Jump to content
DH1234

DH1234

Member Member
  • Joined:
  • Last Visited:
  • 23

    Content

  • 0

    Articles

  • 761

    Visitors

  • 0

    Followers

  • 0

    Points

DH1234's Latest Activity

  1. Last night I experienced my first night off of orientation. And I felt like I had no idea what I was doing. I kind of was overwhelmed the whole night, but it was not too bad because I had co-workers who helped me pass my meds. However, I felt bad because I do not want to be known as the person who can not finish her tasks and needs help all the time. I called my charge nurse a few times with questions to double check that I was doing everything right. I just have a hard time feeling confident with my abilities. I am also struggling with simple stuff like the best way to change a person who incontinent, and I help my PCT change patients but I usually let them take the reign until I learn how do it more efficiently since they know the best tricks. But I also do not want them to see me as incompetent either. Also, my hand off report was horrible, and that has always been a big struggle for me since I have started. Additionally, day shift and night shift nurses have like an unspoken hate towards each other. Because day shift is filled with more experience nurses compared to nights. They always complain that night shift leaves their patients a mess and that they do not do anything. And I am just scared that day shift is going to give me a reputation of giving bad reports, and I honestly do not want to be that night nurse day shift hates. I am terrified to go to work every night because I am scared something bad is going to happen or I am going to make a serious mistake. Also, after my shifts I am always paranoid that I forgot to give a med or do an order. And sometimes I freak out because I remember that I forgot to document one turn or an output. Overall, I just feel like I am struggling, and some nights I already want to quit. But I am really trying to stick it out for 6 months because I heard it eventually gets better. Do you have any advice for me? or words of encouragement?
  2. DH1234

    Forgot to unclamp the secondary

    I am on orientation still, and I been making mistakes. No serious med errors or any mistakes that has caused harm to the patient. However, this morning I hung an IV antibiotic, and I am pretty sure I forgot to unclamp the secondary tubing. I think I made the same mistake two weeks earlier, but after that I never made that mistake again until today I think. I am pretty sure if it happened the day shift nurse caught it. But I feel so stupid. I do not know why I keep making this mistake. I do not want my preceptor and other nurses think I am incompetent. I honestly feel awful because I sort of delayed his care. Does this happen to experienced nurses sometimes? I know this a mistake, but is it something I should lose sleepover. Have you ever heard of a nurse getting fired for this? I honestly feel so awful.
  3. DH1234

    Forgot to document an output

    I am currently on orientation, and I came home to realize that I forgot to document one of his outputs. I am freaking out because he is on strict I&Os and do not want the doctors to think he is not urinating a lot. I mentioned in my hand off report how many total mL he produced last night, but I just forgot to document. And I know everyone says if you did not document it, it did not happen. I do not know what to do in this situation. Sometimes another patient calls out before I have time to document it, so most of the time that is why I forget. Therefore, I typically write a remainder on brain sheet to document it but I guess I overlooked it. I know in the future I should just take the time to document the output then and there, so I do not forget again. Do nurses get fired for this? Should I try to see if I can do a late documentation when I get to work. Or should I just let it go?
  4. DH1234

    New grad...forgot to document

    I am still on orientation, and I feel like I am still forgetting to document some important things. For instance, one of my patients had a PCA pump and we were supposed to document the settings and his RR every 2hrs. I stayed on top of my charting for the most part. But i forgot to document the one at 6 am because I was so frantic trying to get all my pts meds passed before shift change I seemed to have forgotten. However, I did get his RR with his vitals at 6 am and they were fine. Also, we have to a dual sign off on the pump during handoff. Do you think this is a huge mistake that I can possibly get written up for or fired for? Sometimes it just hard for me to keep up with assessments that are q2. Also, do you have any advice on how to stay on top of things like this?
  5. I am on my 8th week of orientation, and I think I made a mistake. I am not sure how big of mistake it is, but I hope it is not. Basically, my patient from the ED came to my unit with an IV that had just a saline lock and not an extension. An older nurse on my floor said she needed an saline lock extension. Therefore, i screwed an extension on the saline lock that was an the IV catheter instead of attaching the saline lock extension to the actual IV catheter. I am now thinking I was supposed to remove the saline lock hub completely from the catheter then add the saline lock extension if that makes sense. However, the way I did it with the saline lock still in place with the extension attached to that it still flushed. I am honestly so embarrassed I messed up a simple task like that. Is that a serious mistake even though the IV stills flushes? I am freaking out because I don't if that is considered a big mistake.
  6. DH1234

    New Grad making small mistakes!!!

