I must say you're very detailed and organized but I think your method is excellent! The best nurse is a prepared nurse! I will take this into consideration as a future nurse!
Girl, I'm here 10 years later and I just want to tell you this is so helpful. Thank you so much for doing this. I'm really struggling as a new grad nurse and I this just opened my eyes. I think I'll be able to handle my shifts much better with this structure.
Can you do a video on how you organize a night shift, including some tips for those of us who have 5-6 patients and how to handle admissions and discharges throughout the shift without messing up your time management.
Thank you very much for that video. I'm still a student but close to final exams and sometimes I lack of organizing my day so it was pretty helpful to watch this!
Thanks so much for taking the time to share your knowledge with other nurses. I'm a nurse who's been off work for a long time. I've started back in a cardiovascular recovery unit. I have learned so much from you. I've bought books based off your recommendation and have never been disappointed. You rock!! Be blessed and thanks again!
I just started clinicals in my nursing program and found your site which is chocked full of great information. I do so appreciate your level headed approach to nursing care and your professionalism. Many thanks and keep the information coming.
Wow just what i needed! Thank u so much nacole! I will be taking nclex on the 20th of this month, and im more worried about being a nurse...like i dunno how i would organize my day once i start working. This really help! I hope u make more videos about new nurses!! I love watching ur tios!
I hope that one day I am half the nurse that you are! You are my inspiration and the kind of nurse I strive to be every day! Thank you so much for doing TH-cam and spreading your knowledge :)
Oh Nacole, I've spent my day watching your videos and I just want to say thank you. I just graduated, left my LTC job after one month due to horrendous management and my fear of putting my license at risk. Now I start a job in tele next week and I'm absolutely terrified...But you have provided with the reassurance I needed that I C
NACOLE! YOU ARE AMAZING! this has helped me immensely! I was so stressed about taking on my own patient load and what to do, and when to do it, but this has just explained it in so much accuracy and detail, I'm excited to be a grad nurse now! Thank you! God bless!
This is awesome. I've been out of school since December and I'll be starting an RN job in a stroke floor that is understaffed. Thanks for this video. I hope I do well.
Thank you for this! Really appreciate that you took the time to break this down and with such joy in your explanation. This is huge. Thank you thank you. I wasn't quite sure on how the organization of the day would be and what to look for in the day. This may sound silly, but its true. In nursing school they show us the book smarts but not necessarily what a 12 hour day will look like. SO, thank you. From a new RN!
Amazing! I am going to fail my clinical, because I was unorganized and could not keep up with the workload. I wish I would have been better more prepared.
Love this video! Even following a nurse around and working with them in clinicals, it's not easy to figure out how they organize their shift. I don't know how the nurses who delay charting do it! I'd be terrified to forget something! :-/ It sounds like you are going in a constant circuit. first asssessments then meds, then vitals, dressings etc.
You are awesome! Where were you when I started working as a nurse.....I was all over the place when I started, & no real guidance baptized by fire they call it...what a mess and since then I feel I can't get it together ppl think I am organized but I tell the 'don't let me fool you!' I may.look it but I am not. I am now a visiting nurse working in Adult Foster Care. I would love to write you more. And another thing in the 2 videos I have watched, you are realistic, you don't pretend to know it all but make sure you have the tools to reform yourself and your patients to show your competency and that you are an efficient and diligent person and nurse! You go girl!!!
Thank yoy very much for this video. I am a new nurse now on 5 patients and feel like I am drowning, but this video was extremely helpful. You may already have one, but if you don't could you also do a video with some tips on clustering care? Thanks again
Thank you! I'm in week 3 of my orientation as an LPN (1.5 semesters left of my ADN) and I've basically been thrown onto my post-op unit to care for four to five patients at a time. I've been drowning. I've tried to develop a report sheet, I try to stay on top of my patients but I feel like I'm just treading water, trying to stay afloat. Thanks for some great tips. The only tips I've really gotten from my preceptors are "You don't need to chart all that" and "Delegate!" I'm trying your method next shift to see if I can get head-to-toes done and meds passed more efficiently, and thus make my day flow more smoothly. Thanks!
