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RNs Duties & Responsibilities, often result in a Passion driven Career

RNs Duties & Responsibilities, often result in a Passion driven Career

Hi, It’s Rita here at Gold Medical Jobs. I am interested in knowing if you want to be happy? Are you sure you aren’t? Is it possible you are & just would like to be happier? Most experts say get plenty of rest, exercise, and nutrition. Can’t argue with that because it certainly is a good idea.

So, is your reality meeting your expectations? My guess is it is, at least some of the time. Here is the good news. Being happier is possible. It doesn’t include cannabis, prescription drugs, or even a million dollars. It has to do with that wonderful feeling of satisfaction. Explore ways to get that feeling. Challenge your uncertain, maybe even overwhelming feelings with ways to cope. Get feedback on how you’re doing, whether you’re the leader or the staff, the mother or the child. Listen to what you’re told, remember you asked for it. If change is required, then commit only when you can, and as much as you are able. Be the Boss of your own professional and/or personal development. Listen to yourself and decide what is motivating and what is not. Follow path you’ve set, carry your passion with you and guess what is down the road? Pleasure. Happier now? I’m rooting for you!


Hi again, from Rita at Gold Medical Jobs. Becoming a RN in the late 1970’s was one of the best decisions I ever made. It was and in my opinion, remains, a noble profession. Nursing made demands of me mentally and to a degree physically (roller skates may have helped). Working in this caring and healing field has been emotionally rewarding, fiscally helpful, while additionally providing nourishment to my soul or I’ll venture to say, my life’s essence.

Yesterday’s, as well as today’s complex healthcare environment causes nurses to face an array of challenges, Short-staffing in hospitals being at the top of the list of concerns. With shortages, nurses are overly taxed. It means they don’t have the time to provide the care necessary for their patients and families. When nurses feel like they are not doing enough, over time, it causes dissatisfaction and burnout. Their moral distress is adding to the shortage and thus, in part, a vicious cycle has been created. It is often mentally and emotionally draining when a nurse repeatedly cannot provide the care which is necessary, I make this statement from both my personal experiences working in various hospitals and from years of providing clinical coaching, counseling, education, and support. Furthermore, the American Nurses Association as well as other healthcare biotechnical and informatics associations confirm the existence of a significant turnover in many healthcare organizations as being due to inadequate staffing resulting in nurses be dissatisfied in the workplace. Nursing school organizations, medical institutes, labor bureaus, and the media have all been recognizing the shortage. For more than a decade they have been shaping legislation, identifying strategies, and forming collaborations to address the shortage. While this is good it isn’t hugely helpful to the nurses, respiratory therapists, many technicians, physicians, and the patients whom are in need right now.

What can I do and what can you do? Me, I’m still in it. If a paycheck wasn’t a necessity, I believe I’d still work as an RN, sans the salary. However, at this writing, I do need a paycheck and patient safety and personal sanity have pushed me to do a few things. On a right now, daily basis, my first move is to report to whomever is in charge, early in my shift, whenever critical treatments are behind schedule. So, for example, if I am unable to start a transfusion, administer meds, and/or treat a patient’s pain in a timely manner, that charge person hears about it. If a resource RN is not available, I’ll persist and ask the charge nurse to please treat the patient in pain and administer some of the meds, while I start an IV and begin the transfusion. Once caught up, I might seek out a CNA to assist with baths and turning patients. On the other hand, if and when I am having a manageable shift, gratitude is expressed, then, I ask if there is someone else in need of assistance. On a going forward basis I speak to and meet with as many leaders as possible about plans to resolve the shortage, in the next months and years. What is the strategy? Is there a plan to hire, precept, support education for advancement? Are there any ways the organization can work with local nursing schools to assist in forgiving loans, hiring grads, and increasing the RN population?

I am more than aware that it’s “a jungle out there” and nurses and other healthcare professionals are “in the trenches”. To my way of thinking, there is no backing out, just pushing through. Nurses and healthcare partners, Let’s go and go together. You are my people

Hi! It’s Rita here. After years and years (decades and decades, actually) of being a RN, I continue to find it a blessing and to this day, it remains one of my favorite roles. Well before becoming a RN, I had imagined it would be a noble and rewarding career. At age 5, I’d read A Little Golden Book, Nurse Nancy, and by 9 or 10, I was watching Dr. Kildare, Ben Casey, then went onto Dr. Welby, MD, Chicago Hope, and ER. My fascination with nurses continued. Upon being hospitalized a few times, for relatively minor conditions (swollen tonsils, ear infections, lumps and bumps), it was the very kind nurses I remembered. It was all-in-all, a very sweet and romantic vision.

So, in 1977, I graduated college, received my RN license, and was more than willing to begin practicing all the treatments and technical skills the professors and clinical instructors had taught me. I could hardly wait to work with chest tubes, CVP lines, Foleys, IVs, respirators, tracheostomies, traction devices, wound-vacs, Z-track injections, and more. I wanted to be courageous, heal, and make a difference. The many jobs I took to support educational costs, the studying, the schooling, the grumpy instructors, and the stressors, did not dissuade me. Off I went to my first RN job, smiling and seriously unprepared.

