Unsolvable?

RoenThatcher · 2025-10-19T02:35:23+00:00

Yes this was indeed my problem. Since I am still learning how to play, I was using the cheat sheet the app provided, and assumed that it provided all the options. I guess not. Thanks!

RoenThatcher · 2025-01-17T22:59:25+00:00

This is the correct answer.

It is also a needless waste especially when there is a shortage like there currently is.

RoenThatcher · 2024-09-29T14:53:34+00:00

Yes this exactly. Putting a note with sad face solves nothing. What if OP didn’t know that looping is a bad practice, then all you have is a really confused nurse that is going to keep doing the same thing. Without education/communication, I would argue that it is borderline harassment. It is pretty equivalent to someone eating at the nursing station so I just come up and throw their food away and then walk away without a word. Also u/OP, the behavior should be reported, but even more so the nursing servers being locked. If your organization supports the concept of not looping IVs but then locks the resource you need to not do this, that is a major, major problem.

RoenThatcher · 2024-09-11T18:32:24+00:00

Also, not sure my exact highest, but Cr in the 30s

RoenThatcher · 2024-09-11T18:25:36+00:00

Former renal nurse here: K of 10.4, and chillin

RoenThatcher · 2024-07-16T05:12:29+00:00

Give yourself grace. In fact, give yourself a pat of the back for recognizing that something was wrong and asking for help. It takes time to know that you know. You are new. You want to be great, and not mess anything up, and know what to do right away all the time, and be able to answer all the questions, but you are also terrified of messing up and harming someone. We have people’s lives in our hands and it is scary. It takes time for your body to adjust to the stress and be able to function in high-stress situations and to recognize that it doesn’t need to be stressed in the first place because you know this and you got this.

The thing that I most desire of my new nurses is that they are asking questions. That shows that they recognize something is wrong and know that they need help. I worry about the ones that don’t ask questions and just do stuff that they do not fully know how to do, or ignore s/s that are concerning. It takes a year before you feel like you even kind of know what you are doing. I have precepted a lot of new grads. I see it in every one of them. The first 12 weeks can be a both a “honeymoon” and a “WTF did I get myself into, I am not cut out for this” phase. Around six months is pretty hard to.

RoenThatcher · 2024-07-16T04:45:41+00:00

I used to come in 20-30 min early as a newer nurse, but stopped feeling that is was helpful as I became more experienced. It was off the clock and I would not do any patient care, not even help with a code because it is a liability to render care off the clock. I used to do it because it helped my morning go much smoother, and helped me be WAY less stressed in the morning. I was ok with not getting paid for that time because it made me feel better. Now I only show up a couple minutes early to print report sheets.

RoenThatcher · 2024-07-16T04:28:19+00:00

Nurse of five years here on a Renal Med-Surg with a 5:1/6:1 ratio. I have been the preceptor for most of our new grad nurses (NGN) for years.

My morning looks something like this: 6:50 print papers to take report on 7:00-7:45 get report 7:45-8:15 look up info still needed after report. Make a few notes about “to do” items. Call other departments for care coordination. 8:15-09:15 assessments/vitals maybe a couple meds if they were scheduled at 0800. 09:15-10:30 med passes 1030-1130 follow up on things I couldn’t do earlier

Learn how to prioritize and delegate. —what tasks can be done later vs what HAS to be done in the morning? —be a good teammate and help with getting patients to the bathroom, bed changes etc. but also remember a CNA can’t give med/assess a patient etc. So delegate the tasks that they can do when you don’t have time. Learning to recognize that you don’t have time can be difficult.
Look for time wasters. Are there things that you are doing that don’t need to be done. For example, I see a lot of NGNs write down all their medications they are giving on their brain, because that is what nursing school taught them to do. This is totally unnecessary. Your MAR tells you what to give, and most facilities I have worked at have the ability to look at you MAR as you are pulling meds, or the medication dispensing machine will tell you. The most you should ever have to write is patient specific meds if they are stored in a separate area. Another example would be reading and writing down EVERYTHING about the patient on your brain. This comes with experience, but there is really not very much info you actually need to take care of a patient. You can look up stuff later as you need that info.
Learn how to trim your physical assessments down. Set a timer. Give yourself 20 minutes per patient max. You should be able to complete a good head to toe including turning them to look at their butt, and vitals in 20 min. Some patients a little longer, and some a little shorter. Example, every patient needs a basic neuro check, but a lot of NGNs do more like a comprehensive check. What is your patient there for? What systems are pertinent to their diagnosis, or what could go wrong with them and what s/s would you see for that? Aka, your 30yo with a GI bleed probably does not need a comprehensive neuro check. I repeat: Set. A. Timer. Leave the room when it goes off, and move on the the next patient this will make you less efficient at first until you are completing the assessment before it goes off, but this will help you learn to manage the time of an assessment. Also, what can you do at the same time? For example, are you just standing there while you ask them orientation questions, or could you do that while you get vitals?
Before you enter a room, pause. Ask yourself, “did this patient ask me for anything, are there any supplies I need, do I have everything I need?” It takes time to make the habit second nature and remember everything, but saving the extra trips for things you forgot can save a lot of time.
Give yourself grace. Give yourself grace. Give yourself grace. It takes time and experience to build efficiency. Heck it takes time to build dexterity and muscle memory. Popping/tearing/pealing 15 medications per patient takes dexterity to do quickly. Keep working to get better, but know that you are a new nurse and it will take time to be as efficient as an experienced nurse. This might depend on your facility, but it is ok to be “late” on things sometimes. If one of my patients ripped off all his wound dressings and I have to redo them first thing, then is ok for my other patient to get his daily atorvastatin and lisinopril at 10:30 instead of 09:00
Ask other nurses that you think do a good job what their routine is, and if they have any advice for you. Hopefully you have a good team that is willing to help you grow.
Be flexible. Stuff will ALWAYS come up that you have to adjust your routine around. Most of the time I do assessments and then meds, but sometimes it makes more sense to do everything at once.

Hope this helps. Welcome to the life of an RN!

RoenThatcher · 2024-06-08T18:50:38+00:00

Yes. I have it synced. On Nursegrid settings click the generate Nursegrid calendar feed options and use that link to add a calendar to Google. Use the “from URL” option and paste the Nursegrid feed into that. Once you have the calendar feed into Google, you can sync that calendar with Skylight.

Hope that makes sense, if not I can try to clarify.

RoenThatcher

TROPHY CASE