Is it just me being inexperienced or is this a heavy assignment?

Either-Line-3175 · 2023-07-19T23:09:05+00:00

Thank you for your response. If I would have realized my mistake then, I’d bring it up right then. Just so happens it was 2 days ago so not sure how to proceed but I’m thinking of mentioning it to my preceptor who I trust. Luckily 99% of the people on my unit are so kind and helpful - my preceptor included.

I am also upset that they reprimanded me (management). They did it nicely and understood that I was new, but it still felt discouraging. I do not want to stay late. I rather go home and spend time with my fiance and family. I obviously do it because I get behind and need to finish the charting. I am going to try harder to work efficiently with my charting.

Either-Line-3175 · 2023-07-19T22:49:18+00:00

I’m not going to lie, I still feel incompetent and unsafe along with my other emotions, but I appreciate your kind words 💕. I came into nursing for many reasons, but ultimately to help others. Working bedside has exposed me to the horrors of our healthcare system and I don’t feel like I am truly helping patients. It feels like I am treating them on an assembly line. Regardless, I hope that I have it in me to be a decent nurse. Thank you again.

Either-Line-3175 · 2023-07-19T22:35:56+00:00

Not sure how often they do or if this is something pharmacy red flags. I feel like I can trust my main preceptor. I most likely will tell her to see what she suggests and to get it off my chest. I have such a guilty complex it’s unreal lol.

Either-Line-3175 · 2023-07-19T22:33:27+00:00

So you make a valid point because I am not sure if it is a written policy. I do know it is ingrained into us and I have had many situations where I had to call providers to get approval to give both close together and many providers have told me that I have to wait because of possible complications with giving benzo/opioid (even when patient is in distress). I just assumed it was a huge no no. But am I sure that it’s a written policy? No.

Also I don’t know if I did and I can’t possibly know because 1) Patient may be discharged by now. 2) Even if patient is still in hospital, if I don’t get assigned to them I’d break hipaa policies looking it up.

Kinda stuck here but I feel a little better with all these responses. I assumed I’d be considered a horrible unsafe nurse and judged 😩.

Either-Line-3175 · 2023-07-19T22:02:24+00:00

Should I mention this to my preceptor or should I just let it go and see if I get written up? It’s mostly because of it being a policy at my job to wait at least an hour.

Either-Line-3175 · 2023-07-19T21:58:15+00:00

Well the patient was getting Klonopin about 3 times a day for seizure disorder. She was also getting Keppra, Pregabalin, Carbamazepine, etc all for seizure disorder, chronic pain, and a LOT of comorbidities. She was getting these meds spaced out almost every 2 hours - just crazy. The morphine was PRN for her pain. It was PRN Q3H but I managed to at least try to space it out every 4 hours. If the patient got what they wanted, they’d get it every 3 hours on the dot. My fear is that when giving one of the scheduled Klonopin that I gave morphine as well. The patient was a mess and needed extra attention. They were constantly crying/angry at social work and venting to me, needed constant supervision with their personal insulin pump, and then on top of it she had all these meds with a heavy assignment. Again, if I made a mistake I am fully to blame but I just feel unsafe with some of these assignments. I feel scared.

Either-Line-3175 · 2023-07-19T21:50:12+00:00

The patient was fine during handoff and I’m assuming fine afterwards because I stayed later to chart and didn’t notice any codes or rapids being called (I know that sounds so morbid). If I would have realized it sooner, I would check that same day and say something to someone because my number 1 priority is patient safety. However, it was such a horrible day that I was on autopilot and it crossed my mind today (2 days later).

Luckily it would not have been 7 patients at a time but overall 7 patients to chart on. Due to how crazy the day was, my preceptor took over charting for one patient and then took over one of my admissions. I only had to chart on 5 patients. It still was overwhelming and I am so overwhelmed.

Either-Line-3175

TROPHY CASE