Will I ever get this nurse thing

[emilysmom,RN]

Hi

I work four 8hr shifts a week and 2 shifts a month as a supervisor in LTC. I graduated last May as a RN. Some nites are good but then comes AM report. This AM I had this nurse who I swear hates me. SHe asks me things like is he on antibiotics and how does the pt transfer. There was one pt who was going to a LTC place and leaving at 9AM today. SHe showed me a form that needs to be filled out but I did not know about. I told her I will know next time. There was something I should have known but did not get in report. Why a pt had a colostomy bag.

And she asked me when did an order for a pt that had a sign above his bed that he had to get meds in applesauce. I do not know who or when the order was written but that I just saw the sign and followed it.

I feel so stupid and I have a hard time letting it go. I feel like quitting hospital nursing and stick with LTC.

Thanks for listening

[Valerie Salva, BSN, RN]

How a pt transfers and if they are on ABOs are two basic things in any report, imo. The other things, like knowing the when with the applesauce isn't.

[mcknis]

Yeah, for me, i do like knowing how a pt takes thier pills. I also like knowing when they had their last BM and what kinds of Abx they are on. For one thing it is a CME standard and the hospital will not get reimbursed if the pt is not on Abx and needs to be. Don't worry, but you'll get it in time. And if its the pace that may be getting you, night shift may be a little better in the hospital setting. more time to look at your pt and focus on what you are doing. no matter what anyone says, nights is a little slower pace, and sometimes (especially if used to day shift) is a little easier. just IMO...

[NotReady4PrimeTime, RN]

Do you really think it's possible (or even necessary) for a nurse to know when and by whom every single order was written for a patient? Where I work, we get so many orders in one shift that it's not even possible to keep track of those, never mind those written two weeks ago. Yesterday, my 1:1 patient had 15 orders all before noon, and that was a slow day for me. When we transcribe our orders, we include the date they were written on our Kardex so that any one wanting to see the original can go back to that date's orders and look at it. Give yourself a little slack, you can't know everything about everything. Nobody can.