New grad seeks assistance with organization - all suggestions gratefully received

Specialties Med-Surg

Published

Hi new grad here - I have just moved from tele with 4-5 patients to med/surge where I have ten to 12 with an LPN doing teams sometimes and others like to split - we have who shift changes one at three and another at seven, I am a 12hr nurse most others are 8 (I have no say in this I would rather do 8's) I am having a heck of a time with organization!! Any hints on how to structure a day, so far I have gotten 99% of the tasks done, but my charting is often one two quick sentences - I get my hourly notes up 75% and my two hours up pretty much all the time (all be it they are short) I feel like its more than I can do the get orders off, and if anything goes wrong and I loose time I am there till 9 getting it fixed - Any tips on how you take report, now I record anything on a copy of the cardex , as well as my med times mark assessments off with a A by the pt name. I feel I am really getting totally task fixated an might be missing big picture things as well as I like to get my patients comfortable, If spend a lot of time doing stuff I probably ought to delegate but I am still not completely able to do so - also is it bad form to check to see if I am covering an LPN that orders are completed and meds passed - when we split I feel like if something gets missed I am going to get in trouble I. Its stupid I know, most of the LPN's I work with are way better nurses than me so I feel really really outrageous of me to even look but one time on my old unit I was kind of busted over a situation where I delegated a dressing change - pt was transferred and it wasn't done - other unit was upset (rightly so they got sent a mess) and I was told the RN is responsible no matter what. So how do I cover my self with out being rude to the LPN I am with (who I respect the heck out of) I really feel like I am not measuring up to the other nurses. They have all been really nice to me and are incredibly supportive I am so blessed to be able to lean from all of them really I cant complain at all - I just hate feeling like the weakest link in the team. Patients deserve better. :scrying:

THANKS!! its good to know, yea its been a week already...

Specializes in Med-Surg.

I hope your day goes well. Today is my first night back since my "weekend from Hell":angryfire Hopefully we can survive. One day at a time!:nuke:

YEP how do you survive first year; without becoming ETOH dependant - one day at a time (lots of choclate helps too!) My weekended today to be honest it wasnt all bad

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