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by katiebugg

I am graduating in a few days, and off to be a new registered nurse. I would love to hear from experienced nurses about the "BIG" things that they need to remember or the things they try to avoid. Medication tips, or how to deal with patients...anything would be helpful, and thank you !!

[WeeBabyRN]

Re: What are the huge "DO NOT EVER DO" things that new nurses need to know about? cal

Always check your meds, never pretend to know something you don't.

[Cattitude]

Re: What are the huge "DO NOT EVER DO" things that new nurses need to know about? cal

Do not ever act like any task is beneath you. But also do not let anyone take advantage of you either.

[RunnerRN]

Re: What are the huge "DO NOT EVER DO" things that new nurses need to know about? cal

Just remember that you're going to experience a certain level of discomfort (mental) as you learn how to do your new job. BUT there is a big difference from being uncomfortable with a patient because you are new, and having that gut reaction go off when a patient is not doing well. Trust your gut, and never be afraid to grab one of the more experienced nurses to double check your assessment. I still do it occasionally.
Good luck and congrats!

[santhony44]

Re: What are the huge "DO NOT EVER DO" things that new nurses need to know about? cal

Don't ever blow off a patient when they ask about the meds you're about to give. If a patient says "I don't think I'm supposed to take that pink pill" then take the time to investigate. It could be a new med the doctor ordered, it could be a different color generic than the patient takes at home, and it just could be an error.

I'll second WeeBaby, don't pretend to know something you don't. Remember that you can learn something from everyone, right down to housekeeping and dietary.

Don't be too hard on yourself. You're not going to learn everything at once, and you're not going to be able to function like an experienced nurse until you are one!

Don't tolerate a toxic environment. If you think you're in one, get some objective opinions and if they agree, get out before it beats you down.

Remember to breathe. In any crisis situation, the first "ABC's" to check are your own. And remember that panic usually doesn't help anyone or anything.

Good luck!

[cardsRN]

Re: What are the huge "DO NOT EVER DO" things that new nurses need to know about? cal

if you do not know a drug, look it up or consult with pharmacy before giving it.
never be afraid to ask a question or get a more experienced person to eyeball something with you.
and here's one i have heard: with meds, never give more than 2 of anything without double checking/checking with someone else. it's a good rule of thumb. there are plenty of exceptions, but in general if you are opening 5 or 6 vials of a drug to administer to one pt in one dose; red flags should be going up.
it is better to ask a silly question and look the fool or spend more time than strictly necessary investigating a situation thoroughly than miss something with your patient.
don't let other people's dissatisfaction get you down.

that's all from me. good luck, and welcome.

[jmgrn65]

Re: What are the huge "DO NOT EVER DO" things that new nurses need to know about? cal

Don't be afraid to ask questions and seek second opinions. The most exp. nurses do this.

[NurseyBaby'05]

Re: What are the huge "DO NOT EVER DO" things that new nurses need to know about? cal

Don't ever be bullied into something that you know is outside your scope of practice or you know will put your license on the line.

e.g. Witness a blank surgery consent. Our surgeons and residents try this all the time. They write orders to "witness consent" thinking we'll just do it because "a doctor ordered it." Sorry, buddy . . .not happening.

[Mommy TeleRN]

Re: What are the huge "DO NOT EVER DO" things that new nurses need to know about? cal

This is an interesting thread because I'm a new grad too. I won't be starting with my preceptor until June but I'll be doing training this month/hurst review etc.
One thing I DO know: NEVER push K+! If I learned NOTHING else in nursing school ..... dangit I know that!

[gitterbug]

Re: What are the huge "DO NOT EVER DO" things that new nurses need to know about? cal

Always check the ID of a patient prior to giving meds or treatment.
Always make sure to ID yourself to the patient.