I really need your help.
I'm about to graduate and feel as if I don't know nearly enough! In school, we are taught SO MUCH and retain SO LITTLE. I feel like my brain has been overloaded with details about disease processes, obscure medications, and such (much of which I don't even remember) and I don't have the essential “down and dirty” nursing knowledge that I will use on a day to day basis. Don't get me wrong, the details that I learned in nursing school will be very useful and will provide me with a strong foundation for nursing decisions but, right now, I just want to make sure I have enough basic knowledge to not kill anyone (and to effectively respond to the common patient problems).
When I get nervous, I make lists. And that's where I'm hoping you can help me. I want to make a list of the absolutely essential knowledge and skills that I need to know to be a somewhat competent graduate nurse. I think it would ease my mind so much to be able to go through and review the things that I absolutely need to know.
So... what are some things that you think fall into the category of essential nursing knowledge? (particularly for a med-surg floor) Which things (technical skills included) will I encounter frequently. Which lab values do I need to make sure I know the meanings of? Which medications do I need to know? Which problems do I absolutely need to know how to respond to? Which diseases processes do I need to understand most?
Thanks so much!
Last edit by belabelisa on Oct 27, '07
Oct 27, '07
Since it's my question, I'll go ahead and respond with some of the things I think are good to know...
PT, PTT, and INR.
White Blood Cell Count
The Cardiac Enzyme Markers
How to respond to:
Decreased O2 Saturation
Crazy High or Low Blood Glucose
Signs of MI
IVs and IV Pumps (Of Course)
Morphine (I work on an oncology unit)
Coumadin and Heparin
Okay - that's a start.