First-Year Nurse: Advice on Working with Doctors, Prioritizing Care, and Time Management

First-Year Nurse: Advice on Working with Doctors, Prioritizing Care, and Time Management

by Beth Hawkes

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An Indispensable Guide for First-Time Nurses on Working with Doctors, the Joys of the Night Shift, and Facing Mistakes!

You've completed the necessary education, passed the exams, and you're finally ready for your first year as a professional nurse. But there is still trepidation, accompanied by many unanswered questions.

A true first year of nursing 101 guide, this book covers topics like managing feedback, working with doctors, working night shift, and recovering from a mistake. Writer and nursing professional Beth Hawkes draws from her own experiences to offer expert tips for first-timers venturing into this important discipline. Writing in a manner that's digestible and including illustrative anecdotes along the way, Hawkes will put readers at ease with her clear advice and directives—many of which can be applied in professional settings outside of nursing. She offers rookie nurses sample questions to help guide them on how they should be communicating with preceptors and colleagues, from morning to night. 

The perfect gift for nurses just entering the field!

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Product Details

ISBN-13: 9781510755147
Publisher: Skyhorse
Publication date: 05/26/2020
Format: NOOK Book
Pages: 192
Sales rank: 1,031,241
File size: 406 KB

About the Author

Beth Hawkes is a nurse who operates the blog Hawkes also writes the "Ask Nurse Beth" column at She works as a nursing professional development specialist and does work with the American Nurses Association, the Association for Nursing Professional Development, and the Academy of Medical-Surgical Nurses as a column editor and content developer. Hawkes resides in southern California.

Table of Contents

Letter from the Author xi

Chapter 1 You've Arrived 1

Inspiring 1

What They Expect From You 3

Transition to Practice 5

Reality Shock 5

Novice to Expert 9

Poser Anxiety 11

Accept Ambivalence 13

Give Yourself One Year 14

Scrubs and Shoes 15

It's a Small World 15

Chapter 2 Orientation Expectations 17

Prepare for Your First Day 17

Nurse Residency Programs 18

Preceptor 23

Feedback 27

Your Part 29

Time Management 30

Find your Hidden Resources 35

Delegating 35

Reflective Journaling 36

Caring Practices 38

Deviancy and Moral Distress 38

Coming Off Orientation 39

Chapter 3 Shift Work and Work-Life Balance 41

Working Night Shift: Love It or Hate It 42

Working Holidays 48

Meal Prepping 49

Working Overtime 50

Work-Life Balance 51

Prevent Sickness 52

Chapter 4 Practice Environments 54

Unhealthy Practice Environments 54

Toxic Environment 63

Healthy Practice Environment 64

Manage Yourself 65

Just Culture 66

Success Stories 66

Chapter 5 Doctors 67

Nurses and Doctors 67

Respect is Earned 68

How Doctors Think 69

The Doctor-Nurse Game 69

Clinical Knowledge and Scientific Knowledge 70

Importance of Subtle Changes in Condition 71

Calling Doctors 72

Anticipating Orders 76

When a Doctor Snaps at You 78

Gender 78

Disillusionment 79

Chapter 6 Pro Tips from A-Z 80

Assessment 80

Assumptions 81

Back Care 81

Blood Cultures 81

Blood Transfusions 81

Bowel Obstruction 83

Chain of Command 83

Chest Tubes 84

Charting 87

C. difficile 87

Codes 87

Conflict 89

Death, What to do When Your Patient Dies 89

Emotions, Managing 90

Femoral Sheaths 90

Foleys 91

Insulins 93

IVs 94

Manipulative Patients 96

Medications 102

Nasogastric Tubes (NGTs) 102

Opioid-Induced Respiratory Depression 103

Oxygen Delivery Devices 104

PCTs and CNAs 105

Phone Numbers, Key 106

Potassium Replacement 107

Sepsis 107

Service Recovery 107

Supply Room 108

Tap Water Enemas 109

Visitors 110

Chapter 7 Safe Practitioner 111

Causes of Mistakes 112

Patient Falls 122

Know your Politics 123

Just Culture 124

Floating to Other Units 124

Getting Your Own Insurance 125

Defensive Charting and Red Flags 125

Chapter 8 Critical Thinking 127

Critical Thinking 127

Controlling Anxiety 128

Prioritizing 129

Recognizing Abnormal 129

A Note on Intuition 133

Anticipate 134

Preventing Codes 136

Respiratory Assessment 137

Context: Treat the Patient, not the Machine 138

Problem Solving 139

Pattern Recognition 140

Journaling 141

Chapter 9 Myths of Nursing Practice 143

Evidence-Based Practice 143

Practice-Based Evidence 144

Inflating Foley Balloon to Test Prior to Insertion 145

NPO Before Surgery 146

Protective Isolation 147

Sandbags Applied to Femoral Artery Site After Sheath Pull to Control Bleeding 148

Stat Glucose to Verify Hypoglycemia 149

Trendelenburg for Shock and Hypotension 150

Tube Feedings and Checking Gastric Residual Volumes 150

Patient Abandonment 152

Overtime 154

Two Doctors Signing Emergency Consent 155

Vaseline or Occlusive Dressing for Dislodged Chest Tube 155

Wet to Dry Dressing Changes 156

Chapter 10 Disciplinary Process 157

Signs of Trouble 157

When You Are Blindsided 159

SMART Goals 160

Close the Loop 161

Preceptor Feedback 161

Transfer to Another Unit 161

Chapter 11 Professional Development 163

Proper Title 163

Academic Degrees 164

Certificates and Certifications 166

Resume 168

Pro-Nursing Language 168

Continuing Education 169

Difference Between CEUs, Contact Hours, and CEs 170

Licensing Renewal and Continuing Education Requirements by State 171

Compact Licensure 176

Conclusion 179

List of Nurse Certifications 180

Chapter 12 Just for Fun 181

Bibliography 185

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