A message to new grads: NEVER.... - page 2
* un-spike the old IVF's with 100 mls left in the bag while it's still hanging * say the word "quiet" in reference to your hopes for the shift * say you've never had a patient ________ before... Read More
Jan 11, '05Along the lines of "always"..........
Always open your charts as you do your assessments. That way you dont forget to chart something that you noticed or have done.
Always be the patient advocate.
Always remember that the patient you are taking care of is someones mother, sister, daughter, brother, or father, Not just the GI Bleed in rm 2 or the MI in rm 1
Jan 11, '05Thanks to all the marinated nurses for these wonderful tips! I am definitely taking notes. I start my first job on 1/18/05.
Jan 11, '05Never tell a patient "...because the doctor ordered it." Know why the doctor ordered, and teach the rationale to the patient.
Jan 11, '05Never say "this won't hurt"!!!!!!!!
Never let parents tell their kids "if you aren't good the nurse will give you a shot!"
Never say "I don't know", always say "I will go find out" or "great question, I will look into that!" or even "I will check that out and get right back to you Doctor, where can you be reached" (that is an important one!!!!! They don't want to hear, I don't know!!!).
Never give excuses for not doing something to a patients satisfaction...like "I was busy with other patients (ohhhh do they get angry at that!)" or "I am a student nurse"...talk about the implementations you will do to correct it! Like "I will speak to your nurse and get right back to you", or "I am sorry I was detained, so please let me know what I can do to help you now". Patients don't want to hear your excuses, they want results...so using language with implementations tends to show that you are interested, care, and are going to do something about it as soon as possible (I learned that one the hard way...trust me!).
AND NEVER tell the next shift "I hope it is a quiet shift for you" or "it has been quiet/calm"....oh they will kill you! Never say quiet..it is akin to saying "good luck" to an actor! LOL!!!!! I simply say "good shift to you!". (it is actually my catch phrase at work...LOL! Get teased all the time..LOL!).
Jan 11, '05Please, NEVER go into work when you are sick.
You're not doing anyone any favors by doing so. They will survive without you.
Jan 11, '05Thank you -
To all the nurses who take the time to help us that are new/students in this wonderful profession/calling. I really do appreciate the time taken here by others to benefit all.
Leash (Alisha) RN student class of Dec 2005
Jan 11, '05When a patient says "I feels something wet under my back/legs..." Put on gloves BEFORE you peek under the covers. I promise you won't be sorry you took the time!
Jan 11, '05and as a new grad, NEVER act like a know-it-all.
i've seen too many new grads that challlenge the seasoned nurses, thinking they know it all from their recent education.
Jan 11, '05Never try to force a flush using a 60 ml syringe through a NG/feeding/G/J tube stopcock. If it won't flush easily, repeatedly and gently pull back and push forward or you will end up with whatever you're flushing the tube with all over your face, neck, upper chest and arms. (I learned this the hard way early on.)Last edit by begalli on Jan 11, '05
Jan 11, '05Never dismiss a parent who says their child is not acting right.
Always trust the opinion of a parent (unless you can prove it wrong), especially for a chronic patient.
Along the same line, never let a physician/charge nurse dismiss your gut feeling that something is not right. As a float nurse, I once had a pt with a head injury in PICU. All night long, I went to my charge nurse and an experienced PI nurse, telling them the child was very agitated, trying to pull out lines, vomited, etc. What can I do? They told me it was normal for a head patient. To make a long story short, the kid coded at 6:30 am, and the charge nurse made a comment to the doctor that he had been showing signs of increased intracranial pressure all night long. The kid had herniated and died within the next 24 hrs. I still wonder if things would have been different if that charge nurse had recognized the increased ICP when I kept asking her what to do about the agitation. We could have gotten a CT scan, called a neurosurgeon, done something! Hindsight is always better than current sight.
Jan 12, '05Never say "Because the doctor ordered it".
Use your rationale, and let patients/parents know that they have a choice to refuse treatment that they believe is unnecessary/unwarranted/unwanted.
Never blow off the person who comes to triage and says "I feel like I'm having an heart attack/going to die". They are, and they will!
Jan 12, '05Never forget that pain can be expressed in myriad of ways
Never say you are sorry for being "only an LPN" to an RN or "only an RN" to a doc or "only a nurse" to a patient
Never forget to wash your hands before and after seeing a patient
Never leave IVs dry for the next shift...they will hunt you down
Never gossip...it reflects on you
Never take an assignment that is beyond your skills...ask for help or reassignment
Never stop asking questions
Never stop building your knowledge base or stop critical thinking
Never let small kids sit or lay on the floor while visiting
Never give a new patient a tray without checking the orders first
Never plant yourself at the desk all the time...get out and help
Always say thank you when someone helps you
Always knock before entering into a patient's room
Always be mindful that you reflect your profession on the floor
Always ask who that strange person is looking at a patient's chart that you are not familiar with...it could be someone's lawyer...know your docs!
Always remember that you are human and can only do so much by yourself
Always look at your paycheck, comparing what it says and what you actually worked
Always be prepared for something to go wrong
Always count on another ER admit