Organizing my workday at clinicals
- 0Jul 15, '11 by trulyblessed2I am having a hard time prioritizing at clinicals. My classmates seem to have everything laid out and in order. I find it difficult to start my day and to things orderly and not to confuse myself or make my day difficult. How do you plan your day on a med surg floor? The forms we use are a little confusing. What forms do I need to have on me to make my day go smoothly? I don't want to have to carry too much paperwork around. Any comments or suggestions are greatly appreciated.
- 0Jul 15, '11 by IaCountryGirlI don't carry a ton of papers with me, everyone carries a clipboard. We get the patients kardex printed out which includes their plan of care. When I get the kardex, I find a blank spot and write out HR, BP, O2, etc so when I get those vitals, I can fill them in quickly.
First thing I do when I go into a patients room is I introduce myself, get vitals, do an assessment, writing all pertinent information as I go. Next, I get into their eMAR and check to see when their medications are coming up and make a mental note- if it's one of those patients that have a bunch of medications at varying times, then sometime I write it on the kardex. Next I take care of any other stuff- if they have no plans to go anywhere, then I check to see if they need new linens, new gown, do they need/want a shower, do they need to ambulate. I always ask my patient what they prefer to do when.
- 0Jul 16, '11 by DolceVitaI made one simple sheet of paper with time marks on it. Like this......
- head 2 toe rooms 305 & 306
- Zosyn IV rm 305
- hourly comfort round
- complete initial charting start progress notes
- hourly comfort rounds & reposition 305
- BGM room 306 & SS insulin
- bolus H2O for 305 g-tube
- hourly comfort rounds
- chart intake
- hourly confort rounds
- vitals 306
Just carried it through until the end of shift. It was simple but it worked for me. I put in med-times and everything. When something came up I added it. Everything could be ticked off. I also had a little brain sheet with vitals, important labs and assessment data.
- 0Jul 17, '11 by KristeyKI have one simple form I carry with me. The top half is info that I get from report at the beginning of the day, along with room for vitals, and an area for anything I should note from my head to toe assessment. (If something is within norms, I tend to not jot that down since my school paperwork has boxes on it to check for that.)
The bottom half is 12 squares, each with a different hour written in it. That's where I go in and write down what time each medication is due. If it's someone I need to track I&O's on, I make sure to write it down in those squares.
Other than that, I do carry one of those REALLY small spiral notebooks in a pocket just in case I need to take further notes on something. However, sitting here writing this makes me realize I have the entire back side of my paper that I carry with me to take notes on, so I may stop carrying the spiral notebook. LOL. (Sorry, I am one of those people who refuses to be a kangaroo. I keep my stethoscope around my neck, two pens and my scissors in my pocket...so the smaller the amount of paperwork I carry, the better. LOL)
- 0Jul 19, '11 by SNIXRNYou have to find a report sheet/brain sheet that works for you - it will help prioritize your day. My report sheet has name, allergies, doctor, dob at the top. Then it's divided in two part below that - one side for assessment, the other listed with time slot boxes. I circle the time meds are due, I also write down vitals, output, etc in the specific time boxes as they occur. If it's a task I have to do for the day, I write it in the time slot and highlight it. If you want I can email you a copy.