I took boards in April, and I started on my unit in June. I got off orientation in Sept. I think I'm doing ok for the most part, still really stressed about almost everything though. About a month ago, I forgot to chart my third assessment and got a note about that from an audit. Wednesday was the absolute worst day (horrible families, 3 CIWAs) and as I'm driving home I remembered a couple things I'd forgotten to chart. Yesterday I took over for one of the old school nurses (she's one of the "eat their young" nurses we hear about) and started feeling a little bit better about my charting cause she hadn't charted her 11am assessment. The rest of my shift wasn't bad, had all my meds done on time and my charting done by 7. Gave report, came home, no problem. I woke up this morning, and was thinking about last night. I talked to the nurse getting one of my patients, told her I'd give her a minute to look over everything and I'd come back and give report. I talked to my PCTs for a minute, and the nurse getting 2 of my other patients told me she was ready. I went around the corner and gave report on them. I had to tube an order for one of them down to pharmacy, so I was gonna do it on my way out. I went to the locker room, got my coat, tubed my order down and left.:uhoh21:
I can't believe I forgot to report off on 2 patients! I know that in the grand scheme of things there are worse things to do, but I still feel horrible! The patients were both stable, one is probably going home today. All the orders and meds were done and current and there really wouldn't have been much to say for either of them.
I've already changed my brains so I've got a box to check after I give report so it doesn't happen again. Anybody else have ideas on how I can make sure I don't forget to do things?