Hi, I wanted some input from other RN's out there. I am going to start working here soon and I am anxious because I am going to be on a Med/Surg unit as a new RN and well going through orientation this last week I felt like I dont remember a thing? Has anyone expirenced this? I am hoping to get a good preceptor but so far some of the people I am going to be working with dont seem to friendly. I will be working nights. If you have felt this way please share your expirences with me. Thanks and pray for me please!

HI THERE.

THAT IS TOO BAD THAT YOU FEEL THAT WAY!

PERHAPS WHAT YOU NEED IS TO READ THE CHARTS WHILE YOU ARE NOT DOING ANYTHING!

ARE YOU A CHARGE NURSE IN THE MED/SURG?

DO YOU HAVE A MED NURSE?

YOU CAN THEN DOUBLE CHECK THE MED NURSE IF SHE HAS GIVEN THE THE A.M. MEDS OR YOU CAN JUST DOUBLE CHECK THE MED NURSE BOOK IF THERE ARE PRN TO GIVE DUE TO MOST PRN SUCH AS PAIN PILL IT IS GIVEN BUT MAKE SURE YOU DO NOT MAKE THE MED NURSE DEFENSIVE!

YOU CAN SAY THAT OH YAH I JUST NOTICED THAT THERE I PAIN PILL PRN FOR ROOM 216 I NOTICED ON THE MED NURSE BOOK AND I JUST THOUGHT TO REMIND YOU GOOD LUCK!

THEN YOU CAN LIKE DO YOUR RUN AS SOON AS YOU GET TO THE STATION AND OR GET YOUR REPORT FIRST I THINK FROM A RECORDED CASSETTE AND MAKE SURE THAT YOU GOT YOUR CHEAT SHEETS TO WRITE DOWN THE PATIENST NAME DX RM NUMBER IP/OP IF THERE IS OR NPO OR NO CODE OR WILL BE TRANSFER 2 6 A.M. SO MEANS YOU NEED TO DO A D/C AND YOU NEED TO SEE WHETHER THEY CALLED THE RELATIVES AND IF NOT YOU MIGHT HAVE TO CALL THEM AND TELL THEM THAT THEIR RELATIVE IS BEING TRANSFERED!

IF SOMEBODY DIED YOU NEED TO CALL HIS/HER DOCTOR AND THEN YOU ALSO NEED CALL THEIR RELATIVES AND SOME HOSPITALS YOU NEED TO CALL THE DON OR THE ADMINISTRATOR!

YOU NEED DOUBLE CHECK DUE TO THEY ALSO LET NOC SHIFT DO THIS DO A WEEKLY SUMARY OR A DISCHARGE PLANNING!

DISCHARGE PLANNING FOR A UTI INFECTION

NO BLOOD IN URINE
IP/OP NORMAL
DOCTOR'S HAS OKAY FOR D/C
URINE TEST FROM LAB CAME OUT NORMAL
HAS TAKEN ON MEDICATIONS
NO FEVER AND NO PAIN UPON URINATION
VITALS NORMAL

THEN THE WEEKLY SUMARY OR STAY SUMARY

THE PATIENTS NEEDS TO BE FREE OF BLOOD IN URINE
ACTIONS TO TAKE
INCREASE FLUIDS
ADMINISTRATIONS OF ANTIBIOTIC
THE PATIENTS NEEDS TO DRINK ALL CRANBERRY JUICE
THE PATIENT MUST USE THE COMMODE TO URINATE
THE PATIENT MUST BE FREE OF BACTERIA SO MAKE SURE IS TAKING ANTIBIOTIC
THE PATIENT MUST TAKE WALKS IN THE HALL WAY X2 PER SHIFT

ACTION TO TAKE
SO MEANS YOU NEED TO WAKE UP THE PATIENTS AT NOC SHIFT @ 4 A.M. AND ALSO WAKE UP THE PATIENT @ 6:45 FOR THE NEXT WALK

MAKE SURE THE PATIENT CHOOSE HIS MENU FOR MEALS
MAKE SURE THE PATIENT HAS HYGEINE BED BATH SHOWER BRUSH TEETH FOOT SLEEPERS

AND SO FORTH

YOU CAN THEN DO YOUR CHART ABOUT 2 HOURS THAT YOU HAVE BEEN WORKING!

YOU USE A SMALL NOTEBOOK TO MAKE NOTES!

ALSO YOU CAN THEN DO YOUR ROUNDS RIGHT AFTER YOU MAKE YOUR SCHEDULE FOR THE MED NURSE AND CNAs FOR PATIENTS ALLOCATIONS AND THEN YOU CAN DO YOUR ROUNDS SUCH LOOK THE PATIENTS HAS WATER AND CUP AT BED SIDE THAT THE LIGHTS ARE OUT AND THE TV IS OFF AND THAT NIGHT LIGHT IS ON IF THERE IS ORDER FROM THE DOCTOR'S AND THEN YOU CAN DOUBLE CHECK FOR THEIR CATHETER BAGS THAT IS NOT KINK OR ANYTHING LIKE THAT AND THEN YOU CAN DOUBLE CHECK ALSO IF THE HEART PATIENTS HAS HEAD ELEVATED AND YOU CAN PUT I THINK THEY STILL DO THIS ON THE HEAD BOARD SUCH AS NPO TILL FURTHER NOTICE OR IP/OP ON THE HEAD BOARD IN BIG LETTERS!

THEN YOU CAN TAKE YOUR BREAK @ ABOUT 2 3/4 HOURS AFTER YOU STARTED WORKING AND THEN GO BACK WORK AND DOUBLE CHECK THE MED NURSE BOOK MAKE SURE ON THE NURSES REPORT THAT YOU ASK FOR WHO IS ON WATCH FOR MEDICINES SO THAT YOU CAN DOUBLE CHECK THAT WHEN YOU ARE DOING YOUR ROUTE!

THEN YOU MIGHT WANT TO DO YOUR SHARE OF CATHETER CHANGE OR DRESSING CHANGES OR YOU CAN ORDER MEDICATIONS THAT THE MED NURSE INFORMED YOU THAT IS OUT IN STOCK IF LONG TERM PATIENT!

YOU CAN THE DOUBLE CHECK ON YOUR CNAs IF THEY DID THEIR ROUTE!

THEY NEED TO CHECK ON THE PATIENTS EVERY TWO HOURS!

THEN AFTER THAT YOU TAKE YOUR LUNCH BREAK AND THAT IS 1/2 HOUR OR SOME HOSPITAL THEY LET YOU HAVE 1 HOUR LUNCH BREAK!

WHEN YOU GET BACK FROM LUNCH THEN YOU CAN DO YOUR CHARTING!

YOU DO YOUR CHARTING THE LAST 2 HOURS OF YOUR SHIFT AND THAT IS A SPLIT BETWEEN YOU AND THE MED NURSE AND IF YOU HAVE A TX NURSE TX NURSE ALSO CHART THEN IN THAT CASE YOU DO YOUR ROUTE TO CHECK IF THE TXs ARE DONE!

THEN YOU TAKE YOUR LAST BREAK!

AND THEN YOU DO YOUR TAPE FOR THE REPORT AND THEN WHEN THE AM SHIFT COMES IN AT 7 A.M. YOU DO YOUR REPORT WITH THE CASSETTES BUT YOU STAY JUST IN CASE THERE ARE ANY QUESTIONS AND THEN YOU GO HOME AT 7:30 A.M.

THEN YOU MIGHT WANT TO GO AND WORK OUT BEFORE GOING HOME!

OR DO YOUR GROCERY SHOPPING!

AND THEN WHEN YOU GET HOME EAT A LIGHT MEAL!

CLOSE ALL THE CURTAINS OR VERTICAL BLINDS!

TAKE A SHOWER!

AND THEN SLEEP AND WAKE UP @ 4 P.M. PST AND THEN YOU MIGHT WANT TO GO TO CHURCH AND PRAY OR GO TO A BIBLE STUDY @ 7 P.M. PST WHICH FINISH @ 8:30 P.M. OR 9 P.M.!

THEN YOU HOME AND EAT YOUR DINNER AND THEN TAKE A NAP FOR ONE HOUR AND THEN GET UP AND GET READY FOR BED AND THEN GO TO WORK!

AND THEN DO THE SAME THING OVER AGAIN!

FUN FUN FUN FUN HUH?

GOOD LUCK!

KATHY

KPOP

KATHLEENPROKOPA1@AOL.COM