Calling all new grads/new to the ICU starting Feb. 2013!!!! - page 6
Hello everyone! I'm starting this topic for any new grads or new to the ICU. I think it will be good to come here to compare notes, encourage, vent and support each other. I am extremely nervous... Read More
Feb 16, '13What did y'all study/ review to prepare for your new grad icu jobs?? I have a little over a month before I start and want to be prepared for anything. Any suggestions on where's to start?
Feb 16, '13What did y'all study/ review to prepare for your new grad icu jobs?? I have a little over a month before I start and want to be prepared for anything. Any suggestions on where to start?
Feb 16, '13Quote from RN12PTLI have an orientation binder, which goes through commonly used meds, tips, etc...I'm also going through hemodynamic monitoring, ABGS, Neuro, Resp/Vent sepsis, shock in my critical care nursing secrets book (4th Ed).What did y'all study/ review to prepare for your new grad icu jobs?? I have a little over a month before I start and want to be prepared for anything. Any suggestions on where to start?
I'm also going to get the Kathy White app for my iPhone, which I found through suggestions on a thread for good CC apps, and a Pedi CC book from as well.
My preceptor's schedule changed, so I start my full orientation shift on Tuesday. I will start out with one pt on step down and go from there. The four hours I was there yesterday was a great intro period. I was on the ICU side, so I got to talk to a ECMO nurse, and watch aspects of the therapy, respiratory therapists, nurses, and got a feel for the unit...lots of exposure to teaching amongst complex care, and an enthusiasm to teach. It helped with my nervousness, the doubt, etc. It has me focused.
I'm making sure I am prepared when I get in the floor. My preceptor expects me to be on the floor at 6:30 to prep for my pt...like clinicals all over lol...but I respect her reasoning to get me prepared to get report and be in my pt's room by 7am, then shift huddle, then hourly rounds, meds, care, and treatments.
I also have a small notebook to condense some important tools I'll need, like formulas in calculating weight based and unit based dosing, process of med check, hand off, SBAR, etc. then I will add to the notebook. I am able to look up policies and procedures due to limited remote access to their intranet, which is really great, so I won't feel overwhelmed by the whole experience. I'll glance over the info, and compare my orientation info, and go from there.
Feb 16, '13Quote from RN12PTLIf anything, I read a critical thinking book my instructor from PN school gave me many moons ago. It refreshed me on a lot of info. I'm adding it to read along with my orientation info...I'll get it all in within the week!What did y'all study/ review to prepare for your new grad icu jobs?? I have a little over a month before I start and want to be prepared for anything. Any suggestions on where to start?
Feb 16, '13Thank you so much for your suggestions, LadyFree28. I am hired into a new grad training program with classroom educational time built in, but want to prepare as much as possible since I'm not entirely sure what to expect yet. I like your (and your preceptor's) idea of getting there early, like we did for clinicals, so I'll be ready to go when change of shift happens.
Good luck as you begin your career!!
So excited to be on this forum and hear all of y'all's stories and support!
Feb 21, '13So just to update our thread a little. Some things I'm glad I'm progressing in: my assessments. Somewhere in the past few weeks, I've noticed that I look at my patient first and mostly, and as an afterthought I take a peek at the monitors. Initially, it was information overload, with all these monitors screaming information at you, and it was hard to not just stare at the them.
Some places I suck, getting a lot of paperwork organized. My preceptor hasn't fully released the reigns and I don't get to do a lot of the paperwork for procedures, consents, etc. They usually just handle it (because that's what they are used to, and they probably think they are doing me a favor) and eventually towards the end of my orientation, I'll be more firm on what I want to be able to do by myself.
I enjoy it, and love taking care of people. But by God, by that third or fourth day on, I want to clock out like this.
Feb 22, '131 week of orientation and I'm loving it!!!!! I can't believe how much I've accomplished in just 4 days!
Feb 23, '13I'm finished my first week....so much information, but everyone is so nice and helpful. We did mostly classroom stuff, and will be on the floor more next week. Good news is I passed the NLN med assessment so I'm ready to give meds
Feb 23, '13First 3 12s under my belt...lots of learning, big curve!!! Learned a lot of good tips, have admitted, discharged, transfer, pt teaching; still fine tuning giving report, relearning drugs, high alert drugs. Documenting in computer, collaborating with doctors, learning the unit. Received a lot of tips from nurses, as well as my preceptor. Looking forward to Monday! This weekend, I'm going to go on the intranet and Internet and review and write out common meds procedures and diagnoses on 5 x 7 cards to keep as a review. They already gave me this info in my orientation binder, but I need a way to keep the information more portable. So far, so good.
Feb 23, '13Somehow I went into work this week neglecting to realize that it was my first week on my own!! It was actually fine, despite getting an admission on each of my 3 shifts. The first 2 nights, my admissions were basically "Stable Mabels." My 3rd admission was a possible intubation, satting fine on bipap when I got her, but in respiratory acidosis. She had just been in our ICU for a couple days last month, and when we told her she needed to be intubated again, her LOC increased dramatically, lol! She said she didn't want the tube, but since she was now alert and oriented, that was fine with us.
The only thing that was rough was that there was a code going on at the same time I was getting my admission. They were literally coding this patient all night, so I had less help than I normally would have had, but it was all good. I made it through my first week on my own!
Feb 23, '13Good job, ktliz!
I have about 4 more weeks until I am receiving my own two patients.
Things I feel I need a lot more practice with:
Giving report - this is hit or miss for me. I either do pretty well or am stumbling all the way thru, lol
Updating pt. family - Knowing what to say that's important to them. So far it's usually a lot of "ums.." and "hmm, what else..." =\
Remembering to chart everything; also checking for new orders (on the system we use, there's no pop-up notification..)
Just seeing the whole big picture.. still need practice with that and time management, of course
Feb 25, '13Monkey... just realized from another post that we are in the same network. I'm at the other campus, though.