What do you actually DO?

When you go in, you either listen to report on everyone, or just those pts to whom you're assigned. You may have a LVN or an aide working w/you; hopefully, you'll figure out a game plan and set priorities. The plan has to be flexible to deal w/emergencies, admissions, pts returning from surgery. Discharge teaching is also on the list.

RNs and LVNs do vitals, give meds, change dressings, aides help feeding, toileting, bathing. RNs also do a physical assessment--lungs, heart, abdomen. LVNs and aides need to report significant observations to the RN, like VS that are not normal, dressings that have increased/abnormal drainage.

The RNs kind of have to put everything together--reactions to meds, lab values, and changes in pts condition. S/He needs to be sure all lab tests, X-Rays, scans, etc get done, and all reports there for the doc to review. If there are orders nursing wants (like pain control, skin care, wound care), she might leave a note on teh chart for the doc to see. If possible, she should be there when the MD rounds so she can ask ??s and clarify stuff.

A lot depends on the setting; in critical care, the RN will likely do all the care for the pt., bathing, feeding, toileting, VS, meds, obtaining labs, but she takes care only 1 or 2 pts. I work in NICU; @ least every 3 hours, I assess, vital, change diapers, feed babies; I give meds; help moms breastfeed, do discharge teaching; evaluate the baby's response to her treatment plan. When a sick baby is admitted, he has to be evaluated and treatment started, sometimes before the specialist gets to the bedside. A specially trained RN goes to high risk deliveries so she can resuscitate the baby as soon as s/he is born

Answering call lights, helping families, passing out food trays--everyone should help, unless otherwise occupied.

This is by no means a universal or a complete list of duties.

try reading some of the posts on this thread of allnurses:

• https://allnurses.com/forums/f8/day-life-registered-nurse-185298.html - a day in the life of a registered nurse

what i usually tell people about being an rn is that an rn is a supervisor of patient care and a problem solver. while you do have to know how to do basic nursing care and hands-on procedures such as starting ivs, putting in foley catheters, suctioning, doing trach care and many other things, rns basically are managing the care of the patient's under their charge and making sure that their care and treatments are being done. this requires organization and delegation skills. in most adn nursing programs basic nursing care is taught in the first semester. the remainder of the coursework is learning about the many different diseases and how they are treated. the reason for this is in order to know how to solve problems related to complications that can arise which tends to happen frequently. in rn school you focus on and are taught the nursing process, which is the way we problem solve.

if you haven't already seen and read the information on this website, take some time to explore it:

• http://www.discovernursing.com/