What I learned in clincals

  1. 11
    Some of this may seem common sense, but I learned the hard way

    1. Anytime your patient has any vital sign outside of the norm immediately
    relay this information to the primary nurse. If you can't find her. Call her phone.

    2. Don't ever touch a pill. Find a way to split w/o touching. Your instructor
    may be different, but we weren't to touch even while wearing gloves.

    3. Know your meds. Make sure to look them up, know how they work and if
    it will affect the patient's blood pressure you better have that value handy when
    getting ready to give it.

    4. Put on those gloves. Do touch anything w/o those gloves on. One in our group
    grabbed the urinal w/o them and got a U.

    5. Make sure you are aware of the indicator for contact precautions. At our facility it was on the door. A girl in our grp walked in the doorway to take shift change report and got a U. Do not take your stethoscope or paperwork in the room. We would put ours in the breakroom.

    6. When you go for orientation on the unit. Get a map or make your own. Very important
    where the soiled utility, clean utility, linens, etc. are located. My instructor would give NI's for not knowing the unit.

    7. If your patient has a mastectomy or shunt. Do not take Blood Pressure reading on that side. There will usually be signs on the door or above the patient's bed. Make sure to look.

    8. When changing bed linens make sure you have a trash or laundry bag in room to put the dirty linens in. Don't put on floor, Don't hold near body.

    9. Saline flushes should be disposed of in the biohazard receptacle. You can squirt any remaining fluid since the hosp does get charged by the pound. I was told that housekeeping may mistake them as needles.

    10. Get help with bathing total care patients. Don't try to do it alone.

    11. Do not hang anything attached to the patient to a side rail. Hang it on the framing of the bed. (Foley Cath)

    12. When transporting a patient in a wheelchair, always back into door ways elevators as to not knock the patients feet or legs.

    Right now I can't think of anything else. But would love to hear anything that you learned in clinical or that you heard someone getting a bad mark for doing.

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  2. 26 Comments...

  3. 1
    Good advice!
    HappyWife77 likes this.
  4. 6
    WASH YOUR HANDS!!!!! When you go in a room, when you leave a room, or even if you just pass a sink. Keep those hands clean!
    Baubo516, cardiacfreak, HappyWife77, and 3 others like this.
  5. 7
    Always ALWAYS get report before doing EVEN the smallest thing (taking a bp etc.)

    Always report to the RN before you go off to lunch. Report to the RN the patients condition: cardioresp status.

    Before your ER rotation take 5 minutes to learn snow over grass, smoke over fire, and middle earth. You might be the one asked to place the pt on Tele during an emergency! LOL. Yeap that was me. I'll never forget.

    Before you freak out at an O2 sat of 40% ... check the placement and make sure its taped correctly on their finger. OBSERVE YOUR PATIENT.
    Patient assessment before monitors.

    This goes in hand with the above statement. Don't freak out because you see VTACH ... check the patient. LOL. Are they being moved around? Eating lunch? haha..

    Label your syringes. This is so important and thankfully I didn't make a mistake but my nurse told me of something she witnessed... so ALWAYS LABEL... You "think" you'll remember which med was in what syringe but ... just label!

    Part of an assessment (especially if you're new to a unit) is knowing where the crash cart is and where the SUCTION is. Know your patients desires (DNR/full code).

    You know those bulky clipboards we all carry as first years... leave them in the breakroom and carry a piece of paper with you. Those clipboards are security blankets. Let them go.
    Baubo516, HappyWife77, martinalpn, and 4 others like this.
  6. 5
    - Never question the floor nurse if you think she's ''doing a skill wrong'' - you can politely ask about their technique. Many times I ask if there's a ''real world'' way of doing a skill.
    Baubo516, ldwrn, TriciaJ, and 2 others like this.
  7. 0
    Wow ! I really appreciate this list! I have just enrolled into an ABSN program and I am hoping this helps me out when I enter clinicals! Thanks!
  8. 1
    Quote from blackvans1234
    - Never question the floor nurse if you think she's ''doing a skill wrong'' - you can politely ask about their technique. Many times I ask if there's a ''real world'' way of doing a skill.
    There are many ways to skin a cat, and you might learn something new and interesting that you can use later (even if you can't use it while you are in clinicals and thus required to do it their way).
    martinalpn likes this.
  9. 0
    Great tips! Thank you!
  10. 0
    Very good easy to follow advice.

    Sent from my iPhone using allnurses.com
  11. 3
    If you find yourself bored, ask if there is someone, anyone you can help with anything.
    Baubo516, martinalpn, and TriciaJ like this.

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