Well, we used to all troop into the hospital, meet and get an assignment. Some instructors would have us go to the hospital and get our assignments the night before. (We designated someone who lived nearby and they'd call us--we took her out to dinner after the whole ordeal was over.
Then you look over the charts and you write what you would do for that person, and keep refining it based on individual needs. Then of course, you give care. You might meet after a few hours on the floor and describe how well your plan of care is going, what changes you had to make and why, etc. I learned about some fascinating cases through others this way, and it ultimately helped me too.
Tips: Remember your 2-hour window-- one hour before as well as one hour after. Remember patient rights, and medication rights--and ask about anything you're not sure of.
If you have a drug to give, get in the habit of looking it up before you give it. Especially insulin, digoxin, dilantin, KCl, heparin, lovenox, vancomycin, gentamycin.
Know the drugs you need to get a pulse or a heart rate or a BP on in your sleep. And chart what you get. Confirm any "held" meds with your instructor. Know the drugs that you cannot give as a student (such as cardiac drips or IV pushes).
Then make sure you ask about facility policy. You'll probably be given some kind of facility orientation. For instance, our new facility policy is that we mix phenergan in 9 cc's of NS to give IV, but the drug book I looked in only said "at least 5 cc's."
You also need to know about your scope of practice as a student. For instance, docs were always trying to get us students to do IV pushes--and if we did, we could get immediately kicked outta school. Big
nono and we were drilled on it incessantly.
You'll do fine, I'm sure.... soon we'll see
:angel2: after your name....
(Gosh I'm chatty today :chuckle: --but I hope it helps. I guess I feel I have a more personal stake in this student thing, since my daughter will be returning to nursing school soon. :hatparty: )