Day in the life of a RN

0700-0730 Get report and count narcotics

0730-0745 Skim over MAR and TAR to plan the day

0745-11 am Morning med pass, getting weights, etc

11-1300Lunch time, blood sugars, insulin, maybe get a start on charting

1300-1400 Treatments such as wound care, bladder scans, charting, get started on 2 pm meds

1400-1600 Afternoon medication pass

1600-1800 Supper, blood sugars, insulin, some evening meds

1800-1900 Charting

1900-1930 Report and count narcs

1930-? Finish up charting, daily assessments, Braden scales, skin assessments, admission assessments

There are so many meds it's not possible to always know every single one of them right away. But you do need to know which ones to hold for low blood pressure, recognize that you don't need a pain level for atorvastatin even though the MAR requires you chart one upon administration, know which ones are better given with food and which ones to give on an empty stomach, etc. As for illnesses, you don't always need to know exactly what is wrong but you do need to recognize that something is wrong and know who to contact and whether or not the person may require a higher level of care, etc.

Ahh thank you for your reply! What unit do you work in?

Do you ever have to decide what meds to give to a patient or is it always decided by a Dr?

0700 - show up for shift

0703 - abort plan, all hell is breaking loose

rinse repeat, enjoy.

Can I like the above a million times over?

0700 - show up for shift

0703 - abort plan, all hell is breaking loose

rinse repeat, enjoy.

In my experience, that's three minutes too long.

7p-7:30p: Get report

7:30-8: do first assessment and introduce self to patients.

8-8:30: chart

8:30-9:30: med pass

9:30-10: turn patients.

10-11:30: Follow up on any issues that need addressed either with doctors, patients, patient family. Ambulate patients if necessary and able to do so. Give a bath or two.

11:30-12: Midnight med pass

12-1: lunch

1-1:30: chart

2: turn patients. meds if needed. check orders for lab orders.

2-3: check orders, do goals, and chill.

3-4: Collect blood, do 4am med pass. turn, ambulate, toilet. This is when I do trach care and change tube feed bags.

4-4:30: chart

4:30-6: check blood, replace electrolytes, chill

6: med pass, clear pumps, clean up any charting that is necessary.

7: report.

I only have 3 patients and I work in progressive care. It differs depending on your unit and this is a perfect night. Often it's not perfect, but I am pretty much guaranteed an hour of time to myself from 2-3 so long as someone is not crashing. Sometimes we have lumbar drains that have to be emptied Q1 hours. Often we'll have a least one neuro stroke patient with Q1 or Q2 stroke assessments. That changes the schedule quite a bit. I do love perfect nights, but they are rare.

In my experience, that's three minutes too long.

I was being generous haha.

I was being generous haha.

You spelled 'delusional' wrong.... :)

so basically, don't become a nurse