Quote from daytonite
you manage your time, never sit down, multi-task
and make every step you take up and down the hall count. i had large pockets in all my uniforms to hold all the junk in them so i didn't have to keep running up and down the halls to get stuff. get a great report sheet to help you organize all the information about the 5 patients so you remember all the things you have to do for them. it is not only about prioritizing, but organizing as well. this is the last report sheet ("brains") i used: report sheet.doc
that is great advice, and will help any newby. however (you knew that would come), where is the room for noting things the patient asks for, information you receive from patient/doctor/aux?
i was in the hospital this week for a gi bleed (npo, dehydrated), and asked 4 times (to 4 different nurses) for lip salve/ chapstick/ anything
to avoid cracking lips. on my last inpatient day, some great stuff came, and i already finished my ivs and was on clear liquids. also the clear liquid diet was so salty i could hardly take it, (did anyone notice there wasn't an order for losalt, clear fluids?) since i've been on a losalt diet for 20 years (did they ask?no!) i was told, "you have high bp!" several times. did i ever get the medication i'd been on for that, for 20 years? no! i came home with bulging les......and a bp of 180/80, a higher read than i've ever had! of course, i had been stressed from not getting my essential meds and vits (especially iron) while in the hospital........
thankfully the nurse did get an
ice bag for the humongous hematoma from one of the frequent h&h blood draws, though - i had to ask for it, but ladies and gentlemen, they do need to be refilled every now and then......
where has the polish remover gone? all those adhesive strips and ekg leads do leave their dirty leftovers (if all of them had been removed). i know i've seen them in individual packets, somewhere. why not have them in the rooms where patients with ivs and ekg leads (or their nurse wishing to give adequate care) will need them, to remove those dirty marks. comments about the o2 sats being unreliable due to my nail polish might have been avoided, had one nail had the polish removed.......
by the way, now that i've vented, i think you're on the right track staying at the hospital where you did your clinical. you know the best way to get there, where the oparking can be found, and all the little cubbies for supplies. in 6 months, if you can't stand it and have been hired elsewhere,
you can always leave. the patient:nurse ratios sound awfully good to me! one of the 2 year nurses who gave me care, said that her "new grad" orientation on nights was 2 weeks, and then she was assigned 10 patients to do herself!
hit the ground running, don't look back (unless you dropped someone), keep your ethics and rights in mind, and know it will get better! good luck, and may the sun shine on your back always.