I loved this! Question: do you ever have time to eat or drink water? That sounded like you had no time to breath. I understand no lunch break but is a 5 minute break to eat a fast meal an option? My health is very important to me which is why I ask. Thank you for your great videos!
I created a chart with boxes to just keep track of when I have meds due. For care plans, I review progress notes from the last couple of days to understand what the overall plan is.
thank you or telling you patients what the meds are used for. Everytime I went to my doctor the "nurse" would say are you still on such and such or itching and I would say I wasnt prescribed anything for itching. So last time I went I asked the DR if he was talking about my anxiety med he was like oh yes its for itching to and preceded to act like i was stupid i informed him NOBODY mentioned any other uses for the med. :rolls eyes:
Do you take your clip board into the patients room? I think about all the germs in the room, we can’t put it on the patients bed and the table is probably not clean or full of “stuff”. I like using a clipboard also, but I find it gets in the way when going into patients room. But it has all the information on it I need.
Hi Nacole thank you so much for your videos! I have just started as a graduate nurse in ICU and am struggling with time management skills! Especially the day shift with trying to fit in a wash, meds, ½ hourly obs and also keeping up with the many doctors rounds to listen in and clarify orders! I am having trouble with trying to prioritizing interventions and care. When I get behind I start to panic and feel incompetent as a nurse. I also find it difficult, as I cannot leave my patient without a nurse watching them in order to gather supplies of linen, medications, disposable bedpans etc. Do you have any advice from your experience as nurse? Thank you for you help ☺
How many times of you clarify orders a day? When you go in for your wash, is it DURING your hourly obs? Are you giving meds DURING your hourly obs? Since you have soo many things to do, you have to cluster were you can. Going in a room five times in 10 minutes isn't good. I'll do a video for you next week about this okay?
***** with clarifying orders i mean when the doctors decide to change a medication, or start a new infusion or plan a procedure and if I'm not there listening i don't find out until i read the notes and usually i don't have time to sit down and read the notes! I'm just so paranoid that I'm going to miss something really important! I've become better at clustering care for e.g. if someone is on 3 hourly neurological obs i try to do the wash on the hour its due for better assessment. thank you for your time!
Priscilla Robinson I make a note to check my charting for MD orders every two hours. I make it apart of my "things to do" because nothing is worse than getting ready to clock out and finding 5 new orders you haven't done and never knew about. You could try that maybe... I hope this helps and thank you for writing : )
Nurse Nacole - tx for all your sharing... Is there any reason you've posted your clipboard note IN PINK? Is it possible to print it w/ white background or do you want us to re type on own?
Omg this is so good. QUESTION for you: how can a nursing app help you make your job as a nurse easier? I would like to make one that supports your patient care flow rather than encumbers it. Thanks
I try to get that done after my first medication pass. That way, I get a full body visual while doing my bath and other things. Thank you so much for watching.
I meant when you will have your break/lunch. From your video, it seemed you didn't mention it rather than a short bathroom break. So I wonder. Also, as a nursing student, I learned to plan ahead, but how much can I plan for each patient? I realized that I would miss some tasks if I didn't put them on the paper, or if something came up and I didn't mark down. So does it mean I have constantly add new tasks throughout the day? What are your strategies? Thank you so much!!!! Brenda :)
Thank you for this video. Do you have a black and white (no pink or otherwise colored background) of the brain sheet you are using that you can share? Thank you.
Hello NurseNacole, I think I am confused here a little (sorry new nurse literally) you said you do all your HTH assessments first than meds. If you have 4 patients than how does that work with meds if it takes around 4 hours for your HTH? Sorry for a dumb question I haven't found job yet but I will eventually, LOL.
