My first job As A Nurse

[sistaAfua]

I know i dont have to know everything to begin my career as a nurse. yet am nervous, cos i hv been home looking for work in the last 2yrs since i pass the exam. I am not sure what not to say when giving report, i mean what is necessary and what is not?

Before i start the day, I must know from each patient chart their their medical diagnosis, allergies, Code status, their MD.

what needs to be reported to MD and what does not need to? Lets say my patient had a large loose bowel after administering laxative do i need to report to MD? or just document.

On my first night i gave report and the i mentioned to the incoming nurse that the patient went for PICC line insertion i was asked why and i didn't have a clue why and felt so stupid.

Can someone pls help me on what to expect and the little tricks as a beginner, i will appreciate

[pinkiepinkPN]

I know i dont have to know everything to begin my career as a nurse. yet am nervous cos i hv been home looking for work in the last 2yrs since i pass the exam. I am not sure what not to say when giving report, i mean what is necessary and what is not? Before i start the day, I must know from each patient chart their their medical diagnosis, allergies, Code status, their MD. what needs to be reported to MD and what does not need to? Lets say my patient had a large loose bowel after administering laxative do i need to report to MD? or just document. On my first night i gave report and the i mentioned to the incoming nurse that the patient went for PICC line insertion i was asked why and i didn't have a clue why and felt so stupid. Can someone pls help me on what to expect and the little tricks as a beginner, i will appreciate[/quote']

I've only been in my first job as a nurse since October and I still feel pretty clueless on a daily basis, lol.

The best people to learn the way to give a good shift change report and what to call the doctor about vs simply charting it are your coworkers. Next time you go in, ask the nurse you're relieving, or any fellow nurse who has experience- what are you looking to know about each patient when you arrive at work? They can tell you what needs to be mentioned and what doesn't. When in doubt about when to call the doctor, ask ask ask. I ask questions all day long. You really will start to feel more at ease and less anxious.

Sent from my iPhone using allnurses.com

[sistaAfua]

thks so much i appreciate your advise, you are right i do ask most of the time, just that i feel stupid sometimes as though i didnt learn anything from school. lol

[llewis2007]

For report the things you want to tell are major things that happened, falls, anything you had to call the dr for, blood sugars,any med changes, admissions. Basicly anything different that happened that shift. I will give some things to know about each patient if it's a nurse who isn't familiar with the patients.

[sistaAfua]

thks dear