hi, ill be starting in august in a med/surg floor, can you describe what goes on,
what you usually do once you punch in, and describe your daily tasks, and
time management, and organization skills until you leave at 7pm? I have about 10mos of experience under my belt, i am currently
working at a sub-acute unit/rehab floor at one of the long term care facilities
in nj. also, do you think my experience working there will somehow be helpful?
thank you very much!! any tips, suggestions and advice will be greatly appreciated.
Jul 13, '12
by tokmom, BSN, RN
Quote from suziqiluv
why would you want to check your sickest pt last? you need to see them FIRST
OMG people, read the post above!
I'm NOT talking about ignoring the circling the drain pt that and seeing a simple post op etc..
I'm not going to repeat myself.
For the OP. I have done it both ways and it depends on my acuity/load, what I do first. And for the record with over 20 yrs of nursing and certified in Med/Surg, I have never coded any of my pts or been surprised by a down turn. I must be doing something right.
The only times I have almost ran to a room to see a pt is when some dumb nurse tells me in report the pt's KCL is 7.5 and she could not figure out why the pt is 'sleepy'. Or the nurse who told me a pt's tele was showing something that looked liked gravestones. Now those situations I can tell everyone that I did of course, see those pts first. I also called an RRT and took care of that pt before seeing the lesser acuities.
This is why you have to use your brain in report to weed through the fluff they give you and prioritized who to see first. If all your pt's appear super stable, go see the lesser acuity if granny is going to take a bulk of your time.
Last edit by tokmom on Jul 13, '12