Hi there! I am a senior year nursing student. I love your videos. Question...and it might sound a little silly, but do all physicians round when they want to? I am having a hard time keeping track of physician rounding and updates. Some of them are very complicated. They neglect to keep nurses updated with changes, etc. So how exactly do you determine if a physician will be rounding or if you should page/call them?
They round when they want to BUT I hold onto the chart so they HAVE to see me before they write their progress note. Nurses are too buy to me running around people, they way… they have to see me haha. Rounding is confirmed with a progress note in the chart.
We use EPIC. Not sure if that made it's way to your hospital yet but the physicians chart all their things on the computerized chart. It's convenient because we don't have to make out chicken scratch, but it makes it harder to have contact with the physicians. The whole physician-nurse relationship is mind boggling to me. My second dumb question. What did you have to learn about the physician-nurse relationship as a new nurse. Was anything new? I feel so unready haha
We are phasing out verbal orders but from time to time we do process them BUT they are few and far between. My advice is respect everyone, clarify, clarify, clarify and if you don't remember ASK again haha. I'll do a video for you tomorrow : )
Have you work at an assisted living facility? What's your opinion about assisted living/ltc? I am a recent lvn graduate and currently working at an assisted living facility. Do you have any tips in regards to med pass. Thanks.
I must say you're very detailed and organized but I think your method is excellent! The best nurse is a prepared nurse! I will take this into consideration as a future nurse!
Aww thank you so much!
New grad here and I’ve been searching for videos like this! This is amazing. 🙌🏻
Glad it was helpful!
11 years later and your advice is still helpful. Thank you!
That's so great to hear, thank you for watching!
You are a God send!! Thank you for the time and thought you put into these videos. You have a real talent for teaching.
Thank you for watching and your support.
Girl, I'm here 10 years later and I just want to tell you this is so helpful. Thank you so much for doing this. I'm really struggling as a new grad nurse and I this just opened my eyes. I think I'll be able to handle my shifts much better with this structure.
You are oh so welcome, I plan on making more video soon. Thank you for your continued support.
Same!!@_xx431
Can you do a video on how you organize a night shift, including some tips for those of us who have 5-6 patients and how to handle admissions and discharges throughout the shift without messing up your time management.
+Jamal & Kara Hartage Sure : )
yes pleasssssse
I agree! I need help too!
Thank you very much for that video. I'm still a student but close to final exams and sometimes I lack of organizing my day so it was pretty helpful to watch this!
You are very welcome, thank you for watching.
Thanks so much for taking the time to share your knowledge with other nurses. I'm a nurse who's been off work for a long time. I've started back in a cardiovascular recovery unit. I have learned so much from you. I've bought books based off your recommendation and have never been disappointed. You rock!! Be blessed and thanks again!
Thank you soo much for sharing and your support!
This is the EXACT video I have been searching for!!!!!! Omg you answered everything for me and a nursing student barely starting clinical.
I'm glad it helped, thank you for watching.
very very helpful! thank you for posting! makes being out on your own after graduation a lot less intimidating
+laura kirksey You're welcome, thank you for watching.
I start my new RN position on a oncology floor next week and this video was SO helpful, thanks very much!
I start next week too! Good luck! :)
You are so welcome, we all wish you the best of luck!
I just started clinicals in my nursing program and found your site which is chocked full of great information. I do so appreciate your level headed approach to nursing care and your professionalism. Many thanks and keep the information coming.
Will do, thank you for your support.
Wow just what i needed! Thank u so much nacole! I will be taking nclex on the 20th of this month, and im more worried about being a nurse...like i dunno how i would organize my day once i start working. This really help! I hope u make more videos about new nurses!! I love watching ur tios!
Thank you for this!!! Love your tips!! On week 5 of my first nursing job!! 🤗🤗
Yay, wishing you the best!
