How do experienced nurses do it to memorize everything? - page 3
Tomorrow is my third day of orientation and I want to show them I can be a great nurse even though I am very new. How do you experienced nurses remember at what time all patients were sitting, out of bed, and all information... Read More
- 0Feb 27, '13 by Paul'in'FLQuote from NursingBroOrtho floor, I gather!I am learning so much on allnurses.com
Can anyone fill this up with dummy info? I want to see what type of information experienced nurses would put.
MD: Dr. Smith
Dx: s/p open ex-lap
Wgt: 10. k
Accu Check: no
Lab: CBC q qm
Activity: oob w assist
Weight Bearing full:
Precautions: confused after MN
Thigh & Calf: ?
Bowel:Bladder: LBM yesterday, small formed
voiding qs, offer urinal at nite r/t confusion
- 0Feb 27, '13 by Do-over, ASN, RNI take report on the census sheet listing my assignment - it already has name, DOB, MD, Dx and consults. I have a system for what info goes where in each section - diet, activity, code status, labs (abnormals only), assessment, etc.
At the bottom (if there is at least an inch of blank space) I make 4 sections (or a however many patients I have, usu not more than 5)and label one with each bed. Here I note med and BS times, and can scratch charting reminders if I don't chart something in real time. I am trying VERY HARD to chart in real time - it slows me down in the morning, but I am always glad I did it by lunch time.
My most important tool is my highlighter - I highlight things from report that I need to do or address during my shift (abnormal lab follow up, new IV, coumadin order, dressing change, which MD I need to chase down for another MD because-apparently-they-can't-call-each-other, etc)
- 0It's about experience. In due time, a lot of it will become like second nature to you. There is NO rushing it. There is only learning well, one step at a time. What I liked was looking for information related to the kinds of patients I had had during a particular week. And this was in the days before Internet. I was in the hospital or university library learning what I could. I also had some good mentors. But there is just no replacement for experience + continued learning/(over) time. Rushing it is harmful. Start with the basics in terms of assessment and safety and the nursing process. It will come in time.
- 0Mar 1, '13 by StudentNurse2011I depend on my brain sheet too, but it helps to only concentrate on the abnormals. If a pt has a CBC and CMP, I don't waste brain cells worrying about a WNL CBC when I have a K+ of 2.9. The exception to this is lab values or VS that I need to know before medicating a pt. If I'm giving a pt dig or cardiac drugs, I make a mental note of their pulse and/or BP. If the pt gets warfarin, I make a mental note of their INR. I don't consciously remember or ignore any facts; my brain just seems to automatically weed out the information I don't need.
It comes with practice. Don't sweat it; at first, just write down everything you think you'll need to remember. In time, you'll find that you remembered without looking at your brain. When I first started as an RN, I was amazed at how much information everybody could remember. My head spun even when writing everything down. Now it's just second nature. You'll get there too.
- 0Mar 1, '13 by Lo2128once you get report from the prior nurse and go ahead and make your rounds and put a face to a name you will remember whats going on with that pt. just do what has been posted prior. like on my report sheet that I took from the other nurse I will write silly little reminders about what happened that day and what tests were done and vitals and so forth. majors I always write down because then at the end of the shift its easier to write my nurses note or pass on all necessary info to the nurse. You will get the hang of it. We all do. And when your getting report ask questions ?!!?!? It will help you.