angelmp228

Fragino, I am in Texas. The RN finalizes her part of the documentation although I'm not exactly sure what that involves.

I am an LVN and was in training for 7 weeks 2 in diastatic and 5 on the floor, non of which included catheters. I do both pre and post treatment assessments. It is very difficult for me to get everyone on and off at their scheduled times. As I said before the first shift is OK but the 2nd and 3rd is a crazy hustle! Our district manager said one of the five weeks of training should have been following another nurse doing catheters. That never happened. I really love what I'm doing and hope it works out for me. I find if I don't enter some of the information in right as im doing it that I end up spending extra time later trying to figure out start time, UFR based on weight, when heparin was given... Three months of training would have been amazing!

Yes adsmithrn, I'm not going anywhere I just hope they don't get impatient and fire me!í ½í¸ž

adsmithrn you are so right. I do come in a little early but I don't get paid for it which is fine with me being its only between 15to 30 min. That does help my first shift go much smoother. The changeover is what is so challenging. By the time I get everyone on and charting up to time I have very little time to prepare for their coming off and the next coming in. That's where the chaos begins.Patients complaining they need to come off early/now to catch their ride ( usually at least 3 of the 4) and the ones coming in for 2nd shift complaining they need to come on now ( unfortunately i usually get them on late). Then we do it all again for third shift. Those change overs are hectic! I am slowly getting to where I have their supplies ready ahead of time. For each shift. Wowzers my head spins just thinking about it. My manager actually told me some people just learn slower than others! The guy that was in training with me is doing pretty well but he is a tech only. Therefore he doesn't do assessments or put on catheters. I wasn't even trained on catheters until I was " on my own" and they expected me to already have it down. They told me catheters are easy. I do agree now that they are but I still needed to be trained on them to feel comfortable! Thank you all so much for your support. No one outside of work understands what I'm going through so this really helps. You all are very encouraging❤

Thank you Chista! You are so right. Im loving my job but not putting the patients in jeopardy. I'm going to take your advice and if they get upset oh well.Atleast I know I'm doing what is in the best interest of the patient. Can't wait to find my rhythm and speed.

Yes idodialysis . They are waiting for me to get this part down and then train on meds. I am also doing the focused assessment and catheters. What you have mentioned above I have down pretty well unless I run into some trouble while the machine test which may slow me down a bit. The trouble I'm having is change over when I have them coming off and others coming on while documenting and accessing and restringing new lines. Change over is very difficult for me. My CN tells me to write everything down and input in the computer later but that just seems to disorganize and slow me down more.

I am loving dialysis but I am so scared that I will never get up to the speed expected of me. I have made the mistake of leaving the saline lines unclampedd 4 times now in just a month of being out of training. The lines were saved once but the others were wasted blood and all. My patient left with more weight than shecame in with. I would like to say that I will NEVER do that again but that's what I thought the first time. I know i need to slow down but I don't have my system or organization established yet.Therefore time management is at its worst for me. I feel so rushed. Does anyone have an organizational system that they would like to share? I hope that will help me slow down and save time? In training we didn't really get a chance to watch others from start to finish it was pretty chopped up. during trainingwi only treated two patients at a time and day one out of training i had four at a time. I have three shifts Monday, Wednesday, and Friday and two shifts on Tuesday, Thursday, and Saturday. Other tech's and nurses help me here and there but it almost feels like that throws me off more. I'm love staying busy but not being rushed! Any advice is greatly appreciated. I just hope they don't let me go before I can prove myself.