No one told me what it would be like, really. No one told me how busy it’d be, how challenging and downright scary it’d be to practice with some skills and information, but most certainly not all the skills and information, necessary. No one explained that it’d be a cooperative and subservient yet hugely autonomous position. No one said that some physicians were easier than others to communicate with. No one even hinted that there’d be competition and petty jealousies among my peers and supervisors [it’s sadly a very real job hazard and is currently referred to as harassment and bullying]. No one said you’d be effected physically, mentally and emotionally, by witnessing patients and their families suffering physical, mental, and emotional pain. NO ONE told me that I’d become so fond of my patients and likely fall in love with nearly all whom I cared for. Turns out, it’s okay and I wouldn’t have had it any other way. As devastating as it has been, at times, it has been my absolute privilege to have made both minor and major differences in the lives of others.

So, dear fellow nurses, particularly new nurses and those considering the career, consider yourselves at least introduced, if not told, from a long time RN, whom has walked the walk and talked the talk. In my (not so humble) opinion, nursing rocks!


Hi. It’s Rita and I want to provide a peek at an RNs workday, a “day in the life of an RN”, sort of…, because every day will be a bit different. Let me preface by saying RNs work in hospitals, clinics, communities, homes, schools, and more. They work with adults, children, elderly, and neonates. They can work on a Med/Surg, Intensive Care, Progressive Care, Pediatric, Geriatric, Orthopedic, Oncology, NICU, ER, Perioperative, PACU, or OR Unit. They can work 8, 10, or 12 hour shifts and they can work AMs, PMs, NOCs, or Swing Shifts. Some nurses “float”, meaning they flex to various units or wherever they are needed. RNs work with Physicians, Specialists, Surgeons, Technologists, Therapists, Assistants, and more. RNs are on the front lines, working face-to-face, in a hands-on (not a behind-the-scenes) profession. In the course of performing their duties, RNs assess and observe their patients, take and assess vital signs, review and evaluate lab values, obtain health histories, create and update care plans, draw blood, perform and/or assist with a variety of diagnostic tests and exams, and are continuously using their analytical and critical thinking skills, in caring for their patients. Actually, most RNs are carrying out many of these duties, simultaneously! Is it exhausting? O yes! It can actually be very exhausting.

There honestly is not a typical day for a nurse. Every single shift has the potential to be momentous, exhilarating, exhausting, energizing, or all of the above. Can it truly be as exhausting as all that? Yes, it can be. Very exhausting, taxing RNs physically, mentally, and emotionally. Yet, I’m here to testify that most of us absolutely love our work.

On any given day, nurses can see people at their weakest and most vulnerable, or at their strongest, most resolute. Our patients can be quite inspiring. RNs during the course of their profession will likely witness the results of career-ending, sometimes life-ending injuries/disease processes with such regularity that it may become par for the course.

So, let me start this “Day in the Life of” synopsis by saying a nurse’s shift begins way before the shift ever starts. He or she will prepare a day or more before their actual workday by getting some energy charging-mentally rejuvenating exercise, prepping a meal or two (2), laundering their scrub uniforms, and getting some sleep. Am going to provide a review of a “typical” 12-hour day shift in an acute unit, but keep in mind that 8-hour, 10-hour, PM and NOC shifts, will have their own set of variances, along with their own set of pros and cons.

At 5AM-ish or before the sun is up, a nurse’s day begins. Many nurses are out of bed, showered, made-up, hair washed and dried, and eating breakfast before other professionals even hit the snooze button. If there’s time, they’ll steal a few moments of solitude, before beginning their busy day. Shortly after arriving, logging in, grabbing a coffee, tea, or water, a day shift nurse will begin by getting report from the night shift RN. This report should update them on any change in patient(s) status since the last day shift, any admissions, or other matters they should be aware of. At the shift’s start, nurses will review their assignments, physician notes, morning labs, and do a quick read up on each patient that they have to see to that day.  Mornings rarely not busy for nurses. They’ll check in with each patient, do an assessment, and record their patient’s status. Nurses check blood work/labs in the morning, monitor the blood sugars of their diabetic patients, and check in to see if anything requires their immediate attention, IE: patients that are having pain issues, tele monitor arrhythmias, or may be pre-op. Morning is also a time when nurses will assist patients in ADLs/activities of daily living. RNs and their PCT/patient care techs often need to assist patients with eating (if they cannot do it themselves) or have basic mobility deficits. This time will also include administering/passing AM meds to patients. Eventually, sometime between 10AM and Noon, nurses get to their charting. It’s an important task and requires thoughtful contemplation to be done completely and accurately. This particular task is super-duper-uber difficult, when your patient’s needs, team’s needs, the bells, alarms, and phones are all calling you! Seriously!!

