It's been a while since I've posted on here... I've been working at a reputable hospital since May 22, 2010. 3 1/2 months later, I feel so unprepared and i feel like I'm struggling. I wish i could just hang out with my pts and educate them and give my meds and chart my assessments and that's it... I strongly dislike the paperwork side... I have so much to do in 1 shift and it's soooo easy to miss something. Also, I'm always losing pens. I don't know wen they'll kick me out of orientation, but I'm nervous and scared, I just wish nursing was a little bit easier. I'm always missing something, and i hope someone could give me a bit of advice.. Sometimes I forget to give out my pt friendly mars, forget to sign my rounding logs, forget to check my tele strips, forget to sign off orders (though they get done.. most of the time), oh and I lose my med sheet all the time... My preceptor says I'm too task oriented, like I haave to get this 1 thing done before I go on to the next thing, idk. This is what i TRY to get my schedule to look like every day
0638-Clock in
06-38- 0730- get report, look up labs if they're not ready, check to see if everyone's alive
0730-0830- check charts/labs
0830-0930(hopefully done at 0930) pass morning meds/assess pts
0930-1030 chart/meds/check orders
1030-1045-1055 INTERDISCIPLINARY ROUNDS. (my least fav part of the day)
1100-1200 meds/check orders
1200-1245 - Dude's gotta eat
1245-1300-check if everyone's alive/ chart/check orders
1300-1500 meds/check orders
1500-1600 chart/meds/check orders
1600-1800 meds/here's where the problem occurs.. every single doc seems to come in at this time and write pages worth of orders. . and then I go cry... and then it's hard to explain to the night shift that MD so and so came in at 5 and wrote orders for this and that and it wasn't ready until 1800.
MY SCHEDULE LOOKS AWESOME ON PAPER BUT WHEN I TRY AND FOLLOW IT, I CAN'T BECAUSE SO MUCH OTHER STUFF IS GOING ON.
I gotta change this IV, I gotta prepare people going for OR, I gotta get consents, I gotta constantly check orders, I'm getting "reports" from ER, I got to do some d/c papers for a pt who got d/c, pt x is asking for pain meds, gotta call docs for this and that.. ugh. So i guess I'm having trouble prioritizing... Idk what I'm supposed to do first cos I feel like I have too much to do. =/
I feel like my floor is a nursing home floor. When I first started out 2 years ago as a nurse assistant it was all cp/r/o MI, which i liked, and all heart problems, but now that i have my rn license... it's where they stick all the confused, disoriented, and dangerous pts. . and now we have people staying for weeks, if not months in one room. We have high acuity pts coming and staying, it sucks. . . I miss the good old days when everyone was able to do stuff for themselves, lol. Our floor had 2 falls in one week (that i know of), and it was just crazy. I do express my gratitude to you all for listening and for the support, encouragement and advice. . My schedule that I posted earlier is what I lived by on days, but nights, it's a whole different story, and I don't have a schedule.. I just try to get what I need to do done asap. Writing things down helps and putting a box next to it until it gets done, then i can check it off. ..
NursingIs4CoolPeople
80 Posts
I feel like my floor is a nursing home floor. When I first started out 2 years ago as a nurse assistant it was all cp/r/o MI, which i liked, and all heart problems, but now that i have my rn license... it's where they stick all the confused, disoriented, and dangerous pts. . and now we have people staying for weeks, if not months in one room. We have high acuity pts coming and staying, it sucks. . . I miss the good old days when everyone was able to do stuff for themselves, lol. Our floor had 2 falls in one week (that i know of), and it was just crazy. I do express my gratitude to you all for listening and for the support, encouragement and advice. . My schedule that I posted earlier is what I lived by on days, but nights, it's a whole different story, and I don't have a schedule.. I just try to get what I need to do done asap. Writing things down helps and putting a box next to it until it gets done, then i can check it off. ..