I know this is going to vary from shift to shift, facility to facility, and based on patient ratios, but I'm wondering how everyone organizes their shift?
I have been an RN for about a year. We have patient ratios of 4-6. I work rotating shifts.
I like get report and like to get on the floor within half an hour of my shift beginning. That means on a day shift, by 7:30am I am going to try and see my first patient. However, a lot of the time I will see other RN's still on the computers while I am going from room to room. I wonder if they are spending more time reading the patient's chart to learn about them.
Then, from 7:30am-9:00am/9:30am, I collect a patient's medications, visit their room to introduce myself, check or note their vitals (if the nursing assistant has already recorded them), do my initial assessment, given medications, and assess for pain/nausea medication needs. I will turn total care patients. I will talk about the plan for the day, answer questions, and make sure they have sometime ordered for breakfast. I will also address any immediate concerns or make pages to doctors.
After my first round, I will try to make a second round from 9:30-11:30am, give medications, reassess pain, do my charting, walk patients, turn patients, change dressings, and address needs.
Try to break from 11:30am-Noon (rarely happens).
Then from Noon-1pm, complete any additional charting, help with any second walks, give lunchtime medications/insulin, note vitals, turn patients.
1pm-3:30pm: Finish any afternoon medications, address any lingering concerns, turn total care patients. Walk anybody who needs it.