i used my "brains" to help me with a lot of my organization. when i did agency work i used to make a grid on the back of my brains of the times i had medications due, especially iv meds. also, from the "old days" 30 years ago, we used to have a clipboard that listed all our patients who had ivs and what was running. on the back of my "brains" i also made a list of patients and their ivs/iv orders. i often made notes of when next bags were due to be hung. on the front of my "brains" is where i took report (often in blue ink to distinguish it from the black ink i used for charting). i made notations in black ink of important things i wanted to make sure got charted and mentioned in report. the way i kept track of the final check of doctors orders and my charting was when i had checked a chart for doctors orders and they had been signed off (this was at the end of the shift) i made a forward slash mark in red ink over the patient's room number. when i had completed my charting for the shift i made a backward slash mark in red ink over the patient's room number. if i saw that all the room numbers had red "x"s over them, then i knew i had gotten those two things done. if there was something in particularly that needed to be charted, i circled it a couple of times in red ink so it stood out on my "brains". when it got charted or transmitted in report it got a big red "x" through it. by the end of my shift my "brain" looked like a big bunch of scribbling with red circles and "x"s. however, if you looked really closely at it, there was a lot of work that went into it and it kept me organized and on target. i'm attaching a copy of the report sheet i use. feel free to download and use it. Attachment 5032
part of delegation is also following up to make sure that the job you delegated has been done properly. so, no it is not bad form to check to see if an lpns orders are completed and meds passed. it would be bad form not to check, and guess who's gonna hang along with the lpn if something has been missed? you cover yourself by just thinking of tactful ways to follow up is all. (oh, mary, where are you with your med pass? do you need any help with it?) you are going to find that some people feel slighted that you even ask after them. you can't let that bother you. it, unfortunately, is part of your job. the nasty ones, unfortunately, are just being turds and using whatever little control they believe they have to make you feel bad. in reality, they should know that it is part of your job responsibility to check up on their work and should be telling you when they have completed their tasks. when it comes evaluation time and your nurse manager inquires of you about them, be sure to mention how these people have to be consistently supervised because they fail to report back as they complete tasks. some people are just determined to be mean and make others jobs more difficult for the simple reason that it is a game where they can cause you some upset. that is so dysfunctional. once you have more experience you develop a tougher skin against this kind of person and can give them back as good as they are giving you. you can't let them buffalo you into doing something you know could get you into trouble which is what will happen as you learned on your old unit.
feeling competent comes with time and experience as you gain a command over these skills.