I hope that one day I am half the nurse that you are! You are my inspiration and the kind of nurse I strive to be every day! Thank you so much for doing TH-cam and spreading your knowledge :)
Oh Nacole, I've spent my day watching your videos and I just want to say thank you. I just graduated, left my LTC job after one month due to horrendous management and my fear of putting my license at risk. Now I start a job in tele next week and I'm absolutely terrified...But you have provided with the reassurance I needed that I C
NACOLE! YOU ARE AMAZING! this has helped me immensely! I was so stressed about taking on my own patient load and what to do, and when to do it, but this has just explained it in so much accuracy and detail, I'm excited to be a grad nurse now! Thank you! God bless!
This is awesome. I've been out of school since December and I'll be starting an RN job in a stroke floor that is understaffed. Thanks for this video. I hope I do well.
Congratulations and thank you for watching : )
We need more ppl like you!! 💗
You're too kind, thank you so much.
Thank you for this! Really appreciate that you took the time to break this down and with such joy in your explanation. This is huge. Thank you thank you. I wasn't quite sure on how the organization of the day would be and what to look for in the day. This may sound silly, but its true. In nursing school they show us the book smarts but not necessarily what a 12 hour day will look like. SO, thank you. From a new RN!
No problem, thank you so much for watching and your support. Wishing you the best : )
Thank you!!! You are very knowledgable. I have gained so much from your video. God bless!
You are very welcome, thank you for watching.
Simplified organization, just so articulate I love it!!!! Thank you. So helpful!!!
You have given me some great ideas!! I am a brand new nurse and feel so flustered sometimes! Thank you!
You're welcome, thank you for watching.
Thank you so much so helpful
Thanks for posting that rounding sheet! I am going to try this one. It looks much easier than the one my school gave us!
p.s I appreciate the fact that you respond to your viewers, I feel so special, and important!
Amazing! I am going to fail my clinical, because I was unorganized and could not keep up with the workload. I wish I would have been better more prepared.
Sorry to hear that, wishing you the best on your journey.
Really wonderful tips! I am a new Grad nurse and I will def be using these:)
Thank you for your support.
Love this video! Even following a nurse around and working with them in clinicals, it's not easy to figure out how they organize their shift. I don't know how the nurses who delay charting do it! I'd be terrified to forget something! :-/ It sounds like you are going in a constant circuit. first asssessments then meds, then vitals, dressings etc.
I would love to work with a nurse like you in the future :)
You're such a great nurse Nacole, always enjoy watching your videos!
Excellent video, I'm watching as an incoming medical intern, not a nurse. Still so helpful
Thank you so much for your support!
As always, very informative and helpful video Nacole. Thanks for the tips. =)
your videos are excellent and very helpful
Thank you soo much for your support and watching all my videos, I really appreciate it : )
You are awesome! Where were you when I started working as a nurse.....I was all over the place when I started, & no real guidance baptized by fire they call it...what a mess and since then I feel I can't get it together ppl think I am organized but I tell the 'don't let me fool you!' I may.look it but I am not. I am now a visiting nurse working in Adult Foster Care. I would love to write you more. And another thing in the 2 videos I have watched, you are realistic, you don't pretend to know it all but make sure you have the tools to reform yourself and your patients to show your competency and that you are an efficient and diligent person and nurse! You go girl!!!
Thank you for sharing and your support. You are too kind : )
@NurseNacole it is very time consuming. I'm caring for about 60 residents and the med pass takes forever. Thank you for the tip! :D
Thank yoy very much for this video. I am a new nurse now on 5 patients and feel like I am drowning, but this video was extremely helpful. You may already have one, but if you don't could you also do a video with some tips on clustering care? Thanks again
No problem, thank you for your support.
Thank you! I'm in week 3 of my orientation as an LPN (1.5 semesters left of my ADN) and I've basically been thrown onto my post-op unit to care for four to five patients at a time. I've been drowning. I've tried to develop a report sheet, I try to stay on top of my patients but I feel like I'm just treading water, trying to stay afloat. Thanks for some great tips. The only tips I've really gotten from my preceptors are "You don't need to chart all that" and "Delegate!" I'm trying your method next shift to see if I can get head-to-toes done and meds passed more efficiently, and thus make my day flow more smoothly. Thanks!
