Quote from Dream_Nurse
This is a question from a student of current RNs no matter your education level, or position.
Please also answer the following:
- Degree type?
- Facility type?
- Time in that position
- Do you like it?
- Have you ever thought of using your nursing skills to start a home health company, leagl nurse consulting business, ect?
Diploma LPN, Staff nurse in a 120-bed small town general hospital, on an adult med/surg/tele unit. I work 11p - 7:30a. I am a new grad (12/06) and have been out of orientation 4 months. So far I like it OK but there are, of course, frustrations.
I arrive on my unit about 20 mins before shift change. I obtain my assignment and start preparing. At 11 to 11:15 pm, I start to take report on up to seven pts. As soon as report is over (and I try to keep it short-n-sweet "Just the facts, Ma'am") I go around and check on all my pt's - just a quick once-over and to introduce myself. I ask if there is anything I can bring for them when I return (prn meds, water, ice, etc.)
After this, I quickly gather data: latest labs, tech-obtained vitals, h&p for pts I don't know. Then I go into each room, giving scheduled meds, doing shift assessments, treatments, etc. We computer-chart, so I enter my assessment data at bedside. This usually takes until 2am or so, as I am frequently interrupted with pain med requests, requests for assistance, getting confused grandma back to bed, etc. No problem, pt care is why we are here.
When this is done, I take my break - gotta eat, pee, take a breather. Besides, the hospital takes 30 mins per shift out of my pay so I am darned sure going to take my breaks - and I do not bow to peer pressure or guilt to skip them.
Night shift does daily chart checks - usually takes me less than 30 mins - so it is now about 3 am. I'll give baths, help the tech, help the other nurses, do INT changes, respond to assistance and prn med requests, order etc. until 5 am.
At 5am, I start morning scheduled meds, which are given between 6-7 am. This includes accuchecks and AM regular insulin. We also gather I&O data for the shift and chart it plus education and precautions documentation. at 7-7:15am the morning shift takes report. 90% of the time I am off the floor by 7:30am.
I am studying for my ADN via Excelsior. I plan to do some ER time and then ICU as an RN. Management, Home health business or Legal consulting? No, thank you.
Hope this helps.