My first day I walked into the ICU and almost ran right back out, thinking “ Get me out of here” it was a 10 bed unit, the traditional glass ICU room doors, two crash carts at either end of the unit, patient charts seemingly everywhere, precaution carts, glucometers, IV poles and pumps, doctors running into the room at the end of the hall, telemetry monitors beeping and spitting out rhythm strips. Little did I know these sounds and sights would eventually become more calming than frightening. I kept thinking to myself how was I, a student going to handle a clinical placement on this floor? How I could remember the necessary skills of medical surgical nursing to be ok here? I met with my preceptor , a nurse with 30 years experience. I was intimidated. She let me know I would work covering her patient load, with her supervision of course. I would also be expected to know my dosage calculations and all of my medication fact.
We went through patient assignment board to receive report from the morning nurse. My first patient was on a ventilator, in congestive heart failure and acute respiratory distress syndrome. We went into the room and my preceptor told me to get started, I froze. Then , suddenly it came to me, we always assess first and I did my head to toe assessment, I remembered this from one of my first nursing classes, Health Assessment. “ok” I thought I remember how to do this . My