Advice for the new nurse entering Med-Surg - page 2

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  westminster profile page
    1
    Thanks for alll the great info !!
    I am starting on a Med /Surgical ward on Monday having been out of Nursing for 10 years !!!
    I used to be a fairly competent nurse before that but now my skills are a bit rusty to say the least !!!
    I am having nightmares about giving injections, starting IVs etc and am hoping that "everything will eventually come back to me !!!"
    Have been given a 6 week orientation so hopefully won't be dropped in it straight away !!
    I loved nursing before and hope that I will get to love it again !



    Quote from RNPATL
    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 it is always available on the top of the forum for our newer nurses to see right from the start. Looking forward to seeing some of the great advice that our experienced nurses can lend to the newer nurses .....
    ldslees likes this.
  2. Visit  stnurse83 profile page
    0
    How is this position in a hospital? Do people get tired of it quick and what do they do on a normal day to day basis? I know you need a diploma or associates to work in this field. Thats all I Know about it.
  3. Visit  littlefeet profile page
    0
    I am in my last month of my final practicum. I always thought that I would start out on a med/surg ward to really learn everything I need to know. I have been offered a job in the ER as this is where my last rotation has been. I would like to ask veteran nurses if this is a good move or if I should turn this down and go work on a med/surg floor for a year or two first?
  4. Visit  meownsmile profile page
    0
    Heck no,, if you like ER, ,and they are willing to hire a new grad in go for it. I know quite a few people who went to the ER right out of school. ICU or PICU, OB and some others are a different story. They maybe should have some med/surg backround before.
  5. Visit  MZachry profile page
    1
    I plan on going into Med-Surg. I have read that this is like pre-op and post-op care, as well as other issues. Is this right?

    I was born with a cleft-lip & palate, and have had 18 surgeries. So, any area around pre-op/post-op is very interesting to me.

    For now, I am just going for my ADN, but plan on continuing on for my BSN after employment. So, eventually, I may want to be an OR nurse, or Nurse Anesthetist.

    Thank you for starting this Med-Surg area. I hope it will help me, not only to keep focused while in school, but also to have somewhere to go for support after employment!
    su9032 likes this.
  6. Visit  cbreezen482 profile page
    2
    something else that I didn't see mentioned (which doesn't mean it wasn't listed, but workin 7p-7a in the dark is takin a toll on my eyes! hehe) but...

    Don't be afraid to stand up for yourself...to your co-workers, Docs, etc. Everyone knows that there's always at least one of those "I'm-the-all-knowing-super-nurse-and-I-will-question-EVERYTHING-you-do!" more than likely working on your unit. Be confident in your abilities and don't take their crap! You didn't go through 2+ years of Nursing school to be talked down too!

    And as for Doc's......I've come to the conclusion that they really do appreciate us. They're just too dang hard headed to let us know that!
    anewsns and Melinurse like this.
  7. Visit  SarasotaRN2b profile page
    0
    Quote from mjlrn97
    4) The best way to encourage some patients to get up and pee is to wave a catheter under their nose and tell them: "If you don't 'go' within the next hour, I'm going to have to put this in".


    This one I loved!!!!
  8. Visit  luvin it profile page
    5
    I know that we all see the humor in the foley statement and I have heard it actually used by more than one nurse. I see it as a hostile threat and wonder if it is exactually "theraputic". In a way it's like (to me) saying to a child "if you do such & such I will do balh, blah, blah." Do you like when a pt or family says "if the Dr.s, hospital's, nurse's don't do what I want then I'll"....fill in any threat.

    I'm no angel, but, if we want fairness and respect then, that is what we need to exhibit to our pt.'s.
    Last edit by luvin it on Oct 31, '04
    Megora, thenursemandy, sweetgeorgia, and 2 others like this.
  9. Visit  nursing04 profile page
    0
    Hello everyone. I've read the posts on this section which are very helpful. I begin my very first nursing job this week on a medical surgical telemetry unit. I wanted to know if anyone can give me any specific advice in terms of orientation and for my first month. I will have a preceptor for about 2-3 months and will get tele certified. I'm excited and nervous. Thanks!
  10. Visit  Ginger1 profile page
    0
    Can anyone give me information on an RN job with Baptist on a Med Surg floor. I am a new graduate with less than 4 mos experience and would like to relocate to the Knoxville area from Germantown.
  11. Visit  RNPATL profile page
    0
    Quote from Ginger1
    Can anyone give me information on an RN job with Baptist on a Med Surg floor. I am a new graduate with less than 4 mos experience and would like to relocate to the Knoxville area from Germantown.
    You might want to post this question on the Tenn. Forum for a better response. Good luck.
  12. Visit  RNPATL profile page
    0
    Quote from nursing04
    Hello everyone. I've read the posts on this section which are very helpful. I begin my very first nursing job this week on a medical surgical telemetry unit. I wanted to know if anyone can give me any specific advice in terms of orientation and for my first month. I will have a preceptor for about 2-3 months and will get tele certified. I'm excited and nervous. Thanks!
    How is your orientation going? Please post a follow-up and let us know. Hope all has gone well for you as you start your work on a med-surg floor.
  13. Visit  VivaLasViejas profile page
    5
    Quote from luvin it
    I know that we all see the humor in the foley statement and I have heard it actually used by more than one nurse. I see it as a hostile threat and wonder if it is exactually "theraputic". In a way it's like (to me) saying to a child "if you do such & such I will do balh, blah, blah." Do you like when a pt or family says "if the Dr.s, hospital's, nurse's don't do what I want then I'll"....fill in any threat.

    I'm no angel, but, if we want fairness and respect then, that is what we need to exhibit to our pt.'s.
    Aw, come on, lighten up......this is a JOKE.

    However, in my experience as a patient, knowing I'd have to be catheterized if I couldn't void was a powerful motivator to get up and make it work. When I take out someone's Foley, I tell them we'll let them go for a few hours to see if they get the urge to void, and six to eight hours before we start worrying about them not voiding. Then, a little while later I'll get them up to the bedside commode or the toilet, then start the water running in the sink and do some guided imagery with them ("think 'water' thoughts", I tell them), and then give them some privacy. Nine times out of ten this works like magic.......it's only rarely that I can't help the pt. get the waterworks going.

    And if all else fails, informing them that I'll HAVE to cath 'em almost always gets the process going......the other day, I had a pt who hadn't voided since her Foley had been D/C'd five hours earlier, and she'd tried several times but couldn't produce more than a few dribbles at a time. She was getting pretty uncomfortable, and she'd already had to be straight-cathed once so I was figuring on doing it again, and I'd fetched a new catheter from the stockroom in preparation. But I did my usual thing first, and it was the imagery that finally got her going ("Imagine flushing a toilet, and out goes the water through your ureters, down, down into the bladder, and out") although she stated that it was the implied threat of another straight cath that finally made things start moving again.
    One Flew Over, newrngrad, nurseme3, and 2 others like this.

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