1. Look up the labs yourself or else you will be (eventually) royally screwed if you go by what you were told in report.
2. Don't bother coming in early to "get a jump on things" because more than half your admits come at the end of shift and you won't get out on time anyway.
3. Make sure you have the following items in front of your face when calling the MD; VS, latest labs, any allergies, pts complete history, family phone numbers, all meds they are currently taking or took at home or took at some time during hospitalization but were d/c, know all consults and be able to read all forms of chickenscratch written by consulting MD's.
4. Stand UP for yourself if you are "mobbed" by the more experienced nurse, you MUST be assertive. Do NOT let it go....it will then only get worse.
5. It's not just you....everyone has 13 or more preceptors when on orientation. Do NOT agree to have your orientation curt-tailed because "you are doing wonderfully, you're ready to fly alone...we're short tonight anyway."
6. If your pt is crashing and the resident won't come....call the attending at home. The resident will leave skid marks on the floor next time you call with a crashing pt. PS: The attending has thanked me in both cases I called her/him at home so I'm speaking from experience...don't be afraid.
7. Wash your hands religiously
8. Try to treat pts like they are your Mom or Dad.
9. Don't judge pts, you are not God, you are there to take care of them, give information and support.
10. Never stop learning. There's always something new coming down the pipe.
11. CNA's who do their jobs are worth their weights in gold, diamonds, whatever jewell you can think of. Treat them well. Say "Thanks for your help" buy pizza for dinner, do your own FS, VS, or taking pts to the BR when it's a crazy night with only 1 CNA.
Ooops! I'm past 10!