Advice for the new nurse entering Med-Surg - page 18

Here is your chance to give some advice and counsel to new RN's and LPN's entering their first clinical job as a nurse. What advice would you give them? I am going to make this a sticky so that... Read More

  1. Visit  CPLove2013} profile page
    3
    Don't get so hung up on passing medications. I understand that some medications are time sensitive, but if the pharmacy profiles your sliding scale insulin for 1130 but lunch trays are late and don't show up until 1300 you insulin will just be late. Make a note reflecting that. I see too many of our new nurses and even nursing students so fixated on timing that they are unable to make adjustments when unexpected things happen. ASSESS your patients first thing! If you become so fixated on passing the meds that you haven't assessed your patient until after med pass, I guarantee you that's when something will change with your patient or the physician will ask you how their lungs sounded and you won't have a baseline. BE FLEXIBLE. Nothing in the nursing real world works quite the same as the nursing books taught you.

    And when you think the world is crumbling around you, take a deep breath. I promise your more than likely doing a better job then you think you are. And find an appropriate healthy method of stress relief outside of work. Reading, exercise etc.
    happyrn001, zzravizz, and big al lpn like this.
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  3. Visit  SusuMarieRN} profile page
    0
    Amen to that !!! lol!
  4. Visit  thenursemandy} profile page
    1
    Tips:
    1. Don't act like a know it all. Be confident, but humble to those with more experience.
    2. Don't be afraid to call Docs. They're a means to an end.
    3. If you don't know a procedure, look it up. Don't try to "wing it".
    4. Everybody have bad days, nurses included. However, when you do, remind yourself of 2 things:
    A. It could be worse. YOU could be admitted to the hospital!
    B. Your pt is the reason that you even have a job. Be thankful.
    5. Come up with a good "brain sheet" to keep yourself organized.
    zzravizz likes this.
  5. Visit  2bAngilRN} profile page
    1
    Quote from thenursemandy
    Tips:
    1. Don't act like a know it all. Be confident, but humble to those with more experience.
    2. Don't be afraid to call Docs. They're a means to an end.
    3. If you don't know a procedure, look it up. Don't try to "wing it".
    4. Everybody have bad days, nurses included. However, when you do, remind yourself of 2 things:
    A. It could be worse. YOU could be admitted to the hospital!
    B. Your pt is the reason that you even have a job. Be thankful.
    5. Come up with a good "brain sheet" to keep yourself organized.
    I keep reading throughout ALL NURSES about brain sheets. I need an example or examples of a good brain sheet.
    zzravizz likes this.
  6. Visit  thehumbleRN} profile page
    1
    Love the posts above. I'm only a few weeks in but here is a few:

    I have found that arriving early and preparing before getting started will help to reduce anxiety everytime.

    Take the opportunity to jump into do something as a 'first' as much as you can.

    Find someone to communicate with as a mentor.

    Start to go over policy and procedures a little at a time and keep reviewing meds a little at a time.

    Give yourself Grace and be patient with yourself as you learn. This is not an easy job.

    You can do this. Have Faith in yourself.
    zzravizz likes this.
  7. Visit  floatnurse29} profile page
    0
    These are very good tips.
  8. Visit  thehumbleRN} profile page
    1
    Thank you so much. It's been quite the uphill battle for me but I really do love nursing. This past week has been especially challenging.
    zzravizz likes this.
  9. Visit  zzravizz} profile page
    0
    Quote from JeskaRN2011
    I don't want to scare you but I'm in my 4th week of training on a Surgical floor and I couldn't imagine being on my own after just a few days! In school one of our teachers told us that if a job was not going to offer you sufficient training time then NOT to take the job, you're only setting yourself up for failure! Again I'm not trying to scare you and I wish you all the luck in the world! Just thought I would share!
    How are you doing now?


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