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Bugaloo 9,564 Views

Joined Jun 30, '07. Posts: 172 (58% Liked) Likes: 750

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  • Apr 21

    What are the advantages of being a Med-Surg nurse?

    Med-Surg nurses develop a broad knowledge base of many different medical diseases and conditions. They are able to execute excellent patient teaching based on this knowledge. They are often highly skilled in assessing small changes in a patient's condition that can prevent more serious problems from developing.

    What are the disadvantages of being a Med-Surg nurse?

    The Med-Surg floor is sometimes insanely busy. The floor is often short-staffed and the turn-over rate is high. Long hours, high acuity patients and hospital politics can lead to burn out if you do not pace yourself.


    What qualities should a Med-Surg nurse have?

    The ability to leap tall buildings in a single bound!!! OOPS, Sorry! That is SuperNurse, 'er...umm...Superman. Seriously though, the most important quality a Med-Surg nurse should have is a sense of humor. You will face things that will be much easier to stomach if you can laugh about it. Secondly, a sense of confidence can put your patients at ease and let them feel as if they are in excellent hands (which they are, of course!). The ability to prioritize and manage your time wisely is also important. Remaining professional and courteous even in times of high stress is a must for any nurse, but especially in Med-Surg.


    What types of patients are admitted to Med-Surg units?

    Your patient load can vary from simple 23-hour observations to chronic (frequent flyer) patients with multiple medical issues. Common medical conditions that patients are admitted with are the following:

    • CHF
    • COPD
    • Diabetes
    • Pneumonia
    • UTI
    • Pancreatitis
    • Mental status changes
    • Abdominal pain
    • Fever
    • CVA/TIA
    • Cellulitis
    • Falls/Fractures
    • Drug overdose
    • Alcohol Withdrawal
    • Chest pain
    • MVA's
    • Cancer

    What essential supplies should a Med-Surg nurse have in her pocket at all times?

    • Black ink pens
    • Something to write on
    • Scissors
    • Tape
    • Pen light
    • Chapstick
    • Alcohol wipes
    • A lucky charm

    How can a Med-Surg nurse stay focused and organized throughout their shift?

    I find that the acronym ADPIE helps me stay on top of everything I need to do.
    • A: Assess my patients
    • D: Determine what I need to do for each patient to keep them safe, comfortable and content while they are in my care.
    • P: Plan HOW I will do this for each patient.
    • I: Implement my plan for each patient, and share with each patient what the plan will be.
    • E: Evaluate that plan periodically throughout the shift.

    A lot of times, things will not go according to plan, but at least if I am dealing with a critical issue with one patient that takes a lot of time, I know that I can get back on track quickly with the rest of them when the crisis is over.

    What are the signs of burnout in a Med-Surg nurse?

    Burnout is always a risk when you are dealing with both acute and chronically ill patients. Recognizing the signs of burnout are very important. If you start to experience any of these symptoms, deal with them right away by scheduling vacation time, avoiding overtime shifts and getting adequate rest.
    • An overwhelming sense of anxiety
    • Uncharacteristic negativity
    • Nausea, diarrhea and stomach cramps
    • Exhaustion and fatigue
    • Lack of motivation and focus
    • Being short-tempered
    • Being sarcastic and critical
    • Having trouble sleeping
    • Dreading coming back to work on your days off
    • Obsessing over work even on your days off
    • Frequent headaches
    • Body aches and pains from tension

    How can Med-Surg nurses avoid burnout?

    First and foremost, leave work at work. Try not to worry about patients when you are not at work. On your days off, schedule "me" time, if at all possible. Play with your kids, spend time with your family, pursue a hobby, get a massage. By nature, nurses are passionate people. Nursing is physically, mentally and emotionally draining. The days we spend away from our job should be spent fulfilling our needs and the needs of those we love. We must reserve some of our passion for something besides caring for the needs of our patients. Once you do that, it becomes easier to find a work/home balance that works for you.

  • Feb 13

    "You want to leave AMA because I won't give your pain medicine 2 hours early? Be my guest."

    "You don't know why your blood sugar is 495? Could it have anything to do with the donuts that your family brought in for you to eat because we were starving you on a 1800 cal diet?"

    "If you push that call light one more time for something stupid, it is going where the sun does not shine."

    "I certainly believe you when you say that you do not use illicit drugs, but your urine drug screen states otherwise."

    "No, I will not hold your penis for you to urinate. Neither one of your hands are broken, nor have you had a stroke."

  • Dec 19 '15

    "You want to leave AMA because I won't give your pain medicine 2 hours early? Be my guest."

    "You don't know why your blood sugar is 495? Could it have anything to do with the donuts that your family brought in for you to eat because we were starving you on a 1800 cal diet?"

    "If you push that call light one more time for something stupid, it is going where the sun does not shine."

    "I certainly believe you when you say that you do not use illicit drugs, but your urine drug screen states otherwise."

    "No, I will not hold your penis for you to urinate. Neither one of your hands are broken, nor have you had a stroke."



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