One thought sums up my first night as an LPN.
Wow... That's a ton of paperwork. A TON.
I never realized exactly how much. There is at least three ways we are required to double (I guess, technically, triple) check our MARs. Handwritten orders which I can't read. Double-checked against MARs that may or may not accurately describe what is on said order. I have to make up info sheets for my CNAs with information pulled from the chart and kardex.
I have to handwrite notes on each and every patient every 3 hours; even overnight. I have to document medication administration and teaching. I participate in planning a my patients' interdisciplinary careplan with other people (ST, OT, and PT).
It's quite a bit of work; more than I initially thought. However, I do have a thought to all current nursing assistants: nurses really aren't just lazy; the paperwork really does take all friggin' night to get done!
I also got to do my first official sterile procedure: a straight catherization of a female patient with over 700mL left in her bladder according to the bladderscan machine. I missed. I didn't feel so bad that I missed because even the other nurse that was orienting me couldn't get it in. We had to get a more seasoned staff nurse to insert it. The realization is pretty obvious to me now that all that anatomy and physiology I learned doesn't mean jack; gravity is pretty cruel because later in life, anatomically speaking, things just ain't where they supposed to be. A little tip I learned from the "pro" was that the urethra on a female blanches white when hit with the betadine swab.
All in all though it was a good night. I got to do some basic skills, get some stuff signed off as competent, and I'm going back tonight for round two.