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The Unwritten Rules of Nursing 

Kati Kleber, MSN RN
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In this episode, we are discussing the rules of nursing that are not found in your textbooks. What’s cool, what’s not cool, and how to be an awesome teammate right out of nursing school.
Click here to check out my course, Med-Surg Mindset: A Crash Course for New Med-Surg Nurses
courses.freshrn.com/p/med-sur...
You can also click here to download my favorite med-surg report sheet: kleber-media-llc.ck.page/5bcd...
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28 июн 2024

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Комментарии : 57   
@OffhandAgent
@OffhandAgent 3 года назад
I like the idea of setting the pump to alert halfway. Seems like a huge time saver.
@Alleycat1111
@Alleycat1111 Год назад
Time-saver? It's literally double the work...
@carolynmayo8182
@carolynmayo8182 2 года назад
Don’t discount the person who signs up to bring the utensils, plates and napkins. It all costs $$ and this person may not be able to cook.
@JoyfulJenn
@JoyfulJenn 3 года назад
I’m returning to nursing after being gone since 2011. I’ll finish up my refresher course this week at LSU in New Orleans. I’m soooo happy to find this podcast! Y’all had me at Hoisin Sauce 😊
@wedgepressure4313
@wedgepressure4313 3 года назад
Listening to this episode makes me never want to ho back to the floor ever again hahaha! Cath lab for life!
@colleenUN
@colleenUN 2 года назад
as a new nurse. later in life career. this was very helpful. Thank You
@Thehungrytravelers
@Thehungrytravelers 2 года назад
A messy room is a huge huge pet peeve of mine!!
@vpadilla1111
@vpadilla1111 Год назад
6 months in as a new grad 👋🏽& I’m so thankful for alll of you and this episode. I felt like I was right there with you all cracking jokes, laughing, knodding my head yes in agreement, just a whole experience. Love it and love you all. Thank you
@daisyviluck7932
@daisyviluck7932 2 года назад
The copy-paste documentation thing can get really bad in home care. I had a kiddo on a vent that the settings didn’t match the order for about four or five days (I was the per-diem nurse that night and hadn’t been there in a week), then the mom’s getting upset that I’m making calls to my supervisor and the respiratory company and it’s the kiddo’s bedtime (vent at HS) and it was a big uproar…
@ICUsierra
@ICUsierra 10 месяцев назад
I really think people need to take breaks when they get a chance to. They can help you when they get back. Unless the patient is dying, people need to get breaks and if they don’t, this can lead to burn out.
@sonjacrivici3097
@sonjacrivici3097 Год назад
Am brand brand new on neuro rehab ward, and loving these pods. Thanks so much ladies!
@lindakincaid4530
@lindakincaid4530 2 года назад
when I have a drip from pharm like bicarb I aways order a new one when I hang one. just because it goes in so fast. I always program it for way less then in the bag.
@sandyhossman7771
@sandyhossman7771 Год назад
We all have worked with the napkin nurse, while many of us haul in crock pots that are full of food and heavy. I was the meatball nurse and a peppermint chocolate dessert, I was always ask to bring that in. I also make great country style ribs that I have been ask to bring in the summer. I was taught as a new grad to always have new bags to go or full backs up. Empty vasopressive drips empty used to just pass me off.
@joanstrayham7810
@joanstrayham7810 Год назад
Have that next iv bag hanging there rocks!
@carolynmayo8182
@carolynmayo8182 2 года назад
One issue that I had to confront was frequent “being pulled” to a specialty unfamiliar to me. I felt like a burden to one of a regular unit nurses having to ask countless questions. One other thing. If the new nurse on the unit has a good Preceptor, it makes a difference in the long run so the newbie knows the acceptable behaviors for the staff members to melded rather than be confrontational.
@freshrn
@freshrn 2 года назад
I hated being pulled and felt the same. And I agree entirely about preceptors, I just wrote an entire course on it because it makes such a big difference for the trajectory for one's career if they're appropriately supported at the beginning!
