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Experience is the key. As you practice nursing, things will become intuitive such that you don't have to think about them as much. For example, if I am going to give digoxin I already know that I need to know a heart rate beforehand..it's not something I actually have to stop and think about anymore.
Also, it's a lot easier to work without a clinical instructor looking over your back and/or having to report to them every 2 seconds.
Understand that interruption after interruption is going to happen, especially in med-surg.
I had to learn how to get back on task after answering the call light, answering the phone, and running to the utility room for forgotten supplies.
I learned that the day had a basic structure that began with assessments and then the first rounds of meds.
I made myself a chart, patients down the side, hours across the top. I put into the squares the routine stuff, like VS at the times they were called for, and meds with route( not the whole med, just if I had to do po or IVPB, etc.) and planned out what I would try to get done each hour. Then mark off stuff as it was done, and I could see if I was getting behind or not.
So if I had 4 or 5 IVPBs to mix and hang at 9 AM, I knew that wasn't the hour I was going to be able to do a big dressing change or something.
*Butterfly8*
39 Posts
How do you stay so organized as an RN? I have a hard time in school with just two patients. I can only imagine having like 6. What specifically do you do to assure you do things in a timely manner and stay organized?