Can you describe your 12hr 7a-7p shift?what goes on and tips

  1. 0
    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.
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  3. 23 Comments so far...

  4. 4
    I don't mean to scare you , but....

    Hopefully you will receive a quick and thorough report. Ask questions after each patient to clarify any thoughts/questions you might have.
    Eyeball your peeps , look at your vital signs and labs and start the AM med pass... ASAP.
    Unless you have the luxury of a 1:4 ratio... FORGET a head to toe assessment. Concentrate on the system(s) that is the reason for admission. While briefly assessing the rest.
    For here on out.. time management and organization are OUT THE WINDOW. You will be running around, putting out the biggest fires.
    Don't forget to smile the entire time. It's now a job requirement.
    Keep up with your meds and IV's at all costs.Delegate to your assistant . If you get flack in any way, start writing them up.

    Good luck, let us know how it goes.

    Please fellow posters... don't even go there with MY advice.. this is how I have successfully made it for 30 years, and considered an excellent nurse.
    on eagles wings, mitral, anotherone, and 1 other like this.
  5. 0
    Can you give us an idea on ratio, whom is on your team? LPN, CNA?

    What I have done that works for me:

    Get my cheat sheet ready with my pt's names

    Obtain report from Nocs.
    As I'm getting my report, I'm mentally going through my pt's acuity and making a mental list on whom I'm going to see first and second, etc..
    Some nurses see the sickest first, others the easiest. See what works for you.

    Once of report, check your med times and labs if back.

    Go round on your pts and do your assessments. Put out fires as needed.

    Pass meds within the next hour prior. Remember, you have an hour before and after.

    Always put in the back of your mind that you could get an admit at any time. I think 'working' ahead in your mind helps you become organized and stay that way.

    Yes, your prev job can and will help you in your new position.

    Congrats and welcome to Med/Surg. I hope you find it as interesting as many of us long time med/surg nurses do.
  6. 0
    thank you so much for your time and response..appreciate it!
  7. 0
    thank you tokmom for your time and reponse.... and for your encouragement. God bless.
  8. 2
    why in the world would a person check their sickest patients LAST?
  9. 1
    why would you want to check your sickest pt last? you need to see them FIRST
    liveyourlife747 likes this.
  10. 3
    prolly bec you know you'll get stuck with them for a while and might not get a chance to see how the others are doing / baseline upon coming to your shift..im not sure but i guess it depends how sick they are, are they in distress or not, that's the question.
    anotherone, Hay, RN, and tokmom like this.
  11. 0
    Quote from lvloverRN
    prolly bec you know you'll get stuck with them for a while and might not get a chance to see how the others are doing / baseline upon coming to your shift..im not sure but i guess it depends how sick they are, are they in distress or not, that's the question.
    When my husband was admitted to a med/surg unit with acute renal failure and sepsis, I certainly hoped he was high on his nurse's (and doctor's) prioritization of patients to see. I would have been very unhappy if I had thought his nurse had given him a lower priority because he was very sick. He needed fluid boluses and antibiotics, and he needed them quickly. People die from septic shock and renal failure. The point I'm making, and that I think the above poster is making, is that acutely ill patients need prompt care and should be a nurse's first priority. The nurse needs to prioritize on the basis of the patient's needs: Who is the sickest, most unstable patient right now, what is going on with them, and what medications/IV fluids or other care does the patient need now to prevent further deterioration.
  12. 2
    Quote from lvloverRN
    prolly bec you know you'll get stuck with them for a while and might not get a chance to see how the others are doing / baseline upon coming to your shift..im not sure but i guess it depends how sick they are, are they in distress or not, that's the question.
    I don't mean pts that are ready to code or even an RRT. I mean those with a zillion tubes, higher acuity, max assist etc..Some nurses see the lesser acuity first to get them out of the way so they can spend time with the higher acuity.
    PediLove2147 and anotherone like this.


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