Quote from sestelle
Because I am kind of a wuss [.....]
OP, these situations often have an overlay of "other people's perceptions" - aside from whether or not you provide care that is overall safe.
In addition to the good advice and comments above, I would also consider this experience in terms of how you carry yourself - what overall message you send to people, intended or unintended. I'm not talking about your moral/ethical character or anything like that, but assertiveness/proactiveness, communication, etc.
I don't want to add insult to the injury you've already experienced, but this whole thing could be a learning experience; a chance to grow stronger.
If you have a patient who should be having their levo gtt titrated, the question isn't whether or not it is safe for you to delay titrating it - - after a number of hours the question becomes whether you even realize it needs to be done. If you don't say anything to anyone or make a plan for taking care of that
patient as well as the one who was more of a handful, people get to make their own assumptions about what you're thinking. If hours go by and you don't say or do anything about it until they bring it to your attention, it's reasonable for them to have assumed it was totally off your radar.
With critical values/vitals - - you do want to communicate very well to your preceptor what you're doing or what you've already done. No I don't think you needed to let him/her know before talking with the doctor, but s/he does need to know; sooner rather than later. ASAP. I've had orientees do the exact thing you did, and then when I go in the room, the patient is indeed starting to deteriorate - but the only people who had the opportunity to know were 1) the new person and 2) someone not there looking at the patient.
Again, I debated about using your examples in this way because what's done is done and it's not really fair to nit-pick. So these words are written in the spirit of simply giving you some food for thought as you heal from this disappointment.
You gotta get out there and be proactive, professionally assertive, and communicate very well when taking care of critically ill folks. I'm guessing this experience will become part of a stronger "you" in the future!
Best wishes ~