I certainly won’t remember this particular nursing school instructor as a warm and fuzzy person…but I have to hand it to her: she was very organized. So although she wasn’t our favorite, we all listened to her when she gave our class advice on how to schedule and orient your day on a med surg floor.
I’m sharing her wisdom with you and am curious, how would you structure your day differently?
Organizing your Day:
An efficient nurse will fill her pockets like they are the drawers in her kitchen–everything has a place!
After it’s used–put it back in that place so you aren’t digging madly in your pockets when you need something!
As a Student:
0645-0715: Get report
Check labs, meds and orders (in that order)
Chart assess. and vitals
Meds with Breakfast?
0900-1000: Meds passed
1300-to end of clinical day: Finish charting, teaching,
treatments and help nurses
As a Nurse:
Come in early!
0630: Check kardex/chart/med card
0645: Get report, check orders while waiting, check meds and labs
0730: Vital signs done w/ aid beginning with most criticalÂ and those leaving the floor.
Assessments done (get as manydone as you can before BK).
0845: Pass meds as breakfast comes around (remember insulinÂ given 15 min before BK and after accucheck!)
1000: Chart and check for new orders, tell pt you will do treatmentsÂ and bath AFTER lunch
1300: Eat lunch or catch up on charting or both
1400-1500: Treatments (good time to play catch-up)
1600: Chart check, charting, accuchecks
1700: Insulin, dinner
1800: Wrap up, chart
1900: Report off after everything is done and cleaned up for night shift
So, feedback time: Do you already do this or think it is helpful? How do YOU keep up with everything you have to do–do you have a plan?