We are almost half way through the day, by 12-1pm. If they can, nurses should try to take some time for lunch now. This doesn’t always happen, though. Sometimes a lunch will be whatever you can grab in between tasks. Nothing’s a guarantee for a nurse, especially mealtimes. Nurse’s should goal for a 30-minute lunch break, because it does go a long way in keeping them better prepared and positive for the remainder of their shift. By the afternoon, many patients whom were being cared for in the morning could conceivably be released, and several more will be admitted. Nurses can often find themselves getting reports, managing new patients with new orders, administering meds that need to be given and (oh yes!) catching up on their charting.

Additionally, this is also when nurses will make further use of their people skills. New patients often have to be educated about their diagnoses and treatment plans. RNs will have to answer patient questions, ensuring both patients and their family members have adequately internalized what they need to know.

Between routine duties, RNs may need to start IVs, insert Foleys, assist in procedures and contact any number of persons regarding their patients, IE: MDs, Discharge Planners, other healthcare facilities, family members, and more.

In the last hour or so, between 6-7PM, the day shift RN will have to make sure that everything has been properly documented and made ready for the night shift RNs. Nurses will check and double-check patient charts and assure the information that the night shift will need is available. When the NOC nurses arrive, the day shift will start report, leave things in their capable hands, and hopefully go off duty, having done his/her best and earned some hard-earned R&R/rest and relaxation.

Hope I’ve drawn a reasonable picture for you. Nursing has been a huge part of my life since the late 70s, so it’s second nature for me. I’m not an expert but I am diligent, compassionate, knowledgeable, and practiced. There are lots of resources and have listed a few here:  https://www.topregisterednurse.com https://www.best-job-interview.com https://www.toprntobsn.com https://www.registerednursern.com/

If being an RN is for you, you’ll know. However, if you’re undecided, my last note is to suggest shadowing an RN. If you’re undecided on the exact RN discipline which suits you, say between L&D, Peds, or OR, see if there someone you can precept with for 3-4 weeks. Most importantly, have a good experience.


Hi. Am back from a fun holiday. Unfortunately, it ended with an uncomfortable URI/upper respiratory infection. Yuck! While journeying, have been thinking about us RNs and all we do, so am scratching out a brief rundown.

Here is the list, I’ve come up with, which is by no means all inclusive, but highlights some of the duties and responsibilities of registered nurses:

  • Observing and recording patients’ behavior.
  • Coordinating with physicians and other healthcare professionals for creating and evaluating customized care plans.
  • Provide emotional and psychological support to patients and their families, RNs work diligently to create a harmonious and health promoting environment.
  • Diagnosing the disease by analyzing patient’s symptoms and taking required actions for his/her recovery.
  • Maintaining reports of patients’ medical histories, and monitoring changes in their condition.
  • Carrying out the requisite treatments and medications.
  • Adhering to age appropriate and cultural diversity standards.
  • Directing and supervising LPNs/LVNsand CNAs.
  • Checking the stock on a regular basis for maintaining the inventory level, and placing orders if required.
  • Changing patient’s medication as indicated by their conditions and responses.
  • Adhering with the protocols, norms, rules and regulations in order to maintain complete medical records.
  • Maintaining hygienic and safe working environment in compliance with the healthcare procedures.
  • Conducting research for improving the nursing practices and healthcare outcomes.
  • Providing instant & rapid care during medical emergencies, such as MVA/motor vehicle accidents, burns, MIs/heart attacks and CVAs/strokes.
  • Regularly discussing treatments with pharmacists, physicians, and team members.
  • Providing necessary guidance on health maintenance and disease prevention.
  • Keeping an eye on each and every aspect of patient care that includes physical activity plus proper diet.
  • Preparing rooms, and decontaminating equipment and instruments.
  • Preparing patients for examinations.
  • Educating patients’ families about the disease and its treatment.
  • Assisting doctors during minor and major surgery.
  • Resolving patients’ problems and fulfilling their requirements by applying a multifaceted team strategy.
  • Interacting with the healthcare team professionally for successful relationships and positive patient outcomes.
  • Attending educational workshops for enhancing professional and technical knowledge.
  • Performing lab work and giving complete information to the physician about patient’s condition during anesthesia and/or routinely.
  • Recommending drugs and other forms of treatment, like labs, inhalation therapy, comfort and critical measures, and more.

Much more, actually.


While traveling, my husband and I joined a group of friends we’d known for many years. Included in our group were two (2) dear girlfriends, whom I went to nursing school with. One (1) of my friends has spent the bulk of her career as a mental health provider. While still in the early days of our nursing education, she used to speak about the disenfranchised, kooky, and homeless, as “my people”. She shared her dream of bathing them, feeding them (body and soul), and moving them up to her family’s “farm” for fresh air and a fresh perspective. She is committed to a type of work which is intense, exhausting, and to many, unimaginably unrewarding. Yet, my dear friend is where she needs to be, working with “her people”.


Over the years, I’ve come to know administrators, business folks, doctors, lawyers, law enforcement officers, fire fighters, teachers, principals, professors, social workers, moms, dads, and ministers. They are extraordinary, indeed. Some, like my dear Psych RN friend, are my heroes.








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