Tanderso_rn

In my opinion both nurses are responsible for getting the INR addressed. If you weren't able to get it done, pass it on. The night nurse should have called the doctor before giving the coumadin. I've learned that lesson.

I'm a new nurse also. You sound just like me. It does get better. I work 2-1030, but they changed hours due to low census and I work 3-1030. It was rough today, but I got everything done and was actually out on time. You'll get your own grove. I found out that for myself, doing treatments before I start med pass helps a great deal. No one likes getting their dressing changed at 2200 or later. Some CNAs will take advantage of you. Give them a courtesy now and state that you are giving them a courtesy about their behavior or whatever it is they are doing wrong, but the next time it occurs they will get disciplined. It's better to be firm now, than trying to at a later date and they don't take you seriously. I'm sort of experiencing that now. I've been at my job for almost five months. As for talking to MDs, my facility uses SBAR, situation background assessment and recommendation. It helps a great deal. You're organized. Just be aware, you are going to run across the occasional grumpy MD, don't take it personal. Good luck! Hang in there, it does get better!!

We're experiencing low census too. I work for a rehab center in Wisconsin. It gets frustrating at times.

I feel the same way. At times I still feel like a nursing student. However, co-workers can make a difference. They know I'm a newly licensed nurse and they try to help as much as they can. I work in ltc/rehab. Keep communication lines open with your unit manger. My co-worker suggested I take B complex vitamins to help relieve stress.