I must say i had very little of the stress ya'll are having... it may be because i turned 40 after nursing school and had a bunch of life experience behind me.. but i can sympathize i mentor new grads now and have only been an R.N, for 3 yrs... i see the worry and this is in the I.C.U.... but i tell all my grads that this is just a one night at a time job, everything is different some nights, and sometimes you get the same pt's back, but you have to say to yourself, "self, you can survive 8,12,16 hours of anything knowing that you get to go home and leave it all behind"
on my days off I usually forget that i am a nurse (coping mechanism #1) I always take my time no matter how rushed i may feel (coping mechanism #2) when i first started, I did each pt's meds one at a time, and if i was working med-surg and had 6 pt's and it took me past the 2hrs allotted to give meds, i did not sweat it, just do your best . and call who you need to call or fill out the form you need to fill out.
it is easier sometimes to ask forgiveness than permission
as far as organization, i always go in right after report look at my pt's, greet them, check I.V's, monitor, alarms, then check meds.
THE MOST IMPORTANT PART OF YOUR JOB IS THE PATIENT!!!!!
administration makes you feel it is the paperwork...well hang that, if i get through the night and my pts are alive and well cared for that is what matters, if i have to stay late for charting...BONUS!!! I am still getting paid.....
it is a tough world the world of nursing but not because of the job itself, it is what we inherited, from Administrations, and Old-crusty-chew-em-up-and-spit-em-out Nurses. remember, they will be gone soon enough and we will be setting standards.
Learn to stick up for you Nurses license... if your assignment is dangerous...refuse it.... if you do it before you take report, they cannot take your license, despite admin hinting at the precariousness of your job.....sheesh... you have the best in the world, you can get another one an hour later, let them know that....
Make a Goal......
I tell all my orientees to grow thier pair of Nesticles (nursing testicles) ASAP... cause if you do not this job can grind you up. i do not have to remind you that the attrition rate for nurses is 2 years. I made that my goal, make it 2 years... make it 2 years.... When i hit that milestone I knew i could survive Nuclear holocaust.......
y'all can rise above, none of us is gonna go through anything any worse than our predecessors....man, those early nurses HAD to be TOUGH!!!!
you know the horror, did everything by drips, uniforms, ***hole doctors that where pigs, nightly massages, claculations out the wazoo, mixing your own meds.......etc
i hope this encourages yall
i have been a nurse for only 3 years, and already am being asked to be charge on a 30 bed I.C.U., but have said no because i will do what is best for me, my license and my fellow nurses.
Chin up.... keep up the good fight.....IT REALLY DOES GET BETTER.....:smiley_ab