Thank you for replying, yes my nurse manager encouraged me to journal for my yearly proficiency, sort of to keep track of my accomplishments and to be promoted a step. That's a great idea about writing a brief statement on handling a situation. I was also thinking of having patient's write a quick survey of their experience even before the post discharge calls, I was thinking that would be a concrete way to validate what patients tell me all the time. (your a good nurse)...although I'm so focused on not making a mistake sometimes I don't feel as confident as I should