New RN, New Job! HELP!

[PrynsezNing]

Hi ALL!

I am starting on the floor soon of my new RN job. I will be working on a stepdown/medsurg floor. I have been out of school (clinicals) for a while, so I am very hesitant about skills, and sadly, basic RN things. Well I knew enough to pass the preliminary testing, med tests, etc for the position.

I just don't want to look like a complete fool when my preceptor asks me questions.

What should I know about IV fluids, what medications are frequent on this unit? What other types of questions should I be prepared for?

Please Help!

[rnay312]

I was the same way - I felt like I knew absolutely nothing. I couldn't remember anything from clinicals, even something as simple as how to hang a piggyback. I'm now on my 6th month of working, 2nd month on my own. I can't even explain to you how fast you learn the simple stuff you're worried about - common meds, IV fluids. Within a couple weeks you've done it so many times it's coming to be second nature. You look up the same meds a few times here and there, soon you know without having to look them up.

I wouldn't worry about skills. Those will come to you, and there are always people willing to show you how to do something. Labs and such will also come slowly but surely - you'll get to know normal ranges and what anything out of whack can mean for the patient. Focus more on your assessment skills; it's so very very important! Practice head-to-toes on family and friends. (I still do!) And keep a sharp eye. I had a patient once (on my last day of orientation) that was breathing funny after walking to the bathroom. Didn't have too much urine output. Thank goodness, the patient wasn't fluid overloaded, but I was so caught up in charting it didn't even register! My preceptor was the one to mention it. I was so angry at myself for not noticing it on my own. I asked my preceptor how long will it take until I notice things like that, he said, "A few deaths." (Most of the time he jokes, however I couldn't tell this time.) From then on, I made sure to just look at my patient - what can I tell without using my stethoscope or asking any questions? I've been doing a lot better now and feel more confident.

Anyway, sorry for such a long answer. But my point is: don't sweat the small stuff. You will do fabulous!! I wish you the best of luck, keep us updated!

[MouseMichelle]

How long will you be with the nurse preceptor. And by the way no question or advice or help with technique is "stupid" or embarrasing don't feel embarrased, if the preceptor is one who makes you feel dumb or whatever then maybe ask for another one.

Relax you'll be fine. It's like riding a bike clinical skills never go away.