Do I even know the basics?

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Specializes in Med/Surg.

So I'm attending Sanford Brown in St. Peters, MO and I'm graduating in March 2010. I feel like I don't even know the basics especially when it comes to the meds. I know how to take care of the patients with different disease processes, but I'm afraid when I get out there in the real world, I'm going to flip out and feel really stupid. Do you just learn them as you go along or what? Also, we learned and had to pass IV therapy; I know how to stick someone, but I don't even know how to set up with the tubing and all that. Don't know how or what to set the machines at; like how and what to set the rate. I'm just babbling on and on. I'm so nervous just thinking about it. I'm smart when it comes to doing patient care, but I don't know why I have to do the things I do and what the meds are even used for. HELP ME!!!!!:banghead:

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

Is this a distance learning program?

Specializes in Trauma, Cardiac Cath/Special procedures.

Hey there congrats to you, but it sounds like you need to get yourself a nursing skills book and read over your fundamentals book. My weakness was writing a NCP. I picked up my skills book and now have a better understanding and feel very confident in creating one. Hope this helps!

smitty

I would not worry. There is so much nursing school does not teach you. In regards to IV set up: when you get a job you will have some orientation period and your preceptor should teach you that, also, different hospital use different pumps (IV, feeding etc) so you can ask ("I used IV tubing and pumps before but hey were different than this one.."). I got a job at a hospital 1.5 years ago after being out of the hospital setting for 7 years. I had a full month of orientation and had to re-learn how to set IV pumps, PCA pumps etc. I asked staff (and still do) and they are very helpful.In regards to meds: I think it is important to tell your patient what meds they are taking (and the name of it is right on the MAR) and what it does (decrease blood pressure, anticoagulant etc,). Most med-rooms at the hospital have a current drug book (I bought a pocket one at Barnes and Noble for $11 and also have a clip board that opens and store it in it Walmart $10). I would look up the drug before giving it, just a quick look (the patient won't ask as many questions as your instructor). At the end of my shift I would highlight those drugs in my personal drug book and read at home. You will find out that you pretty much give the same drugs (unless you are in the float pool and go everywhere). At the surgical floor for example I give:Heparin, fragmin, albumin, potassium, magnesium, nexium etc. Also most elderly patients will be on blood pressure/cholesterol meds.

I am sure you will do fine.:redbeathe

You can ask questions on the job, especially to the person who will be precepting you. Meds can be looked up as you do your med pass. There is usually a med book on the cart or you can bring your own. As for the equipment, IV and otherwise, just ask someone to show you how to use it. When you are new, they will expect you to be asking questions. Nobody is looking for you to go in there and do it all from the start however nice that fantasy might be. Stop worrying yourself to death.

Specializes in Med/Surg.

These are all good posts and I appreciate all the confidence & encouragement. Like I said before, I know how to take care of patients very well and know the basics on that, but the meds and IV's scare me. It's good to know that nurses learn these kinds of things in their orientation. I kind of figured that but I think I'm just panicking because I'm ready to graduate in 10 weeks as a GPN. I know I'm going into RN program and eventually get my bachelors so I know I'm still gonna learn a lot, but it's very intimidating when I'm not confident with myself.

Thanks to all.:yeah:

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