I'm a new grad RN working in an Telemetry unit in a level 1 trauma hospital. I started in my residency 2 months ago and will be off orientation in 2 months for 4 total months. I am struggling a little. Here are some things I seem to struggle with and if anyone has any suggestions, I am all ears.
1. I just can't seem to see the big picture. I know why my patient is there but at times these patients are transferred to us from ICU and have had an extensive history of events from surgery, OR, and I don't even understand half the things they did to the patient in surgical ICU. I look things up when I leave and go home to try to study what I learned but I wish I had time to look it up during work but I can't because I have so many tasks to complete immediately once i start. This makes me feel lost and don't really understand why the patient is there. So when I give report, I sound dumb.
2. When I do give report, there's a few newer nurses ( been there for 1 year or less) that roll their eyes at me or ask me questions with an attitude. They give me the feeling that they think I suck at giving report and so they just hurry me through it and say yep yep anything else? And leave it at that. One of these same nurses gave me report once and was talking a mile a minute I couldn't even write anything down, she just went so fast and didn't care that I was new.
This has created some anxiety in me when I give report and I just want to do a good job. There are days I feel I have a good grasp and give a good report of all the events my patient had, and then days I feel like I sound so dumb and slow.
3. I just seem lost on some days. I'm supposed to do assessments q4, neuro checks q2 for stroke pts, VS q2, I&Os q2, etc. On a good day, I'll get each thing checked off and done and documented. But on a day where I'm in a patient room for over 45mins helping the aide with a bed bath, or feeding the pt. due to dysphagia, or any other task, I get super behind. Then I've missed my q2 hr VS or neuro check or documenting I&Os or shift assessment documenting or meds are late. We don't have enough aides to help everyone so most times I just pitch in. How do you get it all done?
4. My preceptor is a very laid back person, a bit passive, very nice. I have seen some newer nurses talk down to her like when giving report, "why wasn't this done?" Or picking things about their history and quizzing us on PMH. That's when I feel dumb because I don't know why the patient had the abdominal washout post ex lap. This happened 2 weeks ago and I didn't look back that far in the H&P. Should I be? My preceptor helps me by doing the things I miss but problem is I'm still missing a lot of things when I'm by myself. In 2 months, I won't have that luxury. How can I organize myself better? I've used a brain sheet from this site and it helps a bit. Why can't i get organized and complete everything? I feel so behind some days.
Does this just get better with time or is it me? I am open to constructive criticism to improve myself so any comments would be great! Thank you!