First day at work

It was fun and I learned alot but I did get nervous with all of the documentetion the rn was doing.

I am sure I will be doing most of this as an LVN. Did everyone also feel like this with all of the documentation, abbreviates, nuirsing notes, and report?

To be honest I dont even know what I am supposed to say when you report. What I think is I have to go through each patient and say what i did to them that day and any important info they should know about like a scar, bleeding in open wound etc...

I guess my main question is did all of you also feel like this your first day of work? I felt like U knew very little compared to them because they know where everything is, the patients, all of the forms etc..'

I really want to be a great nurse!

Google SBAR nursing report. That will give you a template as to what key points need to be reported to next shift. Hope this helps :)

Aw today was ur first day? What shift are u working? I just got a job in a LTC facility I'm nervous but super excited what did u bring with u for ur first day? I just bought a new stethoscope & scissors online

I'm sure if u have a good brain sheet u can report off of that there are tempers floating around Allnurses

I was very excited and I bought a new stethoscope and a folder with some documentation human resources gave me. Also a pen and a small notebook for notes.

The hardest part to me was all of the new documentation I have never seen. Its different then all of the documents I have seen at nursing homes, hospice etc...

I wil do my best and I will continue my education to try to learn as much as possible. I really want to be a great nure!

Google SBAR nursing report. That will give you a template as to what key points need to be reported to next shift. Hope this helps :)

Thanks I made a small copy to paste on my small notebook =)

I hope I get that advanced one day. If they made me do a report without knowing almost anything about a patient it would be like this:

James Smith. 56 male patient. Removed staples from wound located in the right thigh. Reported pain of 8, gave all ordered medications. Assisted patient to chair. Patient is on a regular diet. Blood Pressure 120/80, pulse 75, respiratory rate 18, 98% O2 sat. One Bowel Movement and assisted with transfer back to bed.

Is this pretty bad?

I remember the first time I ever gave report. I was a student. We went through SBAR and all of that (and that's really how you should report nowadays) but I was so nervous, I just completely blanked. I was like, "okay this is Mr. X, here for dehydration....um, what else do you want to know?" As a nurse, I knew how to give report but I was very nervous in the beginning. I don't know why. It gets better with time, though, and now I have no problem giving report, even if it's to a nurse I do not know.

Having that SBAR template with you will help. When I give report, it usually goes something like this:

"Room 1 is Mrs. Y, a 52yo admitted for chest pain, patient of the hospitalist. History of HTN, DM and hyperlipidemia. Patient has blood sugars AC&HS, their last one was 150. Patient is on a cardiac diet and will have a stress test this AM. Consent form has already been signed. Patient is alert & oriented x4, walkie talkie. Lungs are clear. 20G to the left AC, saline locked. Patient is on room air. Patient is in sinus rhythm on the monitor. Patient has a nitro paste patch on the left thigh and has been pain-free all shift. For labs this AM, H&H was 13/39%, WBCs were 5.1, Mg was 2.1, K was 3.4, so I went ahead and replaced per protocol and they will be drawn at 0715. Troponins have been negative x3. BNP was 42. Creatinine was 0.8. Patient's chest x-ray showed no acute disease. Any questions?"

Usually information like that suffices. Sometimes I do forget to mention something so I always ask if the on-coming nurse has any questions for me. Report is always done with the chart in front of us.