New Grad Nurse Survival Guide PDF: First 90 Shifts, Scripts & Printable Brain Sheets

Starting your first nursing job can feel overwhelming when you are managing medications, assessments, charting, provider calls, and multiple patients at once.

The First 90 Shifts is a 48-page new grad nurse survival guide designed to help new nurses organize their shifts, communicate clearly, recognize when something is wrong, and know what to do next.

This is not another textbook or NCLEX review. It is a practical bedside nursing guide with step-by-step workflows, word-for-word communication scripts, printable nurse brain sheets, an SBAR provider call worksheet, and four pocket-sized badge cards.

WHAT YOU WILL LEARN

• How to organize a 12-hour nursing shift from report through handoff
• How to prioritize care for four to six patients
• How to plan the morning medication pass
• What to do when medications and charting are running behind
• How to chart throughout the shift instead of staying late
• How to delegate clearly to CNAs and patient care technicians
• How to give a concise nursing handoff report
• What to ask when you receive an incomplete report
• How to call a provider using SBAR
• Word-for-word provider call and escalation scripts
• What to say when your concerns are dismissed
• How to respond to difficult or frightened family members
• When to involve your charge nurse
• How to recognize common signs of patient deterioration
• What to do during your first rapