ready to start learning

[ayla2004, ASN, RN]

over the w/e i worked a l/d and an early

and for all intents i was the nurse for a normal caseload of patients

on the early shift l/d i was working with the sister who got tied up in ward management stuff followed by doing the late where the unit was a staff nurse down and i got to keep the same patients while being loosely supervised bar the direct supervision tea time drug round. The next day was more the same sister sorting out ward stuff and me sorting out the patients including one who spiked a temp etc.

so as i say i think I'm ready to staff learning. what i know is that if a patient reports something i can't place i feel better if i run it by a doctor.

That the staff nurses trust me and will print of the labels i need for samples(out hospital is all epr) without questioning why I want them and shouldn't i get so and so to do it. My idea of time management is a 10min break as i'm afaird i won't get things done and that i know whats going on with my patients more.

part of my patients care was slowed down because after a card was written for x-ray i asked what i needed to do from another nurse and the answer was nothing a while later as another nurse patient was going to x-ray, i phoned x-ray and learned i needed to book a porter. thankfully patient was fine but i learned that i needed to do this. i also learned that pheblo don't do blood cultures and then bleeped clinical support who where busy so blood cultures were not done at the best time.

so this was a excellent teaching w/e, a more experienced nurse would have had everything done, i did however discuss some issue on handover and my colleagues made good suggestions, 2 heads are better than one.

What i know now it that others people faith in me is good but i need to fell myself that i did the best job. That i hate/and am not very good at being a bossy nurse but at times its needed some patients won't do whats best for them and it will only cause later problems. like sit up in bed and mobilize to prevent chest problems

this is a bit of a ramble i am concerned about my leadership presentation

[XB9S, BSN, MSN, EdD, RN, APN]

Ayla it sounds like you had a really good day, the things that you feel you could do better are just learning experiences and it's good that you have picked them up. It's those sort of things that you can only learn by doing. It's not about being a bossy nurse, it's about being assertive and giving the best care to your patients, it sounds like you are doing that.

I know I have said it before, from your posts over your training I would be more than happy to have you nurse on any of the wards I manage. I think you are going to be an excellent staff nurse

Well done

[ayla2004, ASN, RN]

yeah i read bener novice to expert listened to many a nurse about the transtion. I've picked and got accepted on a ward that the staff like me so i tink i will have support.

kinda sweet had a patient cover for me the other day. i had been asked to check on BM. Another pt had asked if i had time could i weigh her, grabbed the scales and went however aftewards in walked the SN and asked had i done the BM, the 2nd pt said the 1st was on the phone so she had grabbed me.

she didn't want me getting a ticking off ah

[Sun*shine]

that's brilliant, patients can be our advocates too! sometimes i've really struggled when it's come to empowering patients by 'being bossy' with them. i found it hard to accept that doing things for them wasn't in their best interests. But we learn that caring isn't simly about being sweet and lovely. I feel like nurse training is kind of like driving. they teach you how to pass your test, and then you learn to drive. you sounds like you're going from strength to strength.

[ayla2004, ASN, RN]

i think you are sep 05 as well looking as being a RN in a short space of time.

[ayla2004, ASN, RN]

yeah are you in my position nearly at the finish post?

if so good luck. i worry and fret but on the whole am ok.

[Sun*shine]

yes, i have my last week of university on Monday and then I'm done. I'm so nervous about getting a job. My last placement was spent half on an international placement in hong Kong, and half in ICU. So I got no management experience at all. I'm so worried about running a ward and not being able to run to get a staff nurse!!

[ayla2004, ASN, RN]

Had a talk with other st/n in my cohort. same experinces regarding management some nurses knew what to do witha 3rd year others felt like they were treated like a frist of second. in the last weeks i'm getting more experinces than ever, my patients my job to ring up about stuff. got a job on a ward i had a placement on with my favourite mentor(though the current one is lovely).

am scared though my last mentor had me on the management route and i took a step back on my current ward.

1 week in placement and 1 in uni and i'm done.

good luck to to both of us.