I am a new nurse on a med-surg floor. I am trying to figure out when to do assessments and chart them. I know this seems simple, but I am going to be honest without trying to be critical - most nurses I have followed do not assess. They do a simple assessment (talk to patient, touch skin, MAYBE check feet for edema) but they usually do not check lung sounds, heart sounds, skin, pulses, etc. So, when I go to do assessment I feel rather dumb. Plus, I feel like I am waking the patients up and that makes them dislike me upfront.
So, I understand that I am not going to do a complete head to toe assessment with neuro check, etc on every single patient every single day. . .however, I do have a flow sheet to chart and I am not going to chart something (breath soundes, heart sounds, skin) without directly observing it myself. So many nurses just look what the nurse the day before checked.
What do you do immediately after receiving report? Do you do all your assessments at once in the morning before giving meds? Do you do a total assessment on everyone?
All advice is gratefully taken - thank you so much.
New Nurse (just passed my NCLEX today