@user-gc4yz7hs2b
@user-gc4yz7hs2b 6 месяцев назад
Not a nurse at the moment, but this is great information to know. I wouldn't ever consider copying notes from other nurses that's a huge red flag, especially when VS can change and mental and physical can change as well. I look forward to more charting videos because I feel like most nursing instructors do not go in-depth on how to chart efficiently and That is the main ISSUE. they love to throw around "If you didn't chart you didn't do it" but won't explain the reasoning and some people like myself need more help with foreign concepts.
@lw3328
@lw3328 3 года назад
Thank you for these all star tips ladies!! 💪😊
@jillbrooke5682
@jillbrooke5682 2 года назад
Love you guys 😂 I work at a hospital in Maryland we aren’t allowed to have pot lucks anymore… house keeping ruined it for everyone in the building they had a pot luck during Christmas and apparently one of them had Covid and gave it to everyone that was at their pot luck 🤮jerks
@freshrn
@freshrn 2 года назад
NOOOO! How lame!
@blueSMOX
@blueSMOX 10 месяцев назад
Thank you so much for these podcasts!! I am starting nursing school (BSCN) in a few weeks and I am TERRIFIED!!
@freshrn
@freshrn 6 месяцев назад
You've got this! I have a bunch of resources for new students here: www.freshrn.com/nursing-student/
@jonnieswinea5605
@jonnieswinea5605 3 года назад
Never, ever leave work from your shift to the next shift nurse. Not cool.
@DorkInProgress84
@DorkInProgress84 3 года назад
I appreciate this so much! I'm 2.5 weeks off orientation in my first job (a med surg floor that does a lot of ENT, GI and urology post-op as well as cardiac) and am striving hard in all of these areas. It gets so hard to stay organized and get everything done, let alone with the level of precision I want to, and I find myself having days where perfectionism almost drowns me alternating with days where I'm not satisfied with my attention to detail. Luckily I work on a supportive unit where there's a strong culture of offering to help and that means the world. I did find my heparin drip almost dry the other day when I took report though ... 5 minutes remaining. Ugh. Question: what's the practice where you've worked in terms of nursing progress notes? Most documentation where I work is box-checking and many nurses don't actually type out any kind of note, or if they do, it's cursory. I don't want to practice that way, but am not sure how to format something that many nurses don't do.
@freshrn
@freshrn 2 года назад
This is so late but wanted to respond. At the beginning of my career, there were more progress notes. It's evolved into box checking because those are easier to audit and graph, but you lose so much of what's going on and being able to paint a clinical picture. I personally liked reading the notes because it gave a better picture, and would at minimum do a few lines each shift. I especially did a progress note for unexpected events, codes, etc.
@foreverone546
@foreverone546 3 года назад
I think it comes down to having good etiquette.
@amandawright5682
@amandawright5682 Год назад
Thankyou Ladies .❤ just what I needed . 😅. Xxxxxx
@ConniMiller
@ConniMiller Год назад
I do understand the expectation of making sure the next shift is taken care of before you report off, but also assess the situation. Emergencies do not go according to shift change time tables and nursing is truly 24/7. Do not be that nurse that walks into a dumpster fire harping about IVFs and wrinkled sheets. You may have touched on this later on in your pod cast, but I am only at 13:47.
@tashawoody4013
@tashawoody4013 4 года назад
so helpful!
@jasony8002
@jasony8002 6 месяцев назад
Thank you for sharing
@EricRn218
@EricRn218 4 года назад
Very good episode!
@lesleyatcofo
@lesleyatcofo Год назад
Love it. This goes for CNA'S too!
@MisPhit-kh7vu
@MisPhit-kh7vu 3 месяца назад
More so; considering most of the CNA's do just as much, if not more, physical tasks and mental tasks as nurses.
@paige6094
@paige6094 4 года назад
The documentation thing 🤦🏽‍♀️ I’m training as an lpn currently and the nurses that have been training me copy and paste all their documentation and rush through it just to sit on their phones. Also, they don’t chart pain accurately even though they are giving pain meds bc they don’t want to do a progress note that comes along with the pain assessment when it has a high score if that makes sense. I can’t wait to be off training so I can do things my own way.
