For the experienced nurses... - page 3

My question is for the experienced nurses out there! I am wondering if any of you can think back over the years and come up with just ONE thing that you know now that you wish you would have known when you first started out as a... Read More

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    My first nursing education was a university BSN program, so that wasn't an issue for me. I wish that we had learned more about the many options for nurses outside of traditional bedside nursing facilities-- hospitals, SNFs, etc.-- because although like pretty much all new nurses bedside was as far as I could see because that's about all they showed us, I might have though a bit more of the wide, wide, wider horizons out there. I have loved learning about the influence nurses have had in so many industries, governments, and nontraditional settings over the years, and I make a perfectly nice living as a nurse, using nursing experience and education, in settings decades removed from bedside care.

    I don't guess this will help you in your interview for a bedside job, but perhaps it will give you something to think about preparing for in the future.

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    Something I know now and wish I knew then...if you have a hypotensive patient, and the reason they are hypotensive is a GI bleed, do not lay them flat and especially don't put them in trendelenburg (to lessen the hypotension by increasing venous return/preload)...this isn't to help you stand out, but just to keep a patient alive for you sometime in the future...
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    Another thing I guess, employers don't care if you have "special knowledge" or know a couple bits of medical trivia, they want to know you are SAFE. You have a lot to learn upon entry into practice, and the person hiring you knows this. What they need to know is that you are going to be a safe nurse who understands the fundamentals of nursing.
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    Quote from mindyjo15
    My question is for the experienced nurses out there! I am wondering if any of you can think back over the years and come up with just ONE thing that you know now that you wish you would have known when you first started out as a nurse. I will be finished with school in May and then I will take boards shortly after. This field is becomming more and more competative and I would love to somehow "stand out" among the other nurses, without feeling like show off. Any advice?
    I would say to you, as a season nurse of 30 plus years, pace yourself. Get over one hurdle at a time. Concentrate on passing your boards, get that "Newbie" feeling out of the way. The first year or two is very trying, but stick with it! Be like a sponge and soak up all the experience, and teaching.Then, find your niche. Some like ER, ICU, PEDS, whatever,then when you look up, you'll be "there"!!!! Lastly, don't be afraid to hesistant to learn- from anyone! Good Luck!
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    To not be so hard on myself when I graduated as it really will take at least a year that you will finally stop asking yourself everyday if you made the right decision....AND....doctor bark and growl, but they don't actually bite.....the put their pants on like everybody does and their oop: does stink like every one else. That they huff and puff....but never really blow the house down.

    And ......good brain sheets.......here are a few.

    mtpmedsurg.doc
    1 patient float.doc‎
    5 pt. shift.doc‎
    finalgraduateshiftreport.doc‎
    horshiftsheet.doc‎
    report sheet.doc‎
    day sheet 2 doc.doc
    ICU report sheet.doc‎

    critical thinking flow sheet for nursing students
    student clinical report sheet for one patient

    I have made some for nursing students and some other an members (daytonite, RIP) have made these for others.....adapt them way you want. I hope they help

    ((HUGS)) good luck!
    Gold_SJ and uRNmyway like this.
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    It is okay, AllRight, and not unethical to call in sick when you are!
    Armaggheden does not start, blood does not flow in the streets, the mortality rate does not skyrocket, the hospital does not close it's doors.
    I went to work sick way too often because I thought surely the couldn't do without me.

    On the other hand, don't call in all the time, just because you want a day off, or you might have a headache, or yesterday's shift was just too hard....... be known as someone who shows up ready to work, pulls their own load, and doesn't call off with out a darn good reason.




    Not to mention, places that combine sick leave and vacation, well I had over 10 weeks leave saved, and am enjoying a 5 week overseas vacation, all while getting paid
    anotherone likes this.
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    Nursing is a 24 hr thing; do what you can and then pass along the rest of it. You are NOT indispensable, so take care of yourself: don't feel guilt for calling out sick when you are sick and don't let them make you feel guilty for not working extra or overtime. Remember to take your breaks and to pee periodically because you can't take care if others if you don't take care of yourself. Good Luck!
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    Thanks Esme12 for those brain sheets! I had my system back home, but never too late to try something new, and there's a few of those I definitely want to try!
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    Two things to remember:

    1. Don't nurse the machines - look at, listen to, and touch your patient.
    2. Talk to your patient, talk to your patient, talk to your patient.
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    You just need to believe in yourself... cause sometimes confidence is the key for competence... When I first started in the hospital it was like beginning from a scratch... But the thing that gives me the skills that I have honed is the confidence that I have... When you start to doubt yourself then you'll definitely end up committing mistakes, and if you do that will totally affect you. Not just yourself but to your charge nurse too as it will yield a negative impression... 1st impression lasts...


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