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Posted about 5 years ago
I really need to vent and ask for help.
I am a new nurse....RN for two years working for 1. Already during most of that time I am a charge nurse. Usually a small team, wonderful team/staff. I work on the rehab floor. great therapist, pt,ot, and their assistance. when we get slammed with admits, discharges, pts. on EXTREME faLL RISK....meaning if thier light IF their light goes off RUN...or they will...and possibly fall.
scenerio: I'm on top of it, I am an adrenaline junkie, I love to be going and keeping busy. The distractions have cost me some mistakes. All of which have been on d/c paper work (medications) we had four people out of 10 pts on fall risk, one was hallucinating, and very combative, one on one or two on one supervision was needed not only for his safety our safety and he had a s/p cath he kept trying to pull out. staff meeting was going: Doctor was there; im trying to keep everything ok and safe and work on d/c orders and waiting for prescriptions from dr. so I could write them all down and get going on it.
visitors were helping with this one pt so he would not hurt himself or others, I could kinding lead them to their rooms for their safety and hospitals d/t potential law suits.
hoping and praying this guy could get a pysch eval because we were not staffed for him. long story shorter, we did and he did not get accpeted because that doctor was out of town. (thankgsgiving week)
They came out of the meeting my supervisor handed me the prescription....1 for norco that was it. I had to write out all the others and call them in while all this was going on. I did delagate...I'm learning, I had a new lpn write out the reason for medications so I could talk to family members of pt being d/c'd.
I went over with them all the meds what they were for, and told them the doctor's office was closed to make sure and make an appointment to find out when he wanted her to stop taking the antibiotic. ok, done deal.
I gave them the paper work, I didn't read what the lpn was writing I was already doing the teaching, sent them out the door.
after I was clearning up the whirlwind, still trying to cover the gentlemen who was "out there" I was going through all the charts and noticed the dr. had along with that 1 prescripition had d/c'd the antibiotic, which they already got filled and cost them 80 dollars.
it was also brought to my attention some of the drug info on the d/c list was wrong, but I am responsible for it.
what lessons...I am just hating myself today wondering if I should still be a nurse. I realize....LOOOOK AT THE CHART FIRST....so what if the pt was already waiting 2 hours to go home it might be another 2. and doulbe check what someone else writes.
I realize ALLLLLLL the places I screwed up.....
I got written up, I have to do some drug cards with in 90 days or they will release me.
I am really frustrated with my supervisor for not stepping in and helping when she saw we were all sinking doing the best we could. but it was her day to be off early and she left. I know...
I think my biggest lesson is my license is up to me, I am on my own out there no one is there with me to help me.
hope that makes since.
31 postsback to top
| Posted about 5 years ago
Well, vent away breezerRN!
I understand what you are saying. Just last week I was faced with the excess work load and no support from the boss or corporate. They didn't seem to care about my license, my time, or my workload. After venting on here myself, I was able to make a sound decision due to all the great assistance I received on this forum from very knowledgable nurses!
What I did realize is that YOU are responsible for your own license. Nobody out there will protect it like you will. When you delegate jobs to others, you are in fact responsible for whatever they do, so it is a good practice to verify that all work has been done correctly. A sign that hung on my wall said..."Trust but Verify"
I feel that your supervisor should have helped you be it she stepped out on the floor and physically gave you a helping hand or to have found someone who could have come to your assistance...at least to get you over that rough period. The LPN was new to nursing or new to the unit? I would say if it was me working with a new nurse, I would have tried to check her work even if it meant stepping away from what you were doing even for a few minutes.
Prioritize your work when it gets like that. Take care of any urgent matter. Safety first! The one hallucinating and very combative with one on one or two on one supervision would seem to be a high priority followed by the high risk falls. Paperwork can always wait. Nothing will happen to the paper if it doesn't get done right away, but the patient care will matter if it doesn't get completed.
DO NOT doubt youself!! You should be a nurse and do not fill you mind or conscious with those thoughts of doubt. I can tell from your post that you are an excellent and caring RN and your patients are lucky to have you!
Hope I was able to help you a little. What I mentioned above is what I would personally do from my experience as an LPN management position.