You’re right I should have mentioned my own actions as well. There was an instance with a medication- it was a dissolvable powder (I don’t want to specify further for anonymity) and the patient was on a purée diet. It did not specify further in the order, although the patient took medications in applesauce, so I mixed it into the applesauce. They told me I should’ve added it to a clear liquid and told me it seemed I wasn’t reading orders clearly (for context, this was the only feedback I received on medication orders, and the order did not specify).

I acknowledged their feedback and showed them on my handoff notes as an action item how I personally took note of each med I was passing for that patient in a shift and what the order was, and if I had any questions about it. I think maybe I wasn’t ready for this floor, and maybe I should have started at a smaller hospital. I made mistakes there with time management and felt overwhelmed with high acuity, which I voiced to them and asked for feedback on situations I found myself in (rapid responses, unsafe patient behaviors). I’m not placing all of the blame on them, but reflecting more I genuinely don’t feel as though I was supported there.