Pros: patient satisfaction, participating with patient and family in care, learning new things everyday.
Cons: hard to handle patients, doctors not returning phone calls
A typical day on my floor involves a daily safety meeting, report from the night nurse, and prioritizing patient care. First I will check my patients who are diabetics, and administer insulin if scheduled (or extra if needed). I would then review labs, and tests for each patient. If any patients are scheduled to go for tests, I will do their assessments first, pass any meds needed, then finish my other patient's assessments and meds. I round hourly on my patients, checking on them, reassessing pain, helping them to the bathroom, bed side commode or bedpan. I help our techs with baths, linen changes or emptying trash. I also help out other nurses if they need help.
My floor is fast paced, high patient turnover, variety of acuity, and mostly the older population.
The manager has an open door policy, helps out whenever she can, and so does my charge nurse and other nurses. We all work together to maintain patient safety and patient care.
The hardest part of my job would be the types of patients I encounter in my shift and figuring out what to do first. I've had a total care patient with a tracheotomy, peg tube feeding, every two hour turn, with wound care, on isolation, mouth care and consistent suction to a patient with continuous bladder irrigation after a resection of the prostate.
The most enjoyable part of my job, is knowing that my patients received the kind of care I would give to my family. The best compliments I get are when a patient/family member tells me that I actually treat the patient like a human being, they think I've been a nurse longer than I have, and that I keep them informed about what is going on.