New to Cardiac Nursing...pep talk needed :) - page 2

I graduated in December and took a job in LTC...loved the elderly, hated all of the lazy nurses and staff around me. About 3 weeks ago I accepted a job working in in Progressive Care Unit in a Heart... Read More

  1. by   shopgirl571
    I currently work on a 30 bed PCU unit as an LPN and yes it can be very challenging every day...Give it time it will get better. Work with your preceptor, ask questions ask questions..i still ask questions all the will get better i have been at my job for 5 1/2 years and i love it...good luck
  2. by   dsr1mms
    I am a new grad and have been told by many that the entire first year is a huge learning experience. If you were actually confident at this point you would probably be dangerous. Just remember to always ask the question if you don't know or have someone else take a look if you're not sure. I did my preceptorship in CCU and the experienced RN's do it... They work together and make a great team!
  3. by   dsr1mms
    AND never never never give up!
  4. by   LuxCalidaNP
    What a HUGE relief it is to hear other cardiac stepdown folks talking about the early speedbumps! I'm new to it too, and man, there are those days...Good to know it gets better.
  5. by   RN0605
    I will be graduating in a little over a week and have been offered a job in a PCU. Is this a good or a bad idea as a new grad?
  6. by   turnforthenurse
    I'm a new grad working on a 24-bed PCU. Nurse to patient ratio is 1:4, sometimes 1:5 if we are short-staffed. It can definitely be busy. It is definitely a learning experience, just be patient with yourself! You will learn A LOT. Also realize that you will never be alone and if you are EVER unsure of something, ask a coworker or ask your charge nurse. Remember that no question is a stupid question. I love my job as a progressive care RN!
  7. by   carolmaccas66
    Time and people management will be your biggest hurdle. Cardiac floors are always busy.
    Get 2 know the routine of the ward, what do u do for morning shifts, afternoon & nights? Are there certain duties that need to be fulfilled? For example we always did our rhythm strips in the am, then got patients ready for catheterisation in the day surg lab (we went thru a pre-procedure check list).
    Try 2 work with people who you can ask a zillion questions from, also ask re resources on the ward/unit - ours had tons of handouts.
    At the start of ur shift, grab all the patients charts so you can get ur work organised. Ensure you use a cheat sheet, one that has patient names on the side and times up the top. Develop ur own system for getting work accomplished, ie: I'd write meds under the time in red (I'd write the med to be given), other notes in blue, dressings or other procedures in green, etc.
    I would also get to work a little earlier to try & find out my patient assignment & to be early for handover.
    Studies have shown that it takes at least 18 months to feel comfortable in a new job, so don't beat yourself up. U will get things wrong and you will learn along the way.
    Do not let people manipulate your time - time will run away from you. Also try to start things earlier like meds, ie: get your IV meds done before tablets for example as these take longer to re-constitute, check & 2 set up on a pump. You have to really think about what takes the longest for each patient that you have. And prioritise your patients; the sickest ones come first, the ones who are recovering and ambulating probly don't need as much supervision.
    Any problems always report to the senior nurse first and always highlight problems immediately - don't leave things till the last minute, then the NUM/CN will get annoyed. Report any med errors immediately.
    Just get as organised as you can as early on as you can and you should be right. And 12 weeks orientation is great; we don't get that down here! The most I've heard of here is 2 weeks I think, so 12 weeks is great.
  8. by   skyandsydneysmom
    Thank you all for your advice....I have definitely gotten more comfortable in my role as a RN on the floor...things are still crazy BUT that is my floor. I recently had an opportunity to go to night shift which I am very grateful for...still busy but I am not tripping over doctors, therapists, discharge coordinators, dietary aides, etc. I actually really like this specialty and have a great support system at work

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