@freshrn
@freshrn 3 года назад
I feel you there... definitely witnessed that as well. People don't want to do what they need to for the patient because it means more documentation. Bananas we've gotten to that place.
@theropesofrenovation9352
@theropesofrenovation9352 Год назад
I can't stand working with those who complain ALL the time!!
@alhassenkareem9355
@alhassenkareem9355 3 года назад
Keep going
@sirena9167
@sirena9167 3 года назад
These are like unwritten rules for a job in healthcare.
@coconut3656
@coconut3656 2 года назад
Is it a true statement that nurses eat their young?
@redcapote4760
@redcapote4760 Год назад
Bigtime. Some nurses might be good at their job, but their heart is awful and they're f'ing assholes who won't just be mean, they'll actively try to get you out.
@kimberlydavis9919
@kimberlydavis9919 2 года назад
To be honest, the worst thing is when you're at work and it's busy af and you have a stomach ache and you have to keep going to the bathroom😂 That is all I could think about when you talked about "disappearing" from the unit.
@freshrn
@freshrn 2 года назад
Hahahahahaha, YESSS
@becwrm
@becwrm 3 года назад
With regard to phones in the hospital. How are nurses able to carry their personal cell phone with them? I would have thought it was for break time only. I'm currently an electrician looking to study nursing next year at University in Sydney. Our rule at work is no phones during work time only on break as any distraction could be deadly. This is the same for nursing.
@freshrn
@freshrn 3 года назад
This is a very difficult policy to police. Physicians and NPs/PAs often use their personal phones for communication, so they have them out all the time, same with administrators. Also, some hospitals use iPhones/smartphones for communication instead of a different kind of handheld phone to enable text-pages. Basically, just glancing at someone with a phone you have no idea if it's for personal use or for legitimate patient care needs... so, people tend to use their own phone during downtime when in the nurse's station. Some people and some hospitals are more relaxed about it, but some aren't. I have seen nurses use their personal phones at the bedside while charting with a patient, incredibly unprofessional. But, it's hard to tell them to stop when right next to them is a physician or an administrator doing the same thing.
@jennifer2098
@jennifer2098 Год назад
I use my phone at work to google meds or procedures I am unfamiliar with….. never texting
@july3817
@july3817 2 года назад
you know what I always find weird about texting at work/school? Who messages you while you are supposed to work/pay attention in class. Sure, some people might not know you are currently working or some people have urgent messages. At school, they most likely text each other or people outside school. I was always told not to call or message my parent while they were at work unless it was something important. I don't think you should be texting anyone while at any type of work, because you get payed for work and not for texting. Again, important messages and breaks excluded.
@Kamppi69
@Kamppi69 9 месяцев назад
I brought Pringles 😅
@freshrn
@freshrn 6 месяцев назад
Well pringles are 🔥 so im not mad at it
@NismoGury
@NismoGury 3 года назад
Katie would ya speak up and get closer to the microphone
@freshrn
@freshrn 2 года назад
I agree, this is an older video and I've gotten a better mic since!
@josephlach3907
@josephlach3907 Год назад
Not knowing this podcast, I thought this video was going to be very negative, talk about right of passage, how physicians look down on novice nurses, things you’ll be expected to do that you wouldn’t have known about. I’m glad that isn’t at all what this is.
@theropesofrenovation9352
@theropesofrenovation9352 Год назад
Or find someone hiding in an empty room lounging in a chair on the phone!!!!!!
@Robert-wj3mj
@Robert-wj3mj 10 месяцев назад
have the respect to call the patient by their name, not, honey, sweetie, doll patients have names give them at least the respect of calling them by their name, it’s right on their chart don’t get so lazy that you can’t look…
@sweetiepie4328
@sweetiepie4328 3 месяца назад
Talk about how rude nurses are especially to lvns
@latashascott3503
@latashascott3503 3 года назад
🤣
@sirena9167
@sirena9167 3 года назад
Can you maybe shorten your video and get more to the point and of course elaborate on concepts where needed but don’t make it too long?
@freshrn
@freshrn 2 года назад
Brevity is not my strong suit, but I promise I'm trying to get them shorter! Getting ready to record a new batch and my goal is 3-5 min.
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