Ringers

On my drive home 45 minutes away from the hospital, I realized I forgot to finish my wound documentation. I did the wound change, I took a photo of the wound like the order says and it is in the MAR as proof that I did the wound care. I only charted that the dressing was changed and what was used. I forgot to document what the wound looked like. I know! What a fail! What in the world was I thinking. I had my first RRT on this shift so in a way I was just feeling disoriented. I know it shouldn't be an excuse. Now I'm overthinking about what to do to correct this. I do not work until Saturday again. I know this particular patient will still be in the hospital on Saturday. I know I should text my preceptor letting her know my mistake. I just feel like a huge disappointment. I'm within my last few weeks of orientation & I feel like I should be better than this at this point in orientation. ?

The state came to visit my workplace. I am a new grad nurse and have never encountered them. They asked some questions to which I realize I could have given more in depth responses. They asked “what would you do” situations. I’m just overthinking my interaction with them. There was a particular moment where I know I messed up & I did acknowledge it when we were speaking. After our questions she was pleasant, so for a moment I felt relief and that she wasn’t going to ding me hard. I’m just scared. I knew I should have performed better/differently.

It was a PRN order in their MAR! Although I still questioned about giving it because they weren’t technically constipated yet the days I worked. I will definitely learn from this experience. Thank you !

If the resident hasn’t had a BM 3days in a row, you provide MOM. If there’s no result you proceed onto different options.

How to deal with mistakes? I was told to give MOM to a resident to get a faster stool sample, although I knew they had a BM the day before. MOM is mainly used for our facility protocol if no BM in X days. I just listened to the nurse, because I figured they had experience expediting the process for stool. I failed giving the med because the resident kept refusing after attempts at different times and with different people. I didn’t think it was much of a problem if they didn’t receive the MOM as we could always wait until a regular BM. It just happened to be that the day after I didn’t give the MOM was Day 1 they didn’t have a BM. I worked on their Day 2 of no BM. I haven’t been in since. We were given an announcement that we failed to provide proper care because the resident now went X days without a BM. I’m now thinking I messed up on my end by not giving that MOM. I feel like I lacked in following the instruction by the experienced nurse…I feel like I have done such a horrible thing. I feel like fingers can point towards me for withholding that MOM and not communicating appropriately