00:00
Now that we've talked
through all of that guys,
we talked a little bit about
medication administration
and about 0900 or 9 o'clock meds,
like we've discussed earlier
is the most common time
for morning medications.
00:13
So it's important that you review
all your orders beforehand,
and any may be pertinent lab values to
that medications before you go give them.
00:22
Now just note,
some meds have to be given before meals,
sometimes it's after meals.
00:28
A great example of that
is insulin for a diabetic.
00:32
Now insulin has to be time to a
certain time before a patient's meal
or maybe they're on thyroid
medication or GI medication.
00:41
So we have to use all this
in planning out our day.
00:46
So, we've talked about a lot.
00:49
It's important to
stay ahead of it all.
00:52
So here's just a few
tips of doing this,
and probably about early mid-
morning here about 10 o'clock.
00:58
Once we've assessed our patient,
or excuse me,
we've done bedside report,
we've fully assessed
our patients,
we've passed our morning
meds, for example,
here are some things to think
about, about that mid-morning swing
to figure out how we
stay on top of it.
01:14
So if a patient has a procedure,
make sure you go ahead and
early prepare your patient. Early,
because you never know when they're
going to call for either surgery
or a test for your patient.
01:24
Also, if you have a
little bit of time,
and the patient you know
is going home today,
you know that you can start a little bit
early on that paperwork and have it ready
when the patient's ready to go and
the doctor says it's okay to do so.
01:37
Also, many times in the middle of our
day, the physicians going to round
and we usually need to
be involved in that plan.
01:45
So we need to be ready
to participate that
if the physician comes
and sees the patient,
we can snag the
physician meaning say,
"Hey, I need you to
see Miss Jones in 56,
I want to talk to
you about this",
or they may want you to round to help
them with a treatment for the patient.
02:02
And lastly, very important,
physical therapy, occupational
therapy, other additional therapies
are going to be working
with your patient
for a better patient
experience and better health.
02:13
We need to coordinate
very well with them
because sometimes we need to move our
treatments around these therapies.
02:21
Let's take a moment and ask
ourselves a really important question
of shift organization.
02:27
When should you
complete your charting?
Well, believe it or not, guys,
when you do an intervention,
it's best to do it right
there at the bedside
or as soon as the
intervention is done.
02:38
Many times we have bedside charting
computers in that patient's room.
02:42
So after the intervention,
move to the computer in
the same room and document,
that's going to
save a lot of time.
02:49
I will tell you as a new nurse,
it's a very easy habit to get into
just a wait till the end of
your shift is a bad idea guys.
02:57
There's many important details
that you may miss if you wait
all the way till the end.
03:02
So make sure once you
do an intervention,
get to a computer and
document as soon as possible.