New Grad Nurse Med-surg Unit NEED ADVICE and brain sheet

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    Good Evening, My name is Bri I am a recent new graduate nurse currently working on a Surgery unit. I am still in Orientation and will not start working on the floor until next week. Do anyone have any really good, organized brain sheets, or any advice on how to manage my time on the floor? Any response is greatly appreciated Thanks.
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    I typed my brain sheet up on word, so I can just print a couple out on the day of my shift. I divided sheet into 5 patients, I left an open square big enough to place a patient sticker, and I have areas to put patient's Diagnosis, diet, ambulation (assist x1-2, walker, self, etc), fluids, allergies, history, orders, and labs/diagnostics. I also have a little corner over to the side where I've typed "foley, telly, 02, accucheck" and if the patient has any of these I highlight it. Then I divide the back of the sheet so I can write anything extra on the back. I've also found it really helpful to make up kind of a grid, where I have patient room numbers across the top and times down the side (for example I work nights so box 1 is 1800, box 2 1900, etc) and that way I can write in my to do list for the night in a way thats very easy to reference, and it gives you an organized place to jot notes to document later. Best time management tips I've learned so far is bring a bag of fluids with you into the room and just hang it up with your first round, even if the current fluids still have a while yet to run, that way rather than running to the supply room all night when your infusion is complete you just go switch it over. Also try to fit as much as you can into each trip to the patient's room. DO NOT BE AFRAID TO DELEGATE! I hate telling people what to do, so I end up doing a lot of tasks that a CNA COULD do and it costs me a huge amount of time. This is a personal problem I'm working on :/ hope that helps!
    mitral likes this.
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    Moved to First Year after Nursing Licensure for more response.
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    brain sheets.......here are a few.

    mtpmedsurg.doc 1 patient float.doc‎
    5 pt. shift.doc‎
    finalgraduateshiftreport.doc‎
    horshiftsheet.doc‎
    report sheet.doc‎
    day sheet 2 doc.doc

    critical thinking flow sheet for nursing students
    student clinical report sheet for one patient

    i made some for nursing students and some other an members have made these for others.....adapt them way you want. i hope they help
    genaluvya and mitral like this.
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    Our unit provides general sheets that we are to use for pts, so I haven't needed to come up with a sheet. But, I did come up with a "cover" brain sheet that I am able to have a "snap shot" of my shifts to do. I have room for my assignments, PCTs and their numbers (we all carry a phone), other nurses and their numbers, then a med/to-do chart with slots for hours on the side and rooms on the top. I also have things that need to be done Q 8hrs, like assessment, Q shift charting, I&O, tele strip signed, IV fluids cleared. This way I can cross it off as I do it and so I won't waste time at the end of shift double checking all of my charting. Hope this helps you!
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    I edited a brain sheet from this site.. Not sure which one.. It is 1/2 page per pt, and it can print double sided. The box is the stuff I 'get' in report, room on the right for my assessment.. the way bottom left is a list of stuff I gotta do each day. I tend to write small and I use a mini clipboard (with a hook that I hook on my pocket, and a 4 color pen+pencil on a tether). No more lost pens and no full hands! PGIE (problem, goal, intervention, e-erm) is our notes format
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