Advice for the new nurse entering Med-Surg - page 3

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  cjan profile page
    2
    I have spent my first year out of school in med-surg. I would not trade a minute of it. I love it...I have learned so much, and feel comfortable doing just about anything now. I would advice sucking in all the knowledge you can. Ask questions and for help. my teacher told us that med/surg is the HEART AND SOUL OF NURSING, she adviced us to do at least one year of it. I took her advice and am glad I have. Just go to work with a good attitude. Help others, and they will help you in return. Get organized..... I will probably stay a med-surg nurse forever.
    ScentelessApprentice and mitral like this.
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  3. Visit  nursing04 profile page
    1
    Quote from RNPATL
    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.
    Hi. My orientation is going well. I really like my floor and the ratio is 4-5 pts per nurse- I'm up to 4 and work w/ my preceptor and share the assignment- which is great. I like that I'm not getting thrown to the wolves. What is difficult is my preceptor has only been there for a year so there are things it seems she may not even know to teach me or show me, which is what I've discovered when she's off and I occassionally work w/ a difft nurse. But, other then that it's good. It's hard being new though- at times I feel like I just don't have enough knowledge to be able to answer my patient's questions or provide thorough and solid teaching- so that's hard. But, the pts are usually great- the interns are nice but sometimes it seems like they don't know what they are doing.. thx for asking and happy new year!
    JulieL likes this.
  4. Visit  DyeRN 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!

    Hi there

    I am a new nurse too.I'm very happy and excited but at the same time scared and worried about the time is gonna take to really feel comfortable and confident with my job.I will be working on a med surg/telemetry floor as well.I am terrified of making a mistake.When in school I rotated through hospitals that were all computarized.before giving your meds you would scan the patient id band and documentation was also in the computer.Now,I am in a place that everything is manual and that scares me a little.I am very surprised that a hospital like Baptist H. in Miami don't have this computer system already.I'll put 200% of myself tolear fast but still I know is gonna take a few mistakes in order to learn.Any advise for the tele new nurses?

    DyeRN
  5. Visit  RAD72 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!

    Congradulations to you.

    My advice would be to find yourself a good mentor that takes the time out for you. You will run across people that don't want to share information or assist you in your learning process. Don't get frustrated, it come's with the territory. Keep your books on hand at all times and refer to them when needed. Alway's ask questions, that's how you learn. Absorb everything you can; watch, listen and learn. Also, learn from your mistakes and others too. Finally, Keep on trucken and good luck to you.
  6. Visit  porterwoman profile page
    3
    Quote from barefootlady
    Remember nursing is not a fashion show
    Hm, I disagree..I think that c. diff poop color on my shoes really brings out the blue of my eyes...
    :chuckle

    thanks for all these awesome, helpful posts.
    rebecca
  7. Visit  crb613 profile page
    0
    I am not a nurse yet! but a student starting my 3rd semester in August. This will be my 1st med surg class & would love any tips or advice from the pros. I posted this in the student section & got a couple of tips but I would love to have advice from ya'll. Thank you in advance for your help.
  8. Visit  RNPATL profile page
    0
    Quote from crb613
    I am not a nurse yet! but a student starting my 3rd semester in August. This will be my 1st med surg class & would love any tips or advice from the pros. I posted this in the student section & got a couple of tips but I would love to have advice from ya'll. Thank you in advance for your help.
    What types of tips are you looking for? There are many med-surg nurses that frequent this forum and I am sure they can help. Just let us know what you are looking for.
  9. Visit  crb613 profile page
    0
    Quote from RNPATL
    What types of tips are you looking for? There are many med-surg nurses that frequent this forum and I am sure they can help. Just let us know what you are looking for.
    I'm not really sure myself. Maybe what I should focus on learning before my classes start, I know fluids & electrolytes are a biggie, & I really don't know what to expect in class or clinicals. I know this year's senior class lost about half the class the 1st, 8wks so I don't want to join them! I don't mean to be vague but any thing ya'll remember/or wish you had known when starting med surg would be great! Thank you so much.
  10. Visit  nursing04 profile page
    4
    Quote from crb613
    I'm not really sure myself. Maybe what I should focus on learning before my classes start, I know fluids & electrolytes are a biggie, & I really don't know what to expect in class or clinicals. I know this year's senior class lost about half the class the 1st, 8wks so I don't want to join them! I don't mean to be vague but any thing ya'll remember/or wish you had known when starting med surg would be great! Thank you so much.
    Welcome and congrats in deciding to enter the rewarding field of nursing. Here's some tips: 1. Know why the pt is taking each medicine, if you don't know feel free to ask the pt- they will teach you so much. 2. Practice doing history's!- we didn't do any admission assessments or history's in nursing school but now I do them all the time- it will help you learn to be thorough and obtain very impt info. on your pts and provide teaching along the way. 3. Look for opportunities to learn- ask the nurse to let you know if there's anything going on that you can help with or learn but also give them example's- "any foley's, trach care, even priming tubing" etc.. Experienced nurses forget that everything is new and and exciting and even doing an enema is good experience. 4. Ask questions- no question is dumb. 5. After moving pts, make sure to put the bed back down and bed rails up- I can't tell you how many times I have found bed rails down and pts way high up 6. Be prepared- if you go the hospital to prep the day before, go in and introduce yourself to the pt, and do a history- it's much easier then trying to read the MD's handwriting, and/or ask the nurse caring for them. Track the history/events since their admission. 7. Most importantly- try and have fun!! Nursing school is challenging and difficult, but, your impact on your pts is life-changing, they will tell you things and trust you in ways they wouldn't with their own family/friends. Best of luck
  11. Visit  crb613 profile page
    0
    Well thank you so much for taking time to give me those tips! In my 1st clinical we did not get our pt the day before & that made it really hard. I felt like I was spending all my time with paper work & not the pt. I asked my instructor if I could get my pt early & went to the hosp. the day before (on my own time). I cannot tell you how much this helped I knew the meds, dx, talked to the pt,the nurses & had my plan of care ready to go. I felt prepared as much as I could be for a student Thanks again
  12. Visit  RNinRubySlippers profile page
    0
    Hey everyone. I am on summer break between my 3rd and 4th year and have been given the opportunity to work as a Undergraduate Nurse in my local Hospital. I will be working on a acute medical unit/palliative ward and couldnt be more excited (and nervous). Can you give me some tips on how to be efficent and assertive when calling docs re: orders for meds ect. Just a bit of a dialogue would be great! I think that is what I am most nervous about, that and any skills that will come up I have not had the opportunity to do more than once (foley insertions on oth male and female pts!).
    Thanks all for your time and guidance, it is MUCH appreciated!
  13. Visit  nursing04 profile page
    5
    Quote from Bex_SRN
    Hey everyone. I am on summer break between my 3rd and 4th year and have been given the opportunity to work as a Undergraduate Nurse in my local Hospital. I will be working on a acute medical unit/palliative ward and couldnt be more excited (and nervous). Can you give me some tips on how to be efficent and assertive when calling docs re: orders for meds ect. Just a bit of a dialogue would be great! I think that is what I am most nervous about, that and any skills that will come up I have not had the opportunity to do more than once (foley insertions on oth male and female pts!).
    Thanks all for your time and guidance, it is MUCH appreciated!
    Calling docs as a new nurse was also one of those things I was fearful of. But, then I realized right away that they are interns and they are learning too. I found it amazing when they ask me which medicine to prescribe. It's very intimidating but also great that they respect our opinion. But, when calling the doc make sure you are calling the right person in the chain of command, also have pertinent info available. For example if you are calling b/c the pt has a fever, also have a full set of vital signs ready. If a pt is c/o nausea, ask the pt if anything imparticular worked before, then request this med- otherwise the MD may prescribe a med that the pt may not want. Also trust your instincts, if something doesn't feel right then go to a colleague or tell the doctor. Ex. on orientation, the MD ordered an antipsychotic med with pretty severe side effects and withdrawal symptoms if they stop it suddenly, the pt had not had a psych consult nor were they aware of this med- so I talked to my charge nurse about it then called the MD to ask why they were putting her on it- and he said that the renal MD had requested it and he wasn't sure why- well, that was sufficient so I told the MD that I wasn't going to give it and if he wants her to take it he needed to explain it to the pt and give it. Remember that your the pts advocate- they trust you. And, if you don't know why something is being done then you need to f/o why for your pts safety. Also, your ultimately responcible.
    As far as tasks- foley insertions- take another nurse with you. I am not good at female foley insertions- grab another nurse so they can hold the labia open while you insert- it's so much easier.
    Anymore questions let me know. Good luck!
  14. Visit  RNinRubySlippers profile page
    0
    Thanks so much for your responce NUrsing04! Much appreciated! I will let you know how things go my first week!

    Bexx


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