Quote from IloveNursing2214
So I start orientation next monday for my first Nursing Job on a busy Medsurg Floor. Any advice or tips from experienced nurses out there ? How did you learn how to give report ? How to prevent looking nervous in front of your preceptor ?Geeez thanks in advance !!!!
You will be nervous and she's done this before you so she knows your nervous too. It's ok. Take a deep breath and remember that old saying the only dumb question is the one you didn't ask. They know you don't know allot. You can apply theory but this is reality and they are there to guide you and teach you. They should be there to stop you from drowning, but they need to know by you telling them sometimes that you are over your head. It you are feeling like you are overwhelmed, stop and take a breath and think of what's your priority at this moment.
It's easy to take off running but stop yourself and think what else will I need to do this task or deliver this med or perform this procedure.
As far as report, I found a good brain sheet for inspiration and then created my own. I found I kept forgetting to note time pts went off floor and came back and had to waste time finding information from other reports. I added that to my brain sheet. I organized mine by assessment head to toe. Top of it is allergies and diagnosis. I put the report I receive at change of shift on the form printed on our patients. ie BBS the other RN hears, I put what I assess on my brain sheet. Everything on their is my assessment. I can read off that in order at report and it's a very logical, complete COS report. My labs are listed on there, test/procedures done and what is ordered still for the pt in the future, it's my todo list too with a check off. I list my orders on there and check them off. That makes chart checks easier. That one brain sheet has fluids, vs, iv site, etc. That was one of the best things I did.
Watch other nurses and see how they organize and manage to get everything done. They will all do things slightly different. Your preceptor's technique or style might not be yours. It's ok to ask other nurses what works for them. They have the experience I've found even the "most standoffish" are willing to impart knowledge if you ask and explain why you are asking.
Remember everyone has been where you are. It's scary and overwhelming but it gets better.