Just got a new grad job in neuro - what to expect? - page 2
I was offered and accepted a position on the neuroscience floor. It is at a teaching hospital and is a certified stroke center. I have never set foot through the door, so I don't know what to expect. It's not anything that I... Read More
- 1May 21, '10 by Hands&FeetThat was the main influence! I had a desire to help people on a more personal, hands-on level and was trying to decide if I should quit my secure, stable government job (in the midst of the recession). It just came down to "I'll go where You send me." Also, since I was in newborn screening, we always had pics & logos of little feet on everything.
And no, you are not old!
- 2Jun 29, '10 by Hands&FeetJust a little update - I'm on orientation, and things seem to be going well. The staff seems supportive and always willing to help & answer my questions. There seems to be quite a bit of psych cases, but I think I'll also have a decent exposure to med-surg type "stuff" to build my foundation. All in all I think it's going to be ok. I may not want to stay there forever, but I'm feeling much better about it. Thanks for the support & encouragement!
- 2Sep 4, '10 by head3rdThats awesome to hear, I work on a Neuro unit and love it, My best days are when I come back after 3 or 4 days off and see that pain in the A** patient that was combative, pulling lines every 10 min, in a halo, and 4 point restraints walking down the hall with family and the say hello and know my name. Now that is a great day!
- 2Sep 13, '10 by annacatI agree with all of the above. Neuro is a wild ride. You will learn a lot!
Off the top of my head advice:
- Use good body mechanics, lift with your legs, use the mechanized bed raising capabilities as much as possible.
-Turn patients who need help moving every 2 hours.
- Be proactive with the techs. You will learn wich ones you have to keep on top of about turning, changing wet or dirty diapers, bed baths etc. Be as helpfull to them as you can with out taking over their jobs for them.
- Don't be afraid of trachs, just go over the protocol before trach care the first couple of times and periodically after that.
- Never allow a patient with a feeding tube to lie flat with in a hour of feeding ( I have seen some nasty tube feed aspirations from patients who are a little out of it, or family members who are ignorant lowering the head of bed on their own, so lock the head of the bed at at least a 30 degree angle when the patient is getting tube feeds.
- keep coming back here with questions!!!
- Take care of your self, make sure you bring enough food and snacks, take vitamines, practice some sort of stress management other than the consumption of pills or alchohol.
- 1Feb 14, '11 by SBalmost_thereI love this thread! I am also a New Grad RN and will start on the Neuro Unit next week at a certified stroke center and teaching hospital! I am SOOO excited to learn more and really apply what I have learned. I am taking all the advice that was given to Hands & Feet and have a review session before next week comes.
Thanks again for all the helpful advice!!!
- 0Feb 18, '11 by ticklemenitaMe too I am soooo excited. I never went to neuro in clinicals so I didn't know what to expect. So far I have one more week of classwork before i hit the floor!
Quote from SBalmost_thereI love this thread! I am also a New Grad RN and will start on the Neuro Unit next week at a certified stroke center and teaching hospital! I am SOOO excited to learn more and really apply what I have learned. I am taking all the advice that was given to Hands & Feet and have a review session before next week comes.
Thanks again for all the helpful advice!!!
- 0Aug 18, '11 by MochaNurseHi all,
Thanks for all the post I am a new grad RN, I just started on a neurosurgical unit in Albert Einstein Hospital in the Bronx on Tuesday and I feel like Im lost..Is that normal? It is alot of work that I pray to master one day soon.....I felt very overwhelmed when the day was done...there is so much to do for each patient and to learn..I feel like Im in school again getting ready to take my unit exam....Please help with any advice, It would be greatly appreciated..I feel like Im all alone? Has anyone else felt this way when they started their first nursing job..Do you guys have any tips that can save my job..My probation is about 3 months and I would love to pass it...I love nursing so I want to do my best!!!..Thanks in advance!!!