Tell me about your "brain" or "cheat sheet"

Nurses New Nurse

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In the book "Training Wheels for Nurses," the author mentions "brains" or "cheat sheets" of experienced nurses. When I was in school, I always wondered how nurses managed to organize their shift and remember who got what meds or treatments when. Now I know: they use their "brain!" For anyone who doesn't know what I mean by "brain," it is the way nurses record and organize information about what they need to do, when they need to do it, and what they have already done, in a way that works best for them.

According to the book, the key to a successful "brain" is to have a set format that remains the same every day.

So, to help all of us new grads out with our first nursing job, please tell us all about the format of your personal and unique "brain." Do you organize it by patient, room #, hours of the day, doctor, or task? Is it on paper or computer? PDA? Folder or clipboard? Database? Index cards? Something even more creative?

Since the type of "brain" you will use probably depends on the field of health care you are in, it might also help if you state that in your posting (if it's not too personal.)

Thanks so much! wave.gif.f76ccbc7287c56e63c3d7e6d800ab6c

In my first job out of nursing school I was responsible for 8 stepdown pts at a time (that's right, 8). So I made up a sheet with 8 columns (I normally used 2 of them, to account for new admits after up to 4 of my pts were discharged each day*).

For each pt I had a box for name/age/dx/dr; code status (DNR?); med times, IV meds; tx's; IV access/central lines/trachs/vasoactive drips; other important info/orders/reminders. I would keep this on top of my clipboard as a face (overview) sheet for my report sheets (where I recorded assessment findings for the pts). This worked well for me (although it did take some time to record all this info.)

Later I worked in an outpt facility where charting was minimal, so I didn't need this kind of task sheet. But I still was never found without my basic "brain", which I started using as a nursing home aide and even use today as a hospice house volunteer: a 3X5 spiral notebook that I keep in my pocket. It's amazing how much you can record there ;)

Good luck to you!

DeLana

*No, I never left on time; there was so much to do that even very experienced nurses had hours of OT to do their charting after their 12-hour shift was over. But I digress....

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