swansonplace

I am having trouble getting started in on the floor: This is what I do: 1. Walk by patients room: check vitals on EKG make sure all is in range, look at feeding, iv's, and make sure patient looks 2. Go get report 3. While I wait, I may look up kardex, labs, orders 4. Get report at patient bedside 5. Complete documenting labs on brain sheet, and any orders 6. Do head to toe assessments for each patient 7. Give medications 9. Chart when I finish medications if have time Steps 1-5 seem to be inappropriate as I do not have enough time to sit and read the chart before I go to all of my patients rooms. So I end up just reading labs and checking for orders. What do you do. Do you read the kardex, review all dx, hx, allergies, labs, physician statements, etc prior to going to bedside. My preceptor just has me look up labs and kicks me out before reading orders. Suggestions would be helpful.

Could you give me a rundown of what your morning looks like. For example, 1. get report 2. assess patient complete head to toe - focused assessment 3. look at chart 4. give meds

Could you give me a rundown of what your morning looks like. For example, 1. get report 2. assess patient complete head to toe - focused assessment 3. look at chart 4. give meds

Could you give me a rundown of what your morning looks like. For example, 1. get report 2. assess patient complete head to toe - focused assessment 3. look at chart 4. give meds

On allnurses type in brain sheet under search. Share any time saving tips you have.

I am new also. A brain sheet helped me a lot. I am still working on it also. My preceptor tries to have me look up my labs, and orders first thing. Then I do assessments. If it is getting late, I bring my meds in, do my assessments, and give my meds. I do this for each patient. I try and log my vitals right when I am in the room. Also, if I have to take glucose or temps I do it all at once. These simple things save me lots of time. Before I go in the room, try and bring everything you need so you don't have to go in and out of the room. Also, when I walk on the floor, I look at each patient I may have: checking vitals, patient, fluids, etc. It's just a quick peek. I jot down exceptions on my brain sheet for assessments, and the time I took the assessment so I can chart later. Also on my brain sheet, I have a section that is a todo list. I jot down things that are on my todo list for the patient, things pending, or things of note. I cross out when they are completed. I have this for each patient. I am still in orientation, but the brain sheet helps. Allnurses has a lot of brainsheets so just search for it, and get the ones you like. I am new in orientation, and having lots of trouble with organization. So feel free to swap ideas with me.

What tools are you using to build up your weak points? Is there a practical way to find areas that a newbie should know and work on? I just really need to work on getting my basics in fast.

Thank you so much for the help. I am reviewing my weak points, and hoping it helps for my next day of work.

Thank You for the info. I have not quit, but am having a hard time. My nurse manager is aware of it, and they are trying to work with me, and me with them. If I do not pass orientation, I will ask about options of transferring to another unit if possible. Is there anything else I can do. Currently, I am reviewing items that I am weak on, in the hopes that it will pick me up fast enough. I have learned a lot, but am not quite up to par so I am very concerned about what I can do about it. If you have any other words of guidance that could help to guide me along, I would very much appreciate it. I will find out next week what is decided to do with me.

Just wondering what the options are for a new nurse that quits orientation? What are the career options? What happens to resume? Will another job be available?

Thank you.

Just wondering if anyone knows of any plans that a new nurse can use to become more proficient in general during orientation, and any plans or papers to help with time management? I seem to be overwhelmed, and need to target what skills I need, in addition to learning time management skills. Any references, help would be great.

Are there any plans to help a new nurse more over to being more competent? Let step by step skills so I can assess myself.

I seemed to be overwhelmed as a new nurse. I am in orientation, and it is not going well at all. What happens to new nurses that quit during orientation. Does anyone have any suggestions on how to handle it? Should I tell the person that supervises me? Should I quit? Should I look for a new job?

Hello, I am having a lot of trouble with charting and coordinating the care for three patients? I know this is not specific, but can anyone list out how they are able to do total care for three step-down icu patients. I generally can do the assessments and pass the meds, but my charting is always behind. I downloaded a brain sheet, and that seems to help, but still I am very slow. My assessments for each patient is taking 15 minutes: that includes Perrla, pulses, heart (APENM), lung sounds, gi -four quadrants, skin check, capillary refill, upper muscles push down, up, low muscles push down up, skin back (sacral), edema, urine output, and all sites. I can do the care with no issues, just not as fast as experienced nurses. Thanks in advance.