In this podcast we talk about giving a succinct, flawless and informative end-of-shift report. Sounds simple enough, right? It should be, but you’d be surprised how often a bad shift report can leave you with more questions than answers. But, if you follow these guidelines, you’ll be someone that all the other nurses LOVE getting report from…and yes, you will be giving report as students, too!
As someone who’s about to finish up on night shift and start back on day shift , I thought it might be fun to compare the pros and cons of each shift. Each definitely has its merits, so if you’re not sure which shift is for you…read on! I’ve worked both days and nights, and I can definitely say each shift has its advantages AND disadvantages. The difference is….well…night and day!
ECMO (otherwise known as extracorporeal membraneous oxygenation) is essentially a life support measure used when the lungs or both heart and lungs cannot function adequately with traditional mechanical ventilation support. In ECMO, blood is drained from the body, diverted to an oxygenator where gas exchange takes place, then returned to the patient. There! Now you know everything you need to know about ECMO. Just kidding! Let’s start at the very beginning.
Before I start an “us” vs. “them” war, let me start off by saying that I cannot imagine the pressure that physicians are under these days. They go for long stretches with no days off, work very long hours, have tremendous responsibility and, basically, have a job that I would never ever ever want. So, with that said, it is understandable that you will, at times, deal with a difficult or demanding physician. These tips about SBAR and effective communication should help!
Taking care of patients with neurological injury means managing their intracranial pressure, or as it’s commonly called, ICP. And when we say neurological injury, keep in mind that we’re not just talking about people getting bonked on the head with a 2 x 4. We’re talking about space-occupying lesions, hydrocephalus, intracranial hemorrhage, subdural/epidural hematoma, even severe hyponatremia…basically anything that’s a key player in (drum roll please….) the Monro-Kellie doctrine.
If you’re like me, your 4th semester preceptorship is on night shift and you have no idea how you are going to survive. Even if you snagged a fabulous day shift precept spot, chances are you’ll be a night shift nurse as a new-grad anyway….and knowing how to survive could mean the difference between loving your job and absolutely dreading it. With these tips, you’ll be rocking night shift like a pro!
Ah, the kidneys…who doesn’t love ‘em? These two little bean-shaped organs will come into play with just about every single patient you deal with. In some cases it will be a chronic and devastating case of renal failure, (such as those patients requiring dialysis), but in most cases it will be moderate and more subtle. In all cases, renal function will tell you volumes about the patient’s fluid balance, electrolytes, blood pressure, infection and perfusion. Keeping an eye on renal function is a basic skill you’ll use every day as a beside RN…so let’s get to it!
For those of you about to graduate (yay!!) you are undoubtedly already thinking about the dreaded job hunt and all the good times (and stress) that it entails. While you may not yet be able to apply for any positions until you pass NCLEX, you can start getting your nursing portfolio together…doesn’t that sound like THE perfect thing to work on over Thanksgiving break? Ok, maybe not, but it may be something you will want to create and have ready for that first interview a few months from now.