#1: Carry your weight. We each have an assignment and are expected to complete (most) of it by end of shift. Early on, try to complete as much as you can each shift. Some nurses habitually leave work for the next shift that reasonable could have been completed.
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#2: Think the most important lesson to learn is know when you're getting overwhelmed and need help.
I'd be more comfortable with a new nurse that asked me about a potentially crashing patient, than one who didn't know their patient was about to code. There are telltale signs, then there are gut feelings and instincts that you'll learn to follow. When in doubt about a patient's condition, do ask.
Yes, there are nurses that will bite your head off, and yes there are others that will listen and help.
The nurses you'll be working with have been taking care of patients and learning what they needed to watch out for all along. They don't expect you to know it all fresh out of school. They do expect you to know the basics, how to put in foleys, basic woundcare, bathing, enemas, etc. This can be difficult as some students are only required to put in a single foley if that . . . .
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3: Take every opportunity as a SN, GN and new nurse: You learn by doing, again and again and again.
If a nurse is changing a central line dressing, packing a surgical wound, rectal tube, etc. Ask your instructor/preceptor if you can watch and or do it once you are comfortable.
Too often I've offered to let students do things for my patients and had them turn me down saying they haven't covered it yet, or already did it ONCE.
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Hope that helps,
Andrew Lopez, RN
Nurses Views of The Nursing Profession
http://www.nursefriendly.com/views




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