First of all, Congratulations! I myself was in the same boat almost 2 years ago, however I started in a Skilled Nursing Facility then I became a Psych nurse in an acute care setting before I transferred to Med-Surg.
In my own experience, it is important to study the protocols per facility. I suggest review Blood transfusion, PCA, PICCs and other central lines, Sepsis monitoring/ SIRS criteria as you monitor pt for sepsis daily. What kind of MedSurg Unit are you in? Mine is a bit different because I work in a MedSurg Trauma Unit so we basically cover neurosurgery pts, ortho, plus we have OBGYN pts. When it comes to pt diagnoses I would review DM, CHF, and the usual surgery cases such as appendectomy, ex lap, cholecystectomy et. al. You'll do head to toe assessment at leaat q 4hrs.
Don't be too scared for sure you'll do great! Renal patients, that's your expertise! Expect wound care as well.
If you need any help, or any questions, feel free to message me!
- zhapper2002, BSN,RN,WCC