Setting Up Your Day as a Critical Care Nurse After Report

In this video I share tips and trick to help you set up your day for success as an ICU Nurse after receiving report.
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This video is for educational purposes only. Please follow your specific facilities protocols, policy, and procedures. Not intended for the treatment or management of patients.

[@eloyceforrest1026]

Thank you for saying assessing your patient is first priority!!! So many want to look up all the orders, notes, and etc...love this.❤❤❤

[@ISeeU_Nurse]

You are so welcome! Your assessment will influence so much and its important to get a solid baseline to move forward from.

[@KC-yp4hc]

I love the way you set up your day. It makes a lot of sense! I try to set up my day like this but my preceptor is always adamant that charting comes last and I find myself having to reassess at the end of the day. It’s terrible!

[@ISeeU_Nurse]

Everyone works a little different. If there are other more important priorities, then charting is at the bottom of that list. However, for me charting things as I go has always been best for me. The good thing is that when you get out on your own, you can rearrange it how you would like.

[@TiffanyPatat]

Please never stop these videos

[@ISeeU_Nurse]

Thank you so much for those kind comments!

[@justbe_kind]

The daytime rounds always gets me! I work in an ICU at a level one so the med students,NPs, attending etc all round at different times and throw in one order at a time. I’ve learned to just push the meds to the next med pass time rather than giving a new med every 15 minutes (unless it’s blood etc). Our transplant patients always throw me off too since the labs and meds are SO time critical but pharmacy doesn’t feel the same.

[@ISeeU_Nurse]

I understand! That can definitely complicate things when you are getting a trickle orders in. Does your team do MDRs? Or do they each round individually?

[@itsalexhyde]

So glad I found your channel! After two years of med/surg as an LPN, I completed the RN and will be moving into ICU next month. Thanks for the helpful tips. About to binge your vids 😆🩺

[@BN-sm7pd]

I’ve been a RN for many years and I set my days up like this as well. I often have time before shift report to look up the orders though because I often have to wait to get report from different nurses. I use that time from 0650-0730 to squeeze in time for looking up the orders and MAR, labs, notes, etc.

[@justbe_kind]

I do this too! If im getting report from 2 different nurses, I will check to make sure the 7:00 meds were done so I’m not 2 hours behind right out of the gate

[@ISeeU_Nurse]

I usually bring the computer in with me during bedside report and while they talk I am reviewing things. That way I can address it right then and there. I also review labs. This way we can discuss anything that may be worth talking about.

[@reanderson1475]

This is golden!!! Thank you!!!

[@nursechriswright528]

Thank you, this was very helpful!!

[@solangerajaofera3525]

Thank you so much!

[@mizzchuz.6413]

New (older adult ) nurse. I love your practice. I reallly struggle with my management of 6-8 med surge patients. I also don't enjoy cutting corners. Do you have suggestions on how to apply your approach to a higher patient ratio? I have good assessment skills and clinical knowledge but I also have adhd! Experienced nurses tell me i should try ICU. Any tips? Do you coach privately?

[@SandDunesGuy]

Nice job. I teach nursing and I teach your approach. Thanks!

[@ISeeU_Nurse]

Thank you! Seeing the patient first is a top priority. =)

[@mimismith9316]

The last portion of the video is muted. But great information, thank you.

[@Allison-ito1]

Do you lay eyes on the second patient first thing in the shift if you’re going to fully do assessment, charting, meds, on patient one? I feel like this routine will be perfect for me but I’m wondering how to make sure I’m not missing something critical on that second patient while focusing only on pt1

[@ISeeU_Nurse]

I always do bedside shift report. So, during that time I have a quick glance at both patients during their report time and do my safety checks!

[@lizamatthews3592]

But wait. In my hospital, we have rounds with the docs & I have to present my patient to a group of doctors. Is that not an ICU thing .. or is it just my hospital?. Rounding happens around 7:45 -9am. And it just throws my whole morning off and is makes my time mgmt completely thrown off

[@ISeeU_Nurse]

I totally understand that! Multidisciplinary rounds is a standard within critical care. However, the time in which they occur may be slightly different. I have had them at 0800 and then at 1000. Depends on the facility! It can be tough to navigate through the process of trying to see your patients and be prepared for MDR. Whenever I have early rounds, I try my best to at least assess patients quickly, then the care/meds can come later.