Easy, dumb, common new grad mistakes
- 1Jul 28, '13 by SubSippiI'm about to start my first real nursing job, and I know that I will forget things, and make some mistakes. I was hoping to start a thread where people could share some common mistakes they've noticed that new grads make. Or just things to remember, personal stores, etc.
I'd start, but I don't have a clue!
- 5Jul 29, '13 by Esme12, BSN, RN Senior Moderator
- 3Jul 29, '13 by RN&momIf you don't document it, it didn't happen! I know we all learn this but it is sooo true... If someone is shipped to the ER (I work LTC/SNF), & you forget to write a note that they left I'm probably going to come looking for you But documenting has saved my butt with my DON more than once when she said, "where's the proof" and I was able to grab the chart and show her my nursing notes she was thrilled that it was so well documented. Always document what you do. It's your license.
- 18Jul 29, '13 by DeLanaHarvickWannabe, BSN, RN1. NEVER doubt your own assessment, even if you were told in report everything was fine
2. Protect your IV lines! Flush them at the start of each shift. Check them AT LEAST every four hours, AT LEAST hourly if a vesicant is infusing.
3. Admit you don't know before you try to wing it
4. Do NOT apologize for calling a physician
5. Learn the signs of delirium. When those signs definitively appear, check vitals, a blood sugar and bladder scan the patient. Also check if a recent UA & culture, or blood cultures have been sent. You could save a life!
6. Remember that tech and clerk duties are your responsibility even if they are not your JOB
7. When you have to pee and do a million other things at work, pee first. Unless you're in a code.
8. Learn which of your fellow nurses are more helpful and knowledgeable, and make sure to repay them with your assistance.
9. WRITE IT DOWN, even if you are certain you'll remember
10. It's okay to laugh and cry with your patients. Really.
- 4Jul 29, '13 by GrnTea, BSN, MSN, RN^^^^ THIS ^^^^
Never ascribe to malice what could be accounted for by stupidity.
Corollary: If you're tough no one will want to chew on you.
Never go to work in new shoes. Break them in first, or they will break your feet in.
Remember that even the chief of surgery looks dumb with spinach in his teeth and puts on his socks one at a time. Don't be afraid of him. The days of surgeons rising to positions of leadership by being unremitting jerks are passing.
- 1Jul 29, '13 by Sun0408SBAR before calling the Doc.. Give them the situation and the background. Many times you will get a MD that is not familiar with the pt and they need the back ground info..
I know it is hard at first calling the MD, I see many new nurses so scared they forgot to get latest vitals, admitting Dx, etc and go straight to the situation.. So try to have all the information in from of you before calling and have the MAR ready..
If you are ever unsure, get your charge nurse to help you or another experienced staff member.