The Evolving Routine of a Registered Nurse

As a retired Registered Nurse (RN) with over four decades of experience, my daily routine has continually adapted to the demands of various healthcare settings, including hospitals, medical centers, nursing homes, and rehabilitation units. Over the years, my role evolved with the changing needs of both patients and employers, making it impossible to stick to a one-size-fits-all routine. Ultimately, as a nurse, it is crucial to adapt to the unique circumstances and to balance the needs of patients and the healthcare team effectively. This is a delicate balance that involves continuous growth and learning.

Starting and Finishing the Day

The primary role of every nurse is to care for others. From the moment we step into our unit, whether a hospital, medical center, nursing home, or rehabilitation unit, the well-being of our patients is our top priority. We are constantly attentive, listening, assessing, and ensuring the safety and comfort of our patients. We carefully pass vital medications and take note of critical information, making sure that this data is clearly communicated to the team and the next shift. This ensures that the care is seamless and that our patients receive the best possible treatment. Our teammates, who are our 'eyes' on the floor, play a vital role in our daily routine, and effective communication is essential for a smooth workflow.

Challenges and Solutions

My days were not always without challenges. There were good days and, unfortunately, some bad days. Many of the negative experiences were due to supervisors who spent too much time behind their desks and not enough time making rounds, often overlooking the true needs of patients and staff. These days required extra caution and quick thinking, especially in mental health settings where extensive paperwork could be overwhelming and clients could become aggressive. My approach was always to treat everyone with respect, from patients to direct care staff. This not only fostered a respectful environment but also empowered patients to self-regulate their behaviors. Collaborative efforts with the care team significantly reduced violent situations and ensured that the patient's dignity and safety were maintained.

Teamwork and Collaboration

Despite the challenges, most of the time, the care team worked harmoniously. However, in some settings, there were instances of polarized areas with vertical and horizontal conflicts, leading to a stressful environment. Nevertheless, for the most part, the professionals I collaborated with contributed to a cohesive and supportive team, ultimately benefiting the patients with improved outcomes. The key to a successful daily routine lies in the ability to adapt, communicate effectively, and work collaboratively towards the common goal of patient care.

As a Registered Nurse, the essence of the job is multifaceted, encompassing caregiving, management, and teamwork. Whether in an OB ward or a mental health unit, the ability to adapt and provide excellent care is what defines a successful nurse. These are the lessons I learned over my long career, and they continue to shape the way I approach healthcare today.