Published Sep 6, 2007
pabsnstudent
16 Posts
I am a newe grad in a M/S ICU. I was just wondering how people organize their shifts. I am just trying to figure out how to manage two patients. I feel like I am running around half the day and rushing to get things done at t he end to give report. Thanks!
RNperdiem, RN
4,592 Posts
Luckily I find there is a basic structure of assessments, meds, and tests sets a frame for the day.
As a former med surg nurse, I learned to give meds as soon as you can give them and hospital protocol allows. Give your 0900 meds at 0800 and if something unexpected happens, you won't be behind.
Chart as you go. Assessments are not complete until charted.
Make "Do it now" your motto.
Keep a list of things that need to get done, when you get a moment do something on the list.
fluppypacky
50 Posts
First of all,if you are new in an area,you will not be able to work just like the old staff. You will develop your own strategy when time comes. There is always a period of adjustment. In my experience,we can handle up to 4 patients. Yeah, 4 patients....I bet you're a little bit surprised by this. That's how it goes here in the Philippines. Often times,we dont have time to eat at all. Observe your co staff on how they deal with their patients. then see for yourself if you can apply it too. make sure that you have a good endorsement so that you will not wonder later on with your patients. Good endorsement is one way of starting a good and peaceful duty. by knowing your patient very well and knowlegeble about the certain case of the patient,you will never go wrong. Always remember this....ICU is always a place that is very stressful,you are dealing with the criical patient. So its quite normal to be very busy most of the time. But hey, you will love ICU.....soon.....mark my word. Hope I helped you in my own little way. Goodluck.