you do more than hand the pills to a patient, wash hands before leaving the room, wear gloves if helping put pills in mouth.