1900-2000: Get detailed report on 1-2 patients by body system, verify orders in computer with off-going RN, bedside 2-person verification of all IVs and drips, make out my timeline for the night.
2000-2100: Assessments, vitals, I&O, meds, get my parents settled for the night (blankets, pillows, sleep accommodations as needed)
2200- Re-assess, meds , vitals, I&O- lights out / TV off for patients (usually), change out central line fluids
0000- re-assess, meds, vitals, I&O- bathe any intubated/ sedated patients, dressing changes on intubated patients prn
0200- Re-assess, meds, vitals, I&O- 30 minute break if possible, re-stock rooms/ isolation carts
0400- Re-assess, meds, vitals, I&O- AM lab draw, call MD with POC testing results, change out feeding bag set ups prn, morning xrays
0600- Re-assess, meds, vitals, I&O- finish up my charting and update care plans
, etc, empty trash and linens
0700- Welcome the day shift with open arms!Detailed report by body systems, verify orders in computer with on-coming RN, bedside 2-person verification of all IVs and drips
Lather, rinse, repeat!
Sometimes, with certain patients, the whole 'vitals/assess/I&O' is HOURLY. Those are some fun nights, esp. when both patients are hourly everything!