    I am on my 7th week of orientation, and I am finally taking a full pt load meaning 4-5 patients. And I am not going to lie it has been hard to keep up. With that said I have trouble keeping up with the small things that are actually really important. For instance, two of my patients where Turn q 2. And I totally forgot one patient was Turn q 2, and I did not document anything. She kind of shifts independently in bed and had no skin breakdown, but I know that does not matter because she was at risk according to the Braden scale and per hospital policy that makes her a turn. My other patient I remembered who was a turn I would be busy with other patients so it would take me like 3 hours before I can get back in there to turn her. I like documenting my turns in real time, but I know a lot of nurses back chart it to make sure it shows that they were turned q 2 hours exactly even if it took them longer. I get paranoid about doing that because I am not sure if that is consider false documentation. Also, the aids usually handle the turns for the most part, and sometimes I assumed she would go in there and do the next turn but she never did, which once again that is also my fault for the lack of communication. Now I am freaking out that I can get written up or lose my job over these mistakes. Also, any advice on how to keep up with turns on your busy days.
  7. I just started working on a med surg floor and I am on my 4th week of orientation on the floor. I am currently taking care of two patients on my own with my preceptor looking over me of course. And each week it seems that I have a different preceptor which kind of sucks in my opinion because I really wanted a person to see my growth over the period. That is beside the point. I am always leaving work with major anxiety. I have thoughts such as what happens if I put my patient in danger, and something happens during night shift and it was my fault. Or what happens if I forgot to chart something or I charted something wrong. Or what happens if I missed something in general like a order or missed giving something in hand off report. For instance, I had do my first admission and I was all over the place. But my preceptor helped me but she kind of rushed it, so what happened if I missed a question. And when I got home I realized I forgot to document his height and weight in the chart which is crucial because he is a CHF pt. And I just remembered I needed to get him wristbands that id he is a fall risk and has allergies. I probably forgot other things too but everything was happening so quickly at the end of shift , and I am so slow it took forever do things. And I felt bad because I set my preceptor behind because she had to help me which set her behind. Another incident that happened is I had a pt fresh from cath lab, which means I have to document his groin sites every so often. I was doing good following the orders of when to assess it but when my new admit got there I forgot to assess the site of this pt. Therefore he probably went about 2 hrs without getting his site assessed. Even though his site has been looking good, I just feel like I neglected to follow orders. Oh and to top it off I had to give hand of report and I was so flustered and my brain sheet was so messy the night nurse almost got the wrong report ( so embarrassing for me), but thank god my preceptor was there to correct me. Do you think these mistakes can get me fired or worse can I lose my license because of these mistakes? I do not want to be this incompetent of a nurse? Also, do have any advice on how not to forget things like this?
  8. DH1234

    New Grad and Freaking out

    I feel like every time I leave a shift I forget to do something or chart something that can cost me my license. I have so much anxiety when I come home. For instance today, the last hour of my shift was hectic. I had a admit I took his weight and height, but I forgot to document it. It was written on the board in the patients room but I feel like this could cause me to lose my job because he is a CHF pt and knowing his weight is important. Also, I forgot to reassess a groin site and document it, so it went about 2 hrs without being assessed, and it needed to be assessed every hour. I am just overly anxious because I worked really hard to get my license and I do not want to lose it. Also, I do not want to cause any harm to my patient at all because I can not remember to do these simply things that matter a lot. Is it normal to worry like this? And do you think I could get fired for these actions? I am honestly just freaking out at this point.
  9. DH1234