+Kate T We all have been there and you will get it soon enough, don't be so hard on yourself : )
I loved this! Question: do you ever have time to eat or drink water? That sounded like you had no time to breath. I understand no lunch break but is a 5 minute break to eat a fast meal an option? My health is very important to me which is why I ask. Thank you for your great videos!
Any tips for staying organized with medications due? Also, what is best way to understand the plan of care for pt for the day?
I created a chart with boxes to just keep track of when I have meds due. For care plans, I review progress notes from the last couple of days to understand what the overall plan is.
This is SO helpful!!
Thank you!
Nacole this video was legit!! THANK YOU SO MUCH!!
Thank you for your support!
Thanks for all the tips!
You are very awesome, thank you for your support.
thank you or telling you patients what the meds are used for. Everytime I went to my doctor the "nurse" would say are you still on such and such or itching and I would say I wasnt prescribed anything for itching. So last time I went I asked the DR if he was talking about my anxiety med he was like oh yes its for itching to and preceded to act like i was stupid i informed him NOBODY mentioned any other uses for the med. :rolls eyes:
You are simply wonderful girl!
Do you take your clip board into the patients room? I think about all the germs in the room, we can’t put it on the patients bed and the table is probably not clean or full of “stuff”. I like using a clipboard also, but I find it gets in the way when going into patients room. But it has all the information on it I need.
Hi Nacole thank you so much for your videos! I have just started as a graduate nurse in ICU and am struggling with time management skills! Especially the day shift with trying to fit in a wash, meds, ½ hourly obs and also keeping up with the many doctors rounds to listen in and clarify orders! I am having trouble with trying to prioritizing interventions and care. When I get behind I start to panic and feel incompetent as a nurse. I also find it difficult, as I cannot leave my patient without a nurse watching them in order to gather supplies of linen, medications, disposable bedpans etc. Do you have any advice from your experience as nurse? Thank you for you help ☺
How many times of you clarify orders a day? When you go in for your wash, is it DURING your hourly obs? Are you giving meds DURING your hourly obs? Since you have soo many things to do, you have to cluster were you can. Going in a room five times in 10 minutes isn't good. I'll do a video for you next week about this okay?
***** with clarifying orders i mean when the doctors decide to change a medication, or start a new infusion or plan a procedure and if I'm not there listening i don't find out until i read the notes and usually i don't have time to sit down and read the notes! I'm just so paranoid that I'm going to miss something really important! I've become better at clustering care for e.g. if someone is on 3 hourly neurological obs i try to do the wash on the hour its due for better assessment. thank you for your time!
Priscilla Robinson I make a note to check my charting for MD orders every two hours. I make it apart of my "things to do" because nothing is worse than getting ready to clock out and finding 5 new orders you haven't done and never knew about. You could try that maybe... I hope this helps and thank you for writing : )
Super informative!
Glad it was helpful! Thank you sharing.
Amazing advice! Keep on making videos. 💜💜
Thank you so much!
This is a great video! Thank you!!
Thank you so much for watching and your support!
great video! super helpful!
+Marci Acevedo Thank you for watching and your support.
Nurse Nacole - tx for all your sharing... Is there any reason you've posted your clipboard note IN PINK? Is it possible to print it w/ white background or do you want us to re type on own?
I found this document in the color pink, I'm not sure if it's possible to change the color background. Thank you for watching.
Omg this is so good. QUESTION for you: how can a nursing app help you make your job as a nurse easier? I would like to make one that supports your patient care flow rather than encumbers it. Thanks
Thank you so much for watching.
thank you for this video clip.
Thank you so much for your support.
U sound like a good nurse!
+utuben001 Thank you for watching : )
This is great but when do you do AM care (bed bath/shower, brief changing, oral care)???
