Every hospital is different but for the most part RNs are responsible for implementing doctors' orders administering medications. communicating with doctors and other disciplines for example phyiscal therapy, nutritionist, and others. Also we work with a nursing assisant most of the time that will take vital signs and report abnormal results. we are responsible for the continued stability of the patient if there is anything out of the normal the doctor is called and he makes the decision if he wants to make any changes.
So far as medications we can only administer what the doctor has ordered for that patient. if pain medication is not effective or if additional medication is needed the doctor always make the changes. if the patient starts to crash or code nursed have been trained to sustain the patient if at all possiple until the response team arrive. In nursing, we are certified in different areas in order to work specific areas such as telemetry , you will be trained on how to read strips. surgical we will be trained on how to take care of patients after surgery.
For patients recieving chemo therapy nurses will be certified to administer the medication for chemo and radiation therapy. For each type of nursing you choose, you are always trained. you should never be thrown out to the wolves without proper training. what you learn in school with theory and clinicals it is applied to your job. If you need clarification or more information, please realize that nursing is broad. There is is so much you can do.
