I encourage you to share your thoughts and experiences. Nurse Part-Time - Night Shift/Evening - Inpatient Services Community Mental Health Center, Inc. All things considered, we are obligated to deliver safe and efficient care. It is our responsibility to ensure that pertinent information is reviewed. They have great skills and knowledge to share as they became ingenious and resourceful in surviving night shift duties for decades. In the end, hand-off reporting is significant. Working night shifts gives you the chance to work and talk with well-experienced nurses. In my case, I always carry a roll of tape, scissors, a penlight, IV tubing dead-enders (blue caps), 10 mL saline flushes, alcohol swabs, a pen, a highlighter, & a miniature Sharpie. I provide the opportunity for questions to ensure communication is clear. Before you start your shift (either before or after report), stock your pockets with the most commonly needed items on your unit. At this point, I share upcoming procedures, patient education, and actionable plans. I note the patient’s environment and the potential risks that may lead to patient harm (i.e., fall risks). Also, I state critical labs and the most recent vital signs.
The second part includes the neurological, cardio, pulmonary, gastrointestinal, genitourinary, skin/ wounds, and musculoskeletal exam.
#Night shift nurse sbart code#
The first segment includes the patient’s name, age, gender, allergies, code status, code word, admission history, IV access, and medical history. I give a brief narrative of the shift by providing a broad picture. Because of this encounter, I have implemented and developed a standardized process throughout my hand-off report. Yet, I know that I am accountable and responsible for safe, quality, and efficient patient care. As a result, I am given shattered fragments of the last 12 hours. So, she provides a brief, unfocused hand-off report and offers no opportunity for questions and irritation ensue at the meager utterance of a syllable or my inquisitive glance. She expresses that she had a hard shift and desires to leave the unit before her sanity and patience is tested.
Eager nursing students are searching for their assigned preceptor, and I discover that the night shift nurse that I am receiving report from is exhausted. Attendings and a cluster of residents are rounding and subsequently adding twenty new orders that must be implemented before 9 a.m. Not only are nurses transferring responsibility, but we are also shepherding and ensuring a safe passage. Throughout the hand-off report, it is vital to provide accurate, up-to-date, and pertinent information to the oncoming nurse. So, hand-off reporting during shift change is a critical process that is crucial in protecting a patient’s safety.
Most importantly, communication supports the foundation of patient care.
Apply for everything and see what actual offers you get before you agonize over making a "choice".Communication breakdown is the leading cause of medical errors such as gaps in health care, incomplete or missing information, and medication errors. The doc isn't going to stop by at 3AM, so you've got to know when to call and what to say.Īnd keep in mind, as a new graduate you may not have the option to choose. There are less "people" around at night, but that means there are also less resources. I feel physically ill when I'm up early in the morning. I'm a night person, so nights it is for me. I'll also still be in school working on my online RN-BSN. Some potentially important info - I live in a rural area and the few hospitals I'll be applying to are smaller, but the commute will be anywhere from 1-1 1/2 hours so that's something to take into consideration. I struggle with anxiety so even though I know night shift comes with stress as well, not having a ton of day staff (management, doctors, OR, lab, housekeeping, etc) running around like crazy is appealing to me. I've heard from a few nurses that night shift is great for new grads because the pace is somewhat slower (although still busy) and you have more time to focus on patient care. I'm in my last semester of my ADN program and I'm looking for some advice on whether I should apply for day shift or night shift for med/surg.
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