Day 2
Well, let's just say that other watching a brilliant movie "Before Sunrise" & sleeping for 10 hours ... I felt a lot more prepared for my next shift! :D
Again was given 3 patients (thankfully, it was the same ones from yesterday which does make it easier!) & the same staff were on so everything run a lot smoother.
I got assessed to give oral medications and now I can give them unsupervised!
This is completly terrifying ... here is why:
The 5 Rights
Right patient - check arm band, ask pt's name & DOB, & check their special number
Right route - IV, oral, injection, cream, spray etc.
Right dose
Right time
Right drug - ensure the drug is compartiable with other meds too & does not have any ingrediants that the patient is allergic to & double check as drugs have at least 2 names (generic & brand)
(additional rights include: Patient's right to refuse med & Right documentation)
(I check these Rights 3 TIMES before giving the med)
Expiry Date:
Of each med, IV, flush etc.
Allergy of patient:
ask patient
ensure they have a red band if they are allergic to something
ensure it is recorded in all med charts
And then for IVs, I need to ensure special labels are filled in, and I calculate the rate that I want the medication to be delivered in the patient (got to get it right because I don't want to destroy the patient's vein!) & check it all with another RN
And for Schedule 4 or 8 drugs (drugs of addiction) I need to count all the drugs to ensure none have gone walking, double check with another RN, & fill in extra paperwork.
And then there are the Telephone orders, Emergency orders & nurse iniated orders!!!!
Just a little worried ... now, for those of you who know me & know I rarely talk about how much nursing info I know or the fact I avoid nursing questions like the plague & I make out that I actually don't know anything; well, let me actually say that I do ... I do know this stuff!! It is just terrifying that I have to put the stuff I know in theory into practice!! Pressure!! :D
But as a friend pointed out: Today I know more than I did yesterday so I am that much more experienced ... & it does make a difference
But pls don't get sick anytime soon, ok? I really don't want to have to treat anyone close to me just at the moment ... need a couple more days, at least, before that will happen!!! :D
Again was given 3 patients (thankfully, it was the same ones from yesterday which does make it easier!) & the same staff were on so everything run a lot smoother.
I got assessed to give oral medications and now I can give them unsupervised!
This is completly terrifying ... here is why:
The 5 Rights
Right patient - check arm band, ask pt's name & DOB, & check their special number
Right route - IV, oral, injection, cream, spray etc.
Right dose
Right time
Right drug - ensure the drug is compartiable with other meds too & does not have any ingrediants that the patient is allergic to & double check as drugs have at least 2 names (generic & brand)
(additional rights include: Patient's right to refuse med & Right documentation)
(I check these Rights 3 TIMES before giving the med)
Expiry Date:
Of each med, IV, flush etc.
Allergy of patient:
ask patient
ensure they have a red band if they are allergic to something
ensure it is recorded in all med charts
And then for IVs, I need to ensure special labels are filled in, and I calculate the rate that I want the medication to be delivered in the patient (got to get it right because I don't want to destroy the patient's vein!) & check it all with another RN
And for Schedule 4 or 8 drugs (drugs of addiction) I need to count all the drugs to ensure none have gone walking, double check with another RN, & fill in extra paperwork.
And then there are the Telephone orders, Emergency orders & nurse iniated orders!!!!
Just a little worried ... now, for those of you who know me & know I rarely talk about how much nursing info I know or the fact I avoid nursing questions like the plague & I make out that I actually don't know anything; well, let me actually say that I do ... I do know this stuff!! It is just terrifying that I have to put the stuff I know in theory into practice!! Pressure!! :D
But as a friend pointed out: Today I know more than I did yesterday so I am that much more experienced ... & it does make a difference
But pls don't get sick anytime soon, ok? I really don't want to have to treat anyone close to me just at the moment ... need a couple more days, at least, before that will happen!!! :D
posted by blue nurse | 10:39 PM
2 Comments:
Hi Sharona, I missed your smiling face while taking photos of the nursing students on Monday. All the best with the nursing. I'll try not to get injured, but if I do, I'd prefer to have a friendly face than some know-it-all grumpy-bum :-)
Oh and hey since it's Valentines day I trust you'll have a fantastic day :-D
Ben.
Hey Ben!!
Thanks, mate!! :D Yeah, if I had known you were around on Monday, I would have tried to duck down during my lunchbreak or something to say hi! But of course, no longer being a student, I have no idea when things are on etc. BUT I will be heading up your way soonish ... when college starts & I have a shift off!! :D
Hope you had a fanastic Valentines day too!! :D
Shaz
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