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I am a new graduate nurse and on my own for 3 months now and still learning. A week or 2 weeks ago, I had been assigned to a small bowel obstruction patient. At bedside report from PM shift the RN told me that the patient had some emesis and was given zofran which helped him. I didn't question the nurse about how much the patient's emesis was and if the doctor was notified. Since he was given zofran, he was fine after that. So, I monitor the patient and he did not have any symptoms of nausea/vomiting overnight. The next morning I did a bedside report with one of the nurse, thinking everything was okay. Well, I got spoken to by the educator about the importance of asking all these important questions while getting report. It didn't occur to me at the time when getting the report to ask these questions (how much and if md was notified and if any new orders were given). This nurse likes to bully new graduate nurse. She likes to report us to the educator instead of given us tips and advice. I rather work as a team and help me become better at asking questions rather than getting it from the educator 1-2 weeks later. She's one that likes to complain about everyone at work. It can be stressful and makes me feel like a loser. Now I'm questioning myself if I will ever become good at asking the right questions during bedside report. This is how I am feeling right now. The educator will be talking to the PM nurse about giving good bedside report, too. So, should I let this incident go and learn from it or should I discuss this with the department supervisor about it and see if there's anything that can help me become better at asking the right questions?

I'm a new nurse, too. I hear you. I feel the same way like you do too. At times, I still feel like an idiot. I do someday will feel more competent and be able to be confident. I work on nights on Med/Surg floor so I feel comfortable asking my co-worker. I am more anxious when working extra hours on days and PMs because there are so much more activities going on that I have not learned during my orientation or do not know. I feel incompetent when I ask about little minor stuff.

OK. Thank you. I will keep this in mind.

Hello, I have a questions about Lantus. Do I give Lantus insulin without meal? Lantus was schedule BID 0800 and 2200. Patient was order not to have breakfast only clear liquid before renal ultrasound. Right after ultrasound, patient goes to get MRI done. And not only that patient prefer to take Lantus with meal. This is her normal routine at home. I charted against the short acting insulin but I left the Lantus stay active until she comes back. I reported off to the next RN at 10:00 and told her I left the Lantus active because she prefer taking it with her meal. My thinking was that she may need this lantus insulin to help her control her blood sugar once she starts eating. Was it a good judgement or should I had charted against the Lantus? I'm just confused about Lantus. Her BS was 214.

The previous RN updated the NP and received a telephone order around 9pm. The previous shift RN enter the order into the computer system. The order was not completed on her shift so she passed it on to me. My mistake was, that I should had completed the order early but was unable to because I was busy with other orders that needed to get done for another patient, too.

I just wanted to share a story. I'm just having a hard time letting this go right now. It will take me a day or so to not think about this. I just started my job as a RN on the Med-Surg Unit and being a brand new nurse, I was still learning every little tiny things. Yesterday, in shift report the PM nurse passed the NP's order to straight cath a patient post foley d'c. The order that was passed on to me stated "Bladder scan by midnight or sooner and greater than 600cc straight cath". I bladder scan the patient a little after midnight and got between 300-400cc, since it was less than 600cc, I didn't straight cath the patient. Patient denies pain and pressure at this time. I decided to wait a little later and bladder scan again and at that time straight cath because it was greater than 600cc. I thought I was following the order correctly. I soon found out that's not what the NP wanted. NP wanted the patient to be straight cath by midnight or sooner. I was brought into the educator's office and was told to file a report that I didn't follow the order. I told her how I understood the order not to cath the patient unless it is greater than 600cc and followed it accordingly. She read the order again and said that it looks like a miscommunication. My unit supervisor was aware of this situation and when I saw her I talked to her about it and she said that it happens and learn from the experience. The experience that I learn at work will make me a better nurse and increase my critical thinking skills. She said that this is not consider as disciplining me but a lesson learn. So, I learn my lesson to always question new verbal orders that are passed down to me, and if I'm unsure of the orders, I have the right to call the person that gave the verbal order to re-clarify the order. She told me not worry about this and take this as a learning experience.