Is this volume work normal, please help?

[masry123]

yesterday was my first day after 10 days oriantation. Lucky me I had to send Pt to ER and at the same time anew admition. I didn't witness the whole thing about that pt that I sent to ER ,but I had to write awhol nursing notes about it like I ws ther. The next day while I was at lunch as I was told one of my PT blood sugar was very high another nurse called the DR and gave him insulin. I had to write awhole nursing notes about that although I didn't give him any thing. I'm confused why should I be the one who is signing all that if I'm not doing any of that . Just because his name was under my assigment? I'm anew nurse is this is normal? Do you think this is the right place for me to start. It is alot tio do the in eight hours the first day I left @ 6pm ( my shift 7-3} I have to give meds to 25 pt ,do wounds, G-tube. and nurses notes on every one?

[SummerGarden, BSN, MSN, RN]

i do not know where you work, but it sounds like some of that is stuff that you should not be doing. i think you are being taken advantage of because you are new. in the future, if a nurse administers anything for your patient and asks you to document, you tell her "no! i only document my own interventions." if you document anything it will be that the patient had high bs and that is only if you or your aid assessed the patient for having it... otherwise, you don't even document that!! all assessments out of the norm have to have some sort of intervention so it would not behoove you to document stuff you were not made aware of until after the fact and after interventions took place unless you write "per nurse blah, pt had high bs of blah and patient was covered per order." and even this can be dangerous because how do you know she did not give the patient the wrong insulin????????

basically, think to yourself, "this is my license and that is his/her license. i am only documenting stuff to cover my license!" just because a patient is assigned to you does not mean that you document what others do! anything you document can be taken to court and you will have to defend your words.