    Struggling New Grad

    I am new grad nurse, and I just got done with my 4th week of orientation on the floor. But I feel like I am developing more slowly than the other new grad nurses on the floor. I only have taken 2 patients on my own...only 2. And I am freaking out. I feel like I should be progressing more quickly. One of the new grads on the floor already is taking a full patient load of 4. I think the reason that I am so behind is because I basically have a different preceptor each week compared to the other new grads. Everyone time I had a new preceptor they kind of wanted me to shadow them the first day to see how they did things than the second day I had them in the week they would give me 1-2 patients on my own. I guess it is partly my fault because in the beginning of the week I should have verbally express that I have taken 2 patients on my own before, so let me try 3 patients today. I feel like the 1st day of every week I am starting back at square one. And do not worry I am going to voice my concern to my nurse manager at our next one to one meeting. Also, I am so bad at communicating with the patients in the sense I am not comfortable with educating them on some things. I am not familiar with all the post-op education for the different surgeries we commonly see on the floor. I am still learning meds and the different procedures. Also, my hand off report is awful. I feel like I should have been a lot further along since I had my immersion clinicals on this floor when I was a student. Do you have any advice for me? I want to become a good nurse but I feel like the rate I am going at I am going to be awful nurse or I am not going to make at a nurse.
  10. I am a new graduate nurse and I am on my 3rd week of orientation. I am terrified of losing my job or license or even putting my patient in harm. Is this normal to have anxiety like this? For instance, on my last shift I was documenting my head to toe assessment, but I forgot to assess his bottom for breakdown. However, he was eating when I was going to assess it again, so I came back later in the afternoon. I did not notice any breakdown or blanchable redness on his bottom but the night nurse before me documented that he had some. However, in my opinion i did not notice any redness, so I documented intact without redness. But now I'm paranoid that maybe my assessment is wrong. And I'm scared that I am going to get in trouble for not documenting correctly. Another thing is my patient's IV site had some dry blood around the site and when I was assessing it was currently infusing. I asked if it was hurting or felt tender he said no. I did not change the IV dressing, but now I am thinking I should have changed the dressing. Now I am jumping to conclusions like what happens if he develops a peripheral IV infection. And i probably should have mentioned the small amount of dry blood in my documentation but I did not. If something happens to this patient could I lose my job or license. Honestly, I am just scared that any small mistake I make can create a bigger mistake and that I could lose my license. Did anyone have the same anxiety when starting out.
  11. DH1234

    Graduate RN Job search advice

    I am about to graduate with my BSN this May. Unfortunately, I do not have a job yet. I have applied to about 5 hospitals near my hometown, however, I only got 4 interviews and no offers. I was trying to apply for a nurse residency position in the ICU, but I did not realize how competitive it is. Apparently, most hospitals only have very few positions open for new grads in the ICU. And at this point I am panicking because most of my peers already have jobs or multiple job offers. However, I do have one last opportunity to get a job at the hospital I do my clinicals at. The only hesitation I had about working at this hospital is that it is about 4 hours away from my hometown. With that said I actually like the hospital itself. The problem is the hiring manager reached out to me, but he offered me an interview for a floor that I was not too familiar with and I took because he said that is one of the only units still looking to interview people. But I am currently doing my clinicals on the oncology floor and I love it! And according to my friends who already got hired there and nurses on the floor there are still spots open. And they like to hire people who do there clinicals there. My question to y'all is would it be bad to directly email the manager of the floor to see if there is still an opportunity to interview for a position even though I already accepted to interview on different unit in the same hospital. Honestly, my number 1 choice would be working on the oncology unit, but I still kind of want to interview at the other floor just in case I do not get an interview with the oncology unit. I am just scared the managers of both floors might look down upon trying to get a job at the same hospital but in two different units.
  12. DH1234

    Job Advice for a New Grad RN

    I am getting ready to graduate nursing school with a BSN this May. However, I still do not have a job. The only hospital I still have a chance at interviewing at is the one that I have been doing my clinicals at. The only reservation I had about working at this hospital is that it is in a city that is located about 4 hours away from my family. Other than that I actually do like the organization. When the hiring recruiter reached out to me he said he only had interview spots at certain units I was unfamiliar with, but I still made an appointment for an interview at one of these units because I do not want to be job less. However, I been doing my rotations at the same hospital on the oncology floor, and I have began to love this floor. The nurses and my friends who got hired say their are more spots available on this floor. And people say since I have done my clinical rotations there I am more likely to get the job. Therefore, my question to you is would it be bad or inappropriate to directly email the manager of this floor to see if she is doing any more interviews when I already have scheduled an interview at the same hospital for a different floor. I am just not sure how to go about this situation.
  13. I am getting ready to graduate nursing school with a BSN this May. However, I still do not have a job. The only hospital I still have a chance at interviewing at is the one that I have been doing my clinicals at. The only reservation I had about working at this hospital is that it is in a city that is located about 4 hours away from my family. Other than that I actually do like the organization. When the hiring recruiter reached out to me he said he only had interview spots at certain units I was unfamiliar with, but I still made an appointment for an interview at one of these units because I do not want to be job less. However, I been doing my rotations at the same hospital on the oncology floor, and I have began to love this floor. The nurses and my friends who got hired say their are more spots available on this floor. And people say since I have done my clinical rotations there I am more likely to get the job. Therefore, my question to you is would it be bad or inappropriate to directly email the manager of this floor to see if she is doing any more interviews when I already have scheduled an interview at the same hospital for a different floor. I am just not sure how to go about this situation.
×