ready to start learning
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over the w/e i worked a l/d and an early
and for all intents i was the nurse for a normal caseload of patients
on the early shift l/d i was working with the sister who got tied up in ward management stuff followed by doing the late where the unit was a staff nurse down and i got to keep the same patients while being loosely supervised bar the direct supervision tea time drug round. The next day was more the same sister sorting out ward stuff and me sorting out the patients including one who spiked a temp etc.
so as i say i think I'm ready to staff learning. what i know is that if a patient reports something i can't place i feel better if i run it by a doctor.
That the staff nurses trust me and will print of the labels i need for samples(out hospital is all epr) without questioning why I want them and shouldn't i get so and so to do it. My idea of time management is a 10min break as i'm afaird i won't get things done and that i know whats going on with my patients more.
part of my patients care was slowed down because after a card was written for x-ray i asked what i needed to do from another nurse and the answer was nothing a while later as another nurse patient was going to x-ray, i phoned x-ray and learned i needed to book a porter. thankfully patient was fine but i learned that i needed to do this. i also learned that pheblo don't do blood cultures and then bleeped clinical support who where busy so blood cultures were not done at the best time.
so this was a excellent teaching w/e, a more experienced nurse would have had everything done, i did however discuss some issue on handover and my colleagues made good suggestions, 2 heads are better than one.
What i know now it that others people faith in me is good but i need to fell myself that i did the best job. That i hate/and am not very good at being a bossy nurse but at times its needed some patients won't do whats best for them and it will only cause later problems. like sit up in bed and mobilize to prevent chest problems
this is a bit of a ramble i am concerned about my leadership presentation