I am a new hospital nurse. I worked in a clinical office setting with a ton of autonomy my first year of nursing. I love the job but wanted to try acute care nursing. I am a new (3mths only 3 shifts out of orintation) med-surg nurse. I love my co-workers and director. The floor really has a handle on team work. The other nurses say I am doing good but I disagree.
My First shift on my own was so stressful. I had a pt on a heparin drip (never had one during orientation but I did learn how to calculate the drip), a etoh pt who was on lipids and not listening to us on fall prevention, an elderly confused pt who was very agitated who would not take his meds, a new admin, a post-op day 2 colostomy, and alertx3 elderly pt whose biggest want was to call and tell his wife goodnight ( thank God for this pt). All the others had me on my toes.
I thought I understood an order for the heparin pt. She had an INR of 1.9 had Coumadin and the heparin drip was going at 22ml/hr. Her infusion finished and the next bag was in the mar for 1600. It currently was 0500. So stupid me thought because she was close to a theraputic level for herbINR that the next infusion would be at 1600 and we were weaning her over to Coumadin. I did not hang a new bag. The next nurse chewd me out for stopping the heparin. I felt the size of an ant. I did tell her I was confused by the mar and asked her to tone her voice down. She re grouped and explained to me not to stop heparin and I can hang a new bag even if the mar has it hours later.
My my last shift was just stressful. I had 3 elderly pts with cdiff, 1 with Mrsa , an elderly with a peg tube and on jevity, and a new admin. Everything went smooth until 600. Then lab is calling me for critical K. I had a dr calling on my admin because his admitting dx was an emergency surgery type dx and was I the nurse sure it was this dx. I explained to him I was going by the ER docs dx and could give him my assessment. According to my assessment it was hand in hand with the admiring dx and an emergency surgery as the pt could now have an amputation. ( ended up not being the dx that was an emergency surgery after all but again I felt like I let my pt down because of what ifs) I had never heard of the dx, non of my co-workers either. It was our understanding it was an infection and would be treated with ATB therapy.
I put put the orders in for my critical lab pt, pts had new fluids hung, all in need had bed baths, all had Their am meds but I did not start meds for my critical labs. I just passed it off in report because pharmacy had not verified the order yet.
I left eft and felt like I was leaving a HUGE mess for the oncoming nurse. I wonder if acute care nursing is even for me. I like my job but wonder if I was made to be a hospital nurse. I know there are many threads about the stress new nurses experience but I don't want to be the slacker nurse or the ignorant nurse. I hate thinking that is what I am. ðŸ˜¢
Thanks for letting me vent. Sorry for any typos, trying to type this while holding a curious baby.