I'm a new grad nurse and I've been off orientation for 6 weeks now. I work on a busy surgical floor with mostly ortho and neuro patients but also take general surgery and medical overflow. Two weeks ago my manager sent me an e-mail just giving me a heads up that I had forgotten to document intake on a post-op GI patient. This patient was NPO for the duration of my shift so what this basically amounted to was me forgetting to zero out the IV pump and document the amount of maintenance IV fluids given during the shift. Sent an email back thanking my manager for the heads up and letting her know I would use the information to better prioritize in the future. Last night was probably the worst shift I've had since being off orientation. When I got report I had a patient who was clearly septic (post-op BP 70s/40s, 102 temp, HR 100+, UTI) so I called a rapid response and spent nearly the first two hours of my shift getting this patient ready to transfer to the ICU while also trying to pass meds to my other 4 patients. Once I transferred this patient I had to pick up another patient from a nurse who was sick and going home. This patient was also post-op but with fluid overload and possible pneumonia. She did well for most of the shift but started desating and long story short quickly decompensated. RR in the 30s, requiring 5L O2 to maintain sats >90, and a wheeze that you could hear from the doorway. Called another rapid response and ended up transferring this patient to ICU as well. As I was leaving more than an hour after my shift had ended I realized that I had made the same mistake by not zeroing out her IV pump (she was receiving TPN) and documenting her intake for the past 8 hours before transferring her. I feel terrible that I made the same stupid mistake twice. I know in the scheme of things this is small but this pt was fluid overload and needed accurate I+Os. All of this to say, how did you deal with these kinds of mistakes when you were a new nurse? I know that as I keep learning I'm going to keep making mistakes but I need to find a way to deal with them more effectively.