00:01
Hey guys,
welcome to shift organization
or how to organize
a nursing shift.
00:07
Now I know this sounds
like a really big task,
but we're going to talk
through some tips and tricks
for you to consider
to organize your day.
00:15
Now during this presentation,
we're going to show you how to
work through a 12-hour shift
and what that may look
like for you as the nurse.
00:23
Now, before we get
started on all that,
I want you to take a
look at this graphic.
00:27
I hope it's familiar to you.
00:30
This is called Maslow's
Hierarchy of Needs.
00:33
This is the basis of how
we treat our patients
and where we want our
goal to go for them.
00:38
So what I mean by this,
if you take a look at this triangle.
00:42
It's actually going to
seem a little opposite,
we're going to start
at the bottom here.
00:46
So you see this big
part at the bottom,
you see this section of safety
and physiological needs.
00:52
These are the basic needs that
have to be met for the patient
before all else, right?
They've got to be safe,
we've got to make
sure their nutrition,
their ideals are up to par and
the patient's taking care of.
01:04
Now if we do meet
those basic needs,
we're going to move
up that triangle.
01:08
So we're we're trying
to reach the top here.
01:11
So after we meet
the basic needs,
we want to try to address the
patient's psychological needs,
meaning the feeling of
belongingness and self-esteem.
01:20
And then if we're
able to reach that,
they reach the top of Maslow's
which is self-actualization.
01:26
Now, one thing I
just want you to know
is the higher level
cannot be met,
unless we address those
basic needs first.
01:35
So let's talk about this.
01:36
Keep this as the guide for your
day throughout your nursing shift.
01:42
Now,
before we get started again,
I'm going to warm you up
with a little question.
01:46
So when should you actually
start assessing your patient?
Believe it or not,
it's actually during bedside shift report,
and we'll talk about this.
01:55
So bedside shift report is
a standard among hospitals
for safety and consistency.
02:01
And we're basically checking
with the other shift
and saying,"Hey,
is this normal for the patient
that the doctor know about this?
Are we treating this?"
We're also going to help with
accuracy of the assessment
and the information
that we receive.
02:16
Now, I want you to take
a look at this clock now.
02:19
Anytime you plan your
day as you can imagine,
just in your normal
everyday life.
02:24
Timeframes are just a guideline, especially
during nursing shift in particular.
02:29
All of these things can
definitely throw off our day.
02:32
So just keep that in mind.
02:34
Add a little flexibility when you are
planning out your day, for example.
02:38
So at the top of this clock,
you see that there's unexpected changes.
02:43
Definitely can occur
during a nursing shift.
02:45
So we hope that
these don't happen.
02:47
But of course,
this is part of our skill set
and our job to respond
to those changes.
02:52
And of course, that can change
our timeframe for the day.
02:56
Sometimes due to a change in
patient condition or a new finding,
we also may find an unexpected procedure
may have to occur for that patient.
03:05
And next,
especially with those procedures,
a lot of the times there's family support
around, so we have to be diligent to
provide education and
update them as well.
03:15
And believe it or not,
there's a lot of patient incidents
that's actually going to slow
down or delay our timeframe.
03:21
So this could be a
patient comments episode.
03:24
You may think it's not a big deal,
but sometimes we get in the room.
03:28
It takes a lot of time, we got to
make sure we're safe with the patient,
or there could be a
really complex treatment
or dressing change that
we need to perform.
03:36
These are all things
that can delay our day.