jjohnsanj

Most of the nurses on my floor use a 3 ring binder. I have a zipper pack that I keep spare pens, highlighters, sharpies, alcohol swabs, scissors, etc, in. Then I have dividers so that each pt has their own section where I keep my report sheet, patient worksheet with current orders, and MARS. On the front of the notebook, along with pictures for all to see, I put a post it not with my room numbers at the top, then med times, charting times, and other little notes to myself. Works well for me.

I graduated last August and completely understand the anxiety that you are describing. I would go through my whole day on my drive home and wonder what I forgot to do. I was assured by the charge nurse when I told her that I mentally go through my patients to see what I forgot and she told me that a nurse can only do so much and to quit stressing over something I cannot fix. As far as the IV thing, how many patients would actually want to leave the hospital with their IV in place, since most of them want it out during their entire stay (unless they are an IV drug user). It is normal to stress out, especially on a med surg floor where there is so much happening. Also make sure to use your resources and delegate other things to make you day go smoother. And ask lots of questions and ask for help when you need it. We go through too much school only to burn out in the first year. With family and friends, it is difficult for them to understand the physical, emotional, mental stress of our jobs. Find a mentor who is a nurse, someone who understands. It will take a great load off of your shoulders. Sorry for the long winded answer but I do understand where you are coming from and could go on forever. It will get easier.