I work nights, I do it before midnight or before day shift arrives 6AM.
I try to get that done after my first medication pass. That way, I get a full body visual while doing my bath and other things. Thank you so much for watching.
Thank you for post! When would you plan your lunch/break then?
At the beginning of my shift with my co-workers.
I meant when you will have your break/lunch. From your video, it seemed you didn't mention it rather than a short bathroom break. So I wonder.
Also, as a nursing student, I learned to plan ahead, but how much can I plan for each patient? I realized that I would miss some tasks if I didn't put them on the paper, or if something came up and I didn't mark down. So does it mean I have constantly add new tasks throughout the day? What are your strategies? Thank you so much!!!!
Brenda :)
I have my lunch break when my teammate determine the time to be okay. It changes from day to day.
thanks Nacole
Thank you for this video. Do you have a black and white (no pink or otherwise colored background) of the brain sheet you are using that you can share? Thank you.
I don't but if you print it, it prints black and white (just select the gray scale option).
How many minutes do you spend in each patient's room for the head-to-toe assessments in the morning?
As a bedside nurse 10-15 mins per assessment, as a nurse practitioner 15-30 mins per assessment, and that includes conversation.
very good my gurl!
Thank you very much!
Hello NurseNacole, I think I am confused here a little (sorry new nurse literally) you said you do all your HTH assessments first than meds. If you have 4 patients than how does that work with meds if it takes around 4 hours for your HTH? Sorry for a dumb question I haven't found job yet but I will eventually, LOL.
Hi there! I am a senior year nursing student. I love your videos.
Question...and it might sound a little silly, but do all physicians round when they want to? I am having a hard time keeping track of physician rounding and updates. Some of them are very complicated. They neglect to keep nurses updated with changes, etc.
So how exactly do you determine if a physician will be rounding or if you should page/call them?
They round when they want to BUT I hold onto the chart so they HAVE to see me before they write their progress note. Nurses are too buy to me running around people, they way… they have to see me haha. Rounding is confirmed with a progress note in the chart.
We use EPIC. Not sure if that made it's way to your hospital yet but the physicians chart all their things on the computerized chart. It's convenient because we don't have to make out chicken scratch, but it makes it harder to have contact with the physicians. The whole physician-nurse relationship is mind boggling to me.
My second dumb question.
What did you have to learn about the physician-nurse relationship as a new nurse. Was anything new? I feel so unready haha
We are phasing out verbal orders but from time to time we do process them BUT they are few and far between. My advice is respect everyone, clarify, clarify, clarify and if you don't remember ASK again haha. I'll do a video for you tomorrow : )
Have you work at an assisted living facility? What's your opinion about assisted living/ltc? I am a recent lvn graduate and currently working at an assisted living facility. Do you have any tips in regards to med pass.
Thanks.
have you ever had an admission on the beginning of your shift, if so how did you deal with it ?
Thank you soooooooo much!!
please I can't find the brain sheet on ur blog. Can you send a link please. Thanks
+wena T www.nursenacole.com/search/label/Brain%20Book
Do you not have CNA's helping on your floor?
Your hospital must not have nurse techs?? Or CNA's?
Thank you, soo much.
+Monique Fitzgerald You're welcome : )
Can you repost the link to the report sheet the link above does not work.
www.nursenacole.com/search/label/Documentation
Do you work in ICU?
AN do it! Love from WA
Do you work with nurse assistants on your unit?
Nope.
ugh perfect nurse much!? Haha love it!
How many patients did you have in this video
3 - 4 patients.
Do you have a brain sheet for the ICU?
Yes I do, on my blog.
Hi, please change your heading to Nurse Nacole. I have the trademark for Nurse Nicole for my business!!
Nicole M. Brown My channel's name is "Nurse Nacole." Where is "Nurse Nicole" located in my platform? Send a screen shot to nacole@nursenacole.com.