Advice For The New Nurse Entering Med-Surg - page 8

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. by   EmerNurse
    I started out in med-surg as a new grad LPN, then RN and I am so glad I did - I truly did learn a lot.

    About the eating our young thing... you know I think there are two things going on: 1) older "new" nurses, meaning those who're not new grads but have been at it maybe a year, may still be insecure in their own skills and therefore either try to feel more intelligent by pointing out newbie mistakes and 2) true experienced nurses who can forget what it's like not to know because so much is just automatic for them.

    While I've met a couple of real "winners" in my time, for the most part, every nurse I've met has had at least one or two good qualities I can focus on. Learning not to take folks personally is a tough thing for a new nurse, while you're so insecure about every move you make. Just remember that someone cannot insult you if they do not KNOW you. They're just talking.

    I liked the poster above's response in asking a supposedly dumb question. Wide-eyed sweetness is useful in getting the info you want, regardless of the reaction the nurse gives you. As long as you get the correct info, who cares what she thinks of having to provide it lol.

    Only thing I'd say (and it's been said before), if you ask a question and get an answer, don't ask the same question again in the morning. Make yourself a cheat sheet for stuff you need to remember (like those insulin times). In time you'll need the cheat sheet less and less because things will start to become automatic... you'll know them. That just takes time.

    And for things you need to know often, print them out very small on file labels and stick them to the back of your ID stuff. The hospital always gives you 50 stupid cards to hang on your ID (magnet goals, mission statement, whatever). Only decent use I've ever found for all those extra cards LOL.

    Things really do settle down. Honest. Every best wish for you - I HATE to see new grads so discouraged and I honestly believe that we all need to to snuggle them up and teach them and support them. Who's gonna take care of US when we're finally done?
  2. by   ohiorn_78
    Don't sweat the small stuff.

    If you have to go into the bathroom to cry, don't be ashamed--we've all done it.

    Don't let the docs or older nurses intimidate you.

    Make sure you always pee or make time to eat.

    Take care of yourself, not just your patients.

    Get plenty of sleep, no one likes a grouchy nurse!!

    There are no stupid questions--it's better to ask then to just do something you're not sure about.
  3. by   chocolatepoppy
    Yay!!! I'm not a new RN,but am contemplating accepting a position in a Med/Surg. Ward of a very large hospital. These things you listed were just dandy and worth reading,and helpful in reminding myself of!!
  4. by   Holly83
    thank you so mush for all the helpful advice. i start my preceptorship tomorrow night at 2115-0745. i am trying to stay up extra late to hopefully sleep all day tomorrow. i am a bit nervous, but i will try to keep all the helpful advice in my head. :mortarboard: [font="fixedsys"]
  5. by   maximaxi
    I just graduated in May & recently started my first job as a RN.This advice really helps.Thanks. :smilecoffeecup:
  6. by   Elle.p.enn
    I love this thread! :spin:

    Especially the asking questions, and not taking things personally part.

    Any advice on how to talk to doctors?

    I'm really having a hard time with this, I'm scared of them! :uhoh21:

    Thanks for the advice!
  7. by   augigi
    What are you scared of? Just remember you are all on the same team, and there is nothing wrong with saying "I don't know, but I'll go find out for you" if that happens.
  8. by   Daytonite
    elle.p.enn. . .i've listed a link to a old thread about calling doctors. one of the posters talked about the sbar technique. sbar is an acronym for situation background assessment recommendation. you can buy the program (it's a product that is proprietarily owned), but someone very nicely posted the whole idea of it on the thread. - the sbar technique is on post #43. i think you might find it very helpful in preparing to make a call to a doctor

    also, i couldn't find an attachment of my report sheet ("brains") in this thread, so i'll put it here as well. feel free to download and use it. it was created on word using table commands if anyone wants to make any amendments to it.
    Attachment 5032 my report sheet ("brains")
  9. by   DoniaRN
    i am a new rn at my 6mth mark..i have started to pick up day shifts and its going well and helping me much with my organization and talking with dr's. my normal shift is 7p-7a. the 12's are nice but i like the pace better on days. thanks for this site
  10. by   Elle.p.enn
    Thanks for the advice!
  11. by   kito4149
    I am a newbie!! I just passed the NCLEX-PN!!! My question is, "How do you deal with "lazy" co-workers who sit around, do nothing, and talk about other co-workers?"
  12. by   Daytonite
    Quote from kito4149
    I am a newbie!! I just passed the NCLEX-PN!!! My question is, "How do you deal with "lazy" co-workers who sit around, do nothing, and talk about other co-workers?"
    There's not a whole lot that you as a newbie can do. Walk away and don't participate in the gossip. If you need help you'll just have to ask for it if these people aren't in the mood to offer any. My advice is to think about going back to school to get higher education so you can get into a management position where you can do something effectively about people like this. When I was a manager I stopped any gossip I heard immediately. I made it very clear to the nurses working on the unit I managed that I didn't like nor would I tolerate it. Right now you really don't have any authority to do anything like that with them. As long as they aren't picking on you or their behavior isn't adversely affecting patient care, all you can do is just go about your business and comport yourself the way you know is appropriate.

    Congratulations on passing your NCLEX-PN!
  13. by   DoniaRN
    congrats on passing you pn!!!