Reply to willdgate -- hey, hope this helps some. I finished LPN school in 1991, and graduated RN in 1996. I worked as a medical records clerk, ward clerk, and CNA prior to graduation from nsg school, and some of these included I wish someone would have enlightened us as we were finishing nsg school. Please take them with a grain of salt, but I hope some, or any of them may help spare you or another fresh nurses some of the same mistakes that others of us have made!!
1. Remember every morning when getting ready for work, your reason for going to nsg school. As you may have noticed, some co-workers can be catty, and "difficult" at times to work with, or to go to for assistance. Please don't let that person get in your way of caring for your patients.
2. Please don't let the person desrcibed in number 1 make you feel stupid for asking questions. The only stupid question is the one that you did not ask. Sometimes the question you are afraid to ask may be one that could save the patients life.
3. Please always be careful with narcotics, if your facility uses pyxis or something similar, make sure your wastage and documentation is correct. Watch the other nurse waste her med, and make sure she/he watches you also.
4. Try not to procrastinate if possible. I have been working after report more times than I want to count due to the fact I put off wound care, or restarting an iv access and a new admit came, or someone crashed.
5. I know it's hard a lot of the time to just drop what you are doing to eat, or even pee. You need to be able to at least eat something if you cant take a "lunch break". I try to keep in my locker or in my tote bag some halfway nutritional snacks, finger food, or just something you can grab on the run. I'm still bad about this at times. My husband who is one of the day nsg. sipervisors has to remind me when I get too strung out.
6. If you have a really bad day, or trauma, code, ect, is good to try to have a kind of debriefing afterwards. Verbalizing questions, feelings, or fears will always help when you have an emotional day or hour. It may sound silly, but after I transferred to the ER, I saw how beneficial they were.
7. Relax and remember to keep posting on the site -- it helps to get opinions from an impartial source.
Good luck to you! Anne