I agree with everything Nurset1981 said- those are great ideas. A good report sheet can save ALOT of time and mental stress. I always check for odd timed meds a the beginning of the shift- I would write a little 1p or 2p by there name- some nurses flag the MAR. Then when I get done with my initial pass, I go thru the TAR and write the treatments on the back of my report sheet. That way when I go in to do the treatment, I don't have to lug the whole TAR in and flip through the pages- especially in LTC because so many of them will have Dc'd orders and wind up with alot of pages you must go through. I worked agency right out of nursing school
and I learned alot just because I had NO orientation. Even though pre-pouring is frowed upon, I have done it if I have had a really hectic day and am running behind. I just write the room no. or the residents last name inside the paper souffle cup. Unlike Nurset1981, I work 7a-7p so I do have 2 major med passes that are both in the middle of the already crazy day. If a resident is declining when you get report make sure to know their code status- one less worry if they do stop breathing. Also if Ms.X ONLY gets a MVI and an aspirin, make sure they have them to be given together - why have to chase someone down at 9a when they can take both at 5p.
Most of all- STOCK YOUR MED CART WELL! This will save your poor feet a few extra miles throughout the day- and don't forget the insulin needles and tube feeding. Just my
If you want you can PM for more help- I have a ton of little tricks that may help you. Best of luck and remember to pee- I can't tell you how many days at 2 or 3pm, I realize I have not went to the bathroom all day.