Help

[hopeless but devoted]

I was wondering, if any nurses out there are going through what I am?

I have been qualified for just over ten months and still feel like I am a rubbish nurse!

I work in a very fast paced clinical area and I'm worried about everything. I worry that my documentation isn't good enough, due to the speed we have to get things done, to the point where I have re written it in what I think to be a more professional sounding manner, which obviously takes more time to do. I constantly worry I haven't signed for medication, knowing that I have, and I am absolutely terrified of the day I am signed off on my IV course because I won't have that added comfort I am being supervised. I just want to be a nurse and sit with my patient and comfort them but instead I have to worry about making sure things are documented in order to "cover myself" which is a term that terrifies me to the bone! I lay awake at night thinking constantly about my patients, hoping I did everything i should have for them. Does it really get better or am I in the wrong line of work? Please help and please do tell me if you think I'm being silly, maybe that's what I need to hear as I have been told i "need to get over it" Thanks in advance.

[Lainie B]

Your post really brought back recent memories of my past year. Yeah, I felt my documentation wasn’t good enough either, I was always stressing about being behind and ‘covering myself’.

I worked the night shift, and after giving report to the next nurse I would try to catch up. Problem with nights, though, is most of us are ready for sleep NOW. And to sit down at a computer after running around for 12 hours, then sitting down, is almost impossible because I would be fighting to keep my eyes open.

I would have no choice but leave, and my charting would be half-*** done. I would be expecting to be called into the office, to be ‘called on the carpet’ for poor charting. I would reason ‘I’ll come back tonight and finish the charting’ (but rarely had the time to do that either). And it’s been over a year now, and I haven’t been called in. I still have shifts that I have to jockey my time over giving patient care or putting my “peeps” on hold and catch up on charting. Invariably I put off my charting because the patient should always come first. Then, depending on my level of exhaustion, I try to chart. But I definitely have days when my charting is ‘abbreviated’. I absolutely HATE it, but it’s something I have to choose in order to keep up my health. But always, I take care of the patient. Of course, if there are important events that I know might have to be covered on paper (falls, sentinel events, Dr Rapids) I never forget to chart on them. But everything else has to fall in line with 1. The patient, and 2. My level of exhaustion and how much more can I give.

It all came to a realization that my superiors do have better things with THEIR time than nitpick our charting (or lack of better). In this economically-strapped world, our superiors are ALSO pushed to do more with fewer resources, so they are over-whelmed too.

My advice is: Chill. If your patients are OK at the end of your shift, you've done your best and can leave without feeling bad. Good luck.

[blynn9173]

I feel exactly the same way. I have been doing this now for the past six months. I always worry did I chart enough. I work the night shift and we are busy. Alot of times, I don't sit down to chart till 2 am. My patients come first. These past six months has been a stressful journey but I have learned alot along the way. It is hard not to be stressed out I know. Just hang in there, it will get better for us in time.