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<3RehabRN has 1 years experience and specializes in Rehab.

Rehab Nurse working 3-11p shift. >1 year experience, CNA for 3 years prior.

<3RehabRN's Latest Activity

  1. <3RehabRN

    New nurse jitters!!!

    Its super normal to have the jitters, and they will stay for quite a while. Nurses tend to judge new grads so stay strong and prove your worthy and knowledgeable. Doctors will also have to get to know you and see whether your recommendations and suggestions for orders will hold true. Jitters will soon begin to fade once you have a few dozen pt.'s swear that they "couldn't have done it without you", pt.'s come walk in to visit the unit after being discharged home unable to walk, and your first code blue that is successful. Multiple mile stones you will reach but remember these 3 key points: 1) Everyone has there own way of staying organized, gathering report/info, and keeping time management and priorities straight. It'd be good for you to train with multiple preceptors to see many different ways of doing things so that you can pick and choose things that work for you. 2) Patient care is the most important thing. Documentation can be BRUTAL at some rehab facilities, this is what sometimes takes the longest. Some nurses get discouraged when not able to leave on time the first few weeks to months due to charting. Just remember the hardest and most important thing is caring for your patients the best you can, documenting just requires you have your notes together and some interruption free time. 3) You're a nurse for one reason and one reason only...you LOVE to care for people, you're a nurturer. Nursing is a calling, and you will know soon enough if this was meant for you. Just stick with it for at least 6 months to adjust prior to deciding to change specialties or choose a new career. A lot of new grads get scared due to the abundance of responsibilities on a rehab unit. You can do it...I promise you. Good luck to you!!
  2. On our inpatient rehab unit, the following procedures are often done: THOROUGH assessments Wound Care Peg/NG tube feedings Tracheal suctioning Hemecults Phlebotomy Blood Culture draws Foley insertion Intermittent Catheterization Suppository insertion Dis-impaction of rectal vault Bladder Scanning IV insertions Blood administration Heparin Drips Education is also quite important in rehab, transfers based on proper body mechanics and pt status is also very important. Good luck!
  3. <3RehabRN

    New Grad Rehab Nurse

    Size does not matter! I work on a rehab unit and it is true, you do do A LOT more transfers in rehab than most any other nursing specialty. However, I know big women who can't move a small 90 year old, and I also know tiny women who can move 300 pounders with no problem. You just need to learn proper transfer techniques for the types of pt.'s your facility will acquire. Good luck!
  4. <3RehabRN

    Admission Assessment - calling all rehab nurses

    Our unit has an "admission cheat sheet" that a nurse on the unit made a few years back. It consists of 3 pages of questions and assessment cues so that we can take this into the room with us instead of a computer. Its more personal and professional in my opinion. I'd get some nurses together and get a good idea of all the types of assessments and questions you all ask and require. Type up a sheet and keep copies at the nursing station so admissions will be more consistent between all nurses. Good luck!
  5. Organization and time management are must haves. 25 patients is quite a lot, My unit gives us no more than 8 pt.'s, but we do have acute pt.'s that take ample amounts of time. We also get 1 CNA. Everyone does things differently and I'm not sure how your facility divides responsibilities among shifts. I, myself, work 3-11 on my inpatient rehab unit. I love it. I would say the best advise I received was coming into work early, about 30 minutes is enough time to gather your assignment and kardexes and review pt dx, orders, etc. I figure out who needs to have a BM, who needs wound care, etc. This way I have tasks written down to complete and keeps me on track. Good luck!
  6. <3RehabRN

    3-11 shift

    I've been working 3-11 for about 4 years, 3 of which I was a CNA, about 1 year of RN experience. Its quite different on my unit. AM shift is busy with getting pt.'s up but they have therapists there to help and doctors are making rounds. Discharges are also done on Am shift but they are super easy. On 3-11 shift, we are responsible for admissions, calling the doc, wound care, transfers, etc...all on top of what AM shift deals with. Baths are also given in the evening on my unit due to therapy being done in the AM. My unit also deals with a lot of confused pt.'s due to strokes, TBI's, encephalopathy, etc. This confusion seems to increase in the evening through the night. Visitors also seem to come after therapies, which ends up to be on 3-11p shift; so dealing with family members and visitors is also sometimes a hassle and takes more time. Night shift is easy, most pt.'s sleep and you do 24 hour chart checks and just read up on your pt, the hardest part of the night shift is drawing labs and waking pt.'s. So in conclusion, 3-11 is definitely the hardest by far on my inpatient rehab unit. With that being said, its also the best shift to be on to learn. I love it, its more fast paced but I could never get the experience I have on any other shift. Good luck to you!