A message to new grads: NEVER.... - page 5
* un-spike the old IVF's with 100 mls left in the bag while it's still hanging * say the word "quiet" in reference to your hopes for the shift * say you've never had a patient ________ before... Read More
Jan 13, '05What a great thread!
And I dunno, but I figured marinated meant seasoned, been in it awhile, etc.
Jan 13, '05Never:
... assume that someone else is doing your work, even if you've delegated it to them... part of delegating is following up to make sure the task was done...
... give codeine IV piggyback... we've had several new grads attempt this in the last 6 months...
Codeine cannot be safely administered by an intravenous (IV) injection as it may result in pulmonary edema, facial swelling, dangerous release of histamines, and various cardiovascular effects
... skimp on documenting... it could come back to bite you in the butt!
... forget that your pt.'s and their families are watching EVERYTHING you do...
... forget why you first chose to go into nursing...
Jan 13, '05OK..I thought of another one...be careful when you get verbal results of a patient lab or xray report. Better to visualize the report yourself before you call a doctor. I did this once, called the doc in on the word of a previous shift nurse..and she was wrong. Of course I got blamed cuz I called him in. I learned a good lesson though.
Phoned radiologist reports I'm OK with but not much else...like to see other reports myself and verify them personally before sounding an alarm.
Jan 13, '05" I simply say "good shift to you!".
What a great thing to say! I like that.
NEVER feel stupid for consulting the or Lippincott's to "refresh" your memory on something!
NEVER say "I'll be right back" if you even suspect it'll be 10-15 mins or more!
NEVER report to noc shift with only 3-4 hours' sleep under your belt.
Jan 14, '05THANK YOU to everyone for taking the time to share these great tips/advice/encouragements.
Spec, graduated Dec 04' taking nclex in 2 weeks!!!!!
Jan 14, '05HAHA I graduate in may....and in my clinical last semester I hung an IV for the first time...we I spiked it with a secondary line so I needed to redo it with a primary line...and I took the 2ndary out and it spilled all over...I was mortified and everyone thought it was funny...but how was I supposed to no lol now that I think about it it was kinda funny but I wish I Would have read this frist.
Quote from Ae O'Plasty, RN* un-spike the old IVF's with 100 mls left in the bag while it's still hanging
* say the word "quiet" in reference to your hopes for the shift
* say you've never had a patient ________ before
* take your stethoscope off till you're in your car and on the way home
* plan on going to that inservice/staff meeting/whatever during your shift
Experienced nurses, share your wisdom. What are some other things that new grads should NEVER do?
Jan 14, '05Again I learned this the hard was too...I also learned from that experience not to talk while doing the care lol I got a mouth full and to top it off the patient had MRSA EWWWWWWWWWWWWWWWWWWWW
Quote from begalliNever try to force a flush using a 60 ml syringe through a NG/feeding/G/J tube stopcock. If it won't flush easily, repeatedly and gently pull back and push forward or you will end up with whatever you're flushing the tube with all over your face, neck, upper chest and arms. (I learned this the hard way early on.)
Jan 14, '05A seasoned nurse...just thought I would change it up
Quote from fotografeWhat is a marinated nurse?
Jan 14, '05I'm amazed that doc took that comment without asking a few questions himself. When she said that the patient had shown signs of increased intracranial pressure all night long, my next question would be, "What did you do about it or whom did you call?" Sounds like negligent care to me. That nurse should have been watching for a widening pulse pressure and several other things. The opportunity to intervene was just passed by, from the information given in your description.Quote from crazyearringsNever dismiss a parent who says their child is not acting right.
Always trust the opinion of a parent (unless you can prove it wrong), especially for a chronic patient.
Along the same line, never let a physician/charge nurse dismiss your gut feeling that something is not right. As a float nurse, I once had a pt with a head injury in PICU. All night long, I went to my charge nurse and an experienced PI nurse, telling them the child was very agitated, trying to pull out lines, vomited, etc. What can I do? They told me it was normal for a head patient. To make a long story short, the kid coded at 6:30 am, and the charge nurse made a comment to the doctor that he had been showing signs of increased intracranial pressure all night long. The kid had herniated and died within the next 24 hrs. I still wonder if things would have been different if that charge nurse had recognized the increased ICP when I kept asking her what to do about the agitation. We could have gotten a CT scan, called a neurosurgeon, done something! Hindsight is always better than current sight.
Jan 14, '05i agree with you. new nurses need to know that the workplace is just that, the workplace. you are there to be part of a team, but you are definitely there to do the job they hired you to do. this could entail helping out a cna from time to time if and only if you have the time to do so. if you go into a new situation with the attitude that you want to make friends with everyone, you might just end up a doormat. remember, harmony at any cost is just not worth it and it an harm a patient. sometimes doing your job may mean that you are not available for a laundry list of favors. so what? you're there to do services for a client that are very different from cleaning them and their rooms. and believe me, when your performance comes up lacking because you've paid too much attention to seeing that the cna's don't have a problem with you.......alone you will be and the fact that you were trying to "help everybody" will just sound stupid/weak to administrators. and it would be. that's why they hired the cna's in the first place; there was a job for them to do and it was not feasible for the nurses to do both jobs. think about it from that perspective. gives you (and me) pause, huh?Quote from bonemarrowrnwhile i don't disagree with these, i urge you do them with caution. i don't mean to sound disgruntled (but i am :chuckle ). don't let them take advantage of you! they will sit there and watch you change every wet/soiled pt. if you let them. they are also well aware of the fact that you are 'new', and want to do everything you can to help your patients. many nurses told me this as a new nurse. depending on where you work, you need to make a choice- either be their friend, or keep it professional (so they will do their job). it is very hard, once you've established that 'friendly' relationship, to change that.
please remember this: you can do the cna's job (and the unit sec as well), but they cannot do your job!!! i'm just a little sick of hunting them down, and doing everything for my patients, while they sit on the phone.
Jan 14, '05I dunno, but sounds like it could be fun.Quote from fotografeWhat is a marinated nurse?
Jan 21, '05Quote from sharannJust as a small addition to this, I have tried to get into the habit of making sure I have a spare pair of gloves in my pocket at all times. It saves having to run off and get a pair at the most inconvenient time. :imbarWhen a patient says "I feels something wet under my back/legs..." Put on gloves BEFORE you peek under the covers. I promise you won't be sorry you took the time!
Jan 21, '05ALWAYS make sure the IV is indeed still in the site before hanging the next bag of IVFs! :stone