I work in acute care. I always organize my dayshift morning as such. 1. Right after getting report I go to every room introduce myself and ask if there’s anything that patient needs right now(pain meds? Water?). I explain to them that I’m just saying hello and I will take care of anything they need immediately but that will be back a little bit later to bring them their medications, do their vital signs, and do their assessment. Taking care of the little things like pain and water or maybe giving them a urinal avoids multiple bells going off at the same time while you’re trying to do your med rounds. 2. After my first hello to everyone, I sit down and prioritize which patients need to be seen first. Usually it is the diabetics since they need to have their vitals, blood sugar check etc. before the breakfast trays come so those are the patients I go see first. 3. I prioritize assessment order by acuity and familiarity. A stable patient that I have had on my list for a couple of shifts(Familiar with their issues etc.), I will feel comfortable doing their assessment later in the morning as opposed to a patient that was just admitted through the night and is higher acuity or unfamiliar to me. 4. Once assessments medication’s and the round vitals is done, I will check and see if any of my coworkers are behind and offered to help them. 5. After lunch is when I take the time to do any complex dressings, or more involved focus assessments that I did not really have time for in the morning rush. If the patients need to ambulate then usually this will happen late morning early afternoon(Although where I work typically the physiotherapist will do a lot of this work, but on weekends nurses need to do it). I mean there are literally hundreds of tips, but the biggest one is to remember that you were a team player and not to be afraid to ask for help or offer it if you can,
1. Write stuff down 2. Bond with everyone cna, other nurses 3. Get some sleep 4. Know you’re resources, policies, med room, directors 5. Don’t be afraid to communicate with physicians 6. Cluster your care, time management 7. Timely documentation, 8. Don’t be afraid to fail 9. You are never going to feel ready 10. Grow a thick skin real quick
So as an example, it’s better to pass all your meds and then chart instead of passing meds to one patient and charting in between? I’m just starting out as a new nurse and really want to master efficient care
8:17 This is also something you begin to learn in nursing school. Nursing is such a humbling experience, especially to those who have been straight A students their entire life lol
“Some physicians are really really weird” 🤣😂 idk why that made me LOL. So true though.. thanks for your videos; I’m stoked to say after 1.5yrs on the floor, I’m entering the ER January2020 ✅ 😁
#10 was really good advice, thicken your skin , sometimes I'm too sensitive I need to improve that, but of course the patient is still the most important.
Grow that thick skin! Absolutely, positively! Wished your video was available in 2003. Now, ready to retire, but thick skin grows over years and will be the advice I give to my new nurses. Great and succinct video. As a male nurse, so glad to come across your helpful and encouraging video.
I have one tip for a new nurse, or ANY nurses. There are a lot of jobs a nurse can do. You are NOT tied to a hospital! Until greed is addressed in healthcare, TAKE CARE OF YOU FIRST!
I just finished 2 years of nursing school and am now working as a male nurse in home nursing. These tipps also help alot for nurses outside of the hospital. Thanks a lot!
Best video for new grads like me. Very clear and concise.Its scary but I know for sure I will be a pro one day. Thank you so much for giving us the courage.
I’m getting ready to begin my residency as a new grad ER nurse but luckily I’m going to be working in the ER I work at as a paramedic. I’m super nervous about starting and this video made me feel a lot better. Thank you!
Thank you for this video. Just starting in hosp and first clinical experience and I feel relieve for this words/ advice u gave . This will helps a lot for me ❤️
Yes grow a thick skin however a video advising experienced nurses on empathy & communication would be great! Second day on a brand new ward will NOT see the brilliant time management you demonstrated Placement & having it mentioned four times in a loud voice is just cruel. Especially when the Buddy is flapping around, not communicating Cares they're doing & treating you like a CRN.
New nurse here. Thank you for this video. It's nice to know the apprehension I feel is not abnormal. I'm an introvert and was self employed before nursing so trying to get used to the politics of a floor is the most stressful part of learning. Up to now, I have avoided difficult people but now I must deal with them as I get trained. Do you have a video or advice to help me get my head right?
How are you so far now? Im a new rn, will have orientation soo.. im expexting that i might cry at the beginning and will struggle. What can u advice that you wish you knew?
The thing about having "thick skin" is that there's really no reason for shitty behavior. If you (in the general sense) feel the need to spew a lot of garbage from your mouth, you need to rethink your life, regardless of what title or certification you have.
Some good points!! Especially not giving a damn. You're there to do a nursing job, not socialize or worry about the petty crap from others. Also, put your foot down over that new grad doctor that thinks they know everything and advocate for your patient!! 👏👏
You always provide on point information! Have to write things down regarding growing a hard skin, because it is never easy when two opposite characters clash. ~~ 5 hou rs of sleep? That would have killed me! 🥴 Lol ...
I'm a new nurse in the hospital on a tele/stroke unit (worked in psych for two years). The higher ups are really on my ass about a lot documentation errors and I'm feeling really discouraged.
I just passed my nclex two weeks ago and nervous to enter the field. I need to learn how to grow some thick skin since I can be too sensitive lol. Don't be discouraged it takes time to figure out how to document. Have them give you samples to look at I feel that helps you get an idea what they are looking for or want you to implement into the charting.
Love your advice man! As new male nurse going to med surg unit this is very helpful as to prepare myself not just physically but mentally as well. Everything that you said was spot on and straightforward Definitely agree on the thick skin part as we are indeed in the middle of a "warzone" so to speak. can't take nothing personally or it will affect productivity and progress. Thank you for this video. Quality content!
This was a damn good video. You laid it all out there no holds barred. As a brand new 50 year old male "older" nurse I feel like I can do well but am sure that I'll run into peers who think an older inexperienced nurse is going to be a problem for them. You can bet I'll be growing that thick skin from the get go because solid patient care and communication is my goal. Hopefully, some of these peers will come around after i can prove myself. Thank You Nomad Nurse!
