I have been at my job since July 2018. I am on a busy ortho/geriatric med/surg floor. I know some people have a more difficult time so I don't mean to complain. And I love my co-workers and patients. But my ratio is consistently 6:1 and up to 7:1 lately. I feel unsafe taking 7:1 but I've had to, due to either being the most experienced RN besides the supervisor or nobody else being able to pick up.
I have had two coaching forms, which go on my file. One is for not following up a blood pressure and the other is for not removing a nicotine patch. I am worried about this paper trail. I'm not sure what these forms exactly entail but I feel like 2 is a lot & I'm making mistakes like this from being rushed or not sleeping. I have also forgotten to scan narcotics before administration once recently, and remembered hours later, which really worries me. For all I know they might drug test me for that (it will come up clean but still hate the thought of making mistakes like this).
I don't know if I'm worrying too much or what.
Normally our organization allows transfers after one year. I think it is one year from hire date, but it may be one year since I was assigned to the current floor. Rarely they will make exceptions. I'm told these "coaching" forms will not affect a transfer but I am unsure.
I think I want to transfer to a different floor that I trained on at the beginning. (Edit: that floor is surgical & has a 5:1 ratio or rarely 6:1). I'm afraid I made the wrong choice..I only got 2 weeks per floor to decide. I don't think that's enough to really know what I wanted.
Do you all think I should see if I can transfer early? I have extreme anxiety about going to work because I never know what I'm walking into. I lose sleep and then I make mistakes. I haven't eaten a full meal at work since orientation. Sometimes I don't even snack. I drink a lot of really strong energy drinks and I'm worn out. Please send advice. I need to know if these are real concerns or if I just need to suck it up.
Thanks for reading if you got this far.