I will admit that all of my mistakes bar one was down to the sheer chaos and stress of the unit making me loose my focus and making the near misses. I have tried and am trying as much as i can to stay focused so the most recent event of giving the wring levels and not even noticing it myself has really kicked me in the stomach. I know that i was feeling fatigued. It happened in the very final hour of the shift which is where you become vulnerable to making mistakes, low blood sugar doesn't help with focus either.
I am contracted to work 37.5 hours a week which is effectively three 12 hours shifts in a week.
I could request my own shifts but at the moment i have to work with certain people such as preceptors. If i dont know what they are working it makes it difficult so i leave it to the lady in charge of the rota. I have spoken to her regarding the rotation of shifts. I havent before as im not the most assertive person. I guess in a way i dont like to say anything but if im struggling with tiredness and feeling burnt out i have to bite the bullet so now i have.
I guess because we are so short staffed this is why im going from long days to nights and back again. All i can do is monitor the situation.
In a few weeks time again I will be doing two 12 hour day shifts and then a night shift the day after. I said could that be altered but unfortunately it can not be changed due to short staffing. I did try.
I do not know why i gave the mom the wrong labels and it does trouble me. Do i allow myself to become distracted easily? Do i internalise chaos and let it affect me? Do i need to say no to parents asking for me to fetch x, y and z and say "please can you ask someone else, im in the middle of something". Is it over tiredness, exhaustion causing brain fog, loss of clarity of mind.
Im.in the UK, we don't have traveller nurses. We have agency and bank nurses, it depends who we can get and more to the point if they turn up or turn up late can cause further problems.
I have spoken to the union that I am part of, and have been told to use the hospital escalation policy. As far as I am aware if we are very short staffed we should complete an incident report stating the risks. I should have filled one out. That night shift was scary.
I have summarised the events of that night shift to the manager. On a positive note all babies were feed, all medications including intravenous medications given as prescribed. I thoroughly checked everything. I specifically remember telling people go through your medication charts..i don't want any mistakes. I want nothing missed. I do not want any drama. And then at the last hour i trip up and im so annoyed with myself.
Im doing an assertiveness study day but what else can i do other than monitor my shifts and monitor my own fatigue levels. I do strilongly believe fatigue has played a big role here along with assertiveness and emotional strength/resilience in the face of chaos.
I am an intelligent person, how can I get through this. Mistakes make me feel worthless and inadequate and I berate myself. Every mistake is a kickdown that I have to take.
Im pretty sure HR, management and Risk know how bad our unit is. How can we be perfect and make no mistakes in these conditions.