Expectations+on+Clinical+Days

KSU- Shift Expectations

Introduce yourself and talk to nurse taking care of patient or listen to report. Information to get from report: New orders? Pain medication-what and when Mobility status Significant labs IV count for evening shift (what was left at 2:00 PM)

Check chart for new orders (since noon today). Look at Progress notes for any new information.

Go into patient room, introduce yourself and do assessment. Assessment needs to be done within 1st hour on floor. Talk with patient and find out how their day has been, when they think they are going home/rehab., etc. You only have one patient so you should know a lot about them.

For me only: write out your assessment including everything you assessed and what you found (normal and deviations from normal). You can do this by body system.

Take practice charting sheet and record your assessment per charting by exception. No arrows allowed.

Out of bed for dinner if OK! 2 people helping in room.

Vital Signs before going to dinner (around 5:30- 5:45) Dinner is 30 minutes only. Be on time.

Continue to interact with your patient. Chart on practice paper as would be done by unit RN.

Once per clinical- Take another student nurse’s blood pressure with a manual cuff. Record for me on one of your sheets.

Complete vital sign page on patient’s “real” chart. Make sure you are keeping up with your I&Os. Empty foley and hemovac before leaving.

Neurovascular checks need to be done twice per shift unless ordered more frequently.

Stay in close communication with the Unit RN also taking care of your patient(s) as she has ultimate responsibility.

Report off to RN before leaving for the night.