Top 10.5 New Grad Nurse Mistakes

by | Sep 26, 2013 | New Nurse | 0 comments

Which of these common nurse mistakes have you made? Check out these common mistakes and how you can avoid them, even if you aren’t a new nurse.

We all make mistakes. It’s part of being human. In fact, as you read through this list, I’ll bet you start laughing and saying, “same!” Some of them are avoidable. Laugh at them and then take a few nuggets of truth and try not to repeat history.

Top 10 New Grad Nurse Mistakes

The Most Common Nurse Mistakes and How to Avoid Them

This list was compiled by myself and my counterpart, Heeler, RN.  She is a much more experienced nurse who is a wealth of nursey knowledge. Read through this list of mistakes and make a plan so you don’t have to make the same ones.

1.  Forgetting to flip the feeding tube stop cock and spray yourself, your patient, and your freshly changed bed with tube feeding residuals.

Don’t forget to flip your stopcock before flushing anything!  And if you don’t have a stopcock on there, go grab one!  They’re called Lopez valves, usually.  They’re pretty helpful.  I have definitely sprayed myself more times than I’d care to admit.

2.  Save all of your charting until the end of the shift.  Good luck clocking out never because now you remember nothing.

Chart as you go. Don’t save your charting for the end of your shift, you won’t remember anything. You’ll even forget to things that you consciously told yourself to remember. Chart as you go, young grasshopper.

3.  Not checking with the other nurses before calling a doctor and then interrupt them during surgery to tell them something that doesn’t matter/could wait until next rounds.

If you’re going to call for something, just double-check with someone else until you get the hang of it.  I know in school you’re supposed to notify the MD immediately for literally everything.  However, there are a lot of things that can wait for them to round.  Even if they’ve already rounded for the day and you think you need to call, just check.  It may be something that can wait for the next day or something your unit has a protocol/standing order for already.

Hint: if they have a midlevel provider, always call them first!  (Nurse Practitioner or Physician’s Assistant)

4.  Trusting your confused patient when she says she won’t pull her IV + NG + foley out if you just take her restraints off for a few minutes.

Never, ever trust confused patients.  All your IV’s will be out, their foley will be across the room, and gastric contents are all over the fresh bed you just made.  And now you have to clean everything up and reinsert everything.  Some can be very convincing – don’t do it!

5.  Overfill your scrub pockets with alcohol wipes, scissors, Vasaline, KY jelly, portable pulse ox, gum, pens, tape, gauze, and highlighters.  (You’ll never find what you need when you need it.)

When a doctor comes by and starts spouting off 12 different orders as he’s quickly walking past you to an emergency.. you need to get to that pen fast!  Don’t dilute your pockets with crap you don’t need.  Grab a handful of alcohol swabs for a pocket, 1 pen, 1 Sharpie, a penlight, a pair of scissors, and one roll of tape.  You don’t need anything else in your pockets all day.  If you have other stuff, just keep it at the RN station.

6.  Taking 45 minutes to get report because you write down all the things that don’t matter.  And you write everything out.

Figure out shorthand/abbreviations and don’t make the off-going nurse go through 20 minutes of information you can easily get off the chart.

Here are the most important things to ask the off-going nurse:

  • #1 – what’s wrong with them
  • #2 – pertinent history
  • #3 – what do I need to do today?
  • #4 – what do I need to clarify with the physician?
  • #5 – what the plan of care?

Generally speaking, you can get the rest of the information from the chart.

Don’t freak out and act like they’re incompetent if they forgot to tell you about something like a basic wet-to-dry dressing or something.

7.  Thinking you’ll get a light assignment because, hey, it’s your first day out of orientation.

Hopefully, they’ll be gentle, but it may not happen!  You may be surprised by the responsibility you’re given that first shift.  You’ll make it!  Take a look at my post called “OMG I’M OFF ORIENTATION” under the New Grads tab for some more hints.

8.  Thinking all of your meds will be given at the exact time they’re due.

You’re not efficient yet.  You will be, eventually.  You’ll be passing meds, charting assessments, calling docs, and doing dressing changes all at the same time.  But it’ll take time to get there.  Don’t get down on yourself if you’re having a rough time getting those meds to all of your patients on time.

9.  Assuming your patient who has been a diabetic for 20+ years that they’ll tell you before they eat so you can check their blood sugar since they’re on sliding scale and 20 units of scheduled insulin.

I have been burned by this.  One would think they’d let you know they’re getting ready to eat, but that doesn’t always happen.  Then you have to call the doctor to see what they want to do because you can’t take their sugar now, it’ll be high and you can’t treat it with sliding scale because it’d be for an inaccurate blood sugar… and you have no idea if they were really low before they ate so you don’t want to bottom them out with their 20 units.

Something I started doing with anyone who has AC/HS (before meals + at bedtime) blood sugar checks, is when I’m introducing myself in the morning, I say, “now I want you to put your call light on and wait for us to take your sugar if you meal gets here before we take it; it affects your insulin!”  Alas, even that doesn’t work.

10.  Thinking the night shift is easier because all of your patients are asleep.

Ha!  Yea. Right.  Sundowners galore.  Plus no one is there; you have to know your resources.  You always have to call the on-call doctors who may not know anything about your patient.  Night shift is equally as difficult, just in its own special way 🙂

10.5 Getting excited about your paycheck.

After all the blood, sweat, tears, and poop you’ve endured for two weeks.. you’re ready for a big check!  Well, after deductions + bills, it quickly dwindles.  Better pick up some overtime!

Avoid Nurse Mistakes With These Tips

Give yourself some grace and time to learn the job. We all made mistakes as a new nurse. In fact, I have tons of helpful posts here on the blog about new nurse life. I hope they encourage you!

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Hi, I’m Kati.

Kati Kleber, MSN RN is a nurse educator, author, national speaker, host of the FreshRN® Podcast, and owner of FreshRN® – an online platform created to educate, encourage, and motivate newly licensed nurses in innovative ways.

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