Working on a telemetry/med-surg unit as a new grad

Nurses General Nursing

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I'm going to be graduating this June and taking the Nclex (God Willing I pass). One of the units I plan to work in at the hospital I currently work in (as a CNA) is a telemetry/step-down/med-surg unit (the other is oncology). I can't work on the other med-surg units because I have a relative that is a manager.

My question is: How is it working on a telemetry/med-surg floor as a new grad? I know I'll have to orient on days, but I am planning to work nights. I already know orientation on days will be crazy! I see how the new grads on the floor are already struggling and even shedding some tears. How is it working on a 12 hour night shift 7P-7A on tele? What subjects should I brush up on before starting to work on tele? What's your typical routine?

I kind of have an idea what my routine will be when I'm a nurse. I learn just by working next to nurses as a CNA and even on clinicals. Come in, get report, do my vitals/assessment (doing a little documentation in b/t patients), get my meds out the pyxis and admin. them. Then do whatever needs to be done (change iv's, dressing changes, admissions, etc. etc.) Is this a good routine? It seems easy to me, but I know it will be hard for the first few months.

Thank you all for your posts! Makes me feel much better. Still undecided what unit to go to. But like I said I only have two choices...Oncology or Tele since the other floors are run by a relative. I have a feeling tele mostly likely since it's the floor where the nurses come and go and they're always looking for new ones to take the positions of the ones who left. I would love to do to telemetry since cardiac is something I find interesting. I just don't know if I'll be able to handle the chaos and stress. I'm trying to not let the crying new grads scare me, but it really is honestly. At the same time though, I am excited :) wherever I go...I don't care...just as long as I am doing what I love to do..helping those who need help getting better!

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