Experienced Nurses, Care to Share Your Routine?

[Arafelle, ADN]

Hello! I am starting my residency soon and saw this lovely comment on a Youtube video and wanted to see how other nurses start their day. I'm wondering how varied it is, as I'm aware every person establishes their own routine. For some reason, reading writeups like this comfort me because they give me a picture of how to start the day in my head, if that makes sense. So, if any of you nurses are willing, I'd love to see your version of this flow:
 

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I've been an RN in a large hospital for almost fifteen years and enjoyed this video. In the hospital where I work we do bedside report and at that time or if I'm waiting for the previous nurse to give me report I will go into my patients rooms to update their white boards with my name, number, the pca/Tech's name, number and I will look at my pts bedside and introduce myself if their awake. I will note how the patient looks, are they resting without distress, sitting up but tachypnea, are they are oxygen, IV meds-which one-dosage, do they have a foley-I check for Foley bag, etc. I come in early and look over my patients rounds report to see what orders there are for:diet, oxygen, tests, meds/IV's, and make notes this way I can ask any questions from the previous nurse if I see something off. Example, an order for IV cardizem but it's not running. Any IV med drips/fluids I confirm proper dosage/rate at change of shift report to check for any mistakes. Have caught a couple this way. We are all human. I make sure the next nurse I give report to checks my drips also. Then when I do my morning medpass I do my head to toe assessment. I usually do my would care later after the aide or as the aide and I are washing the patient. Of course, emergencies come up and you have to be able to change your routine accordingly. I give meds to my sickest patient first or to whoever has the highest blood pressure, or to my patient with the crazy family before they come in to visit. This way I don't get too distracted by them during the med pass so as not to make a mistake. This is what helps me but there are many ways to do the job. As long as it gets done properly and safely. Take care, ; )

All of this stuff is probably common sense but I love reading the flow like this from others. I guess it just helps me reheorifice it in my mind so I feel like I can start establishing my own.

Here is the video where I found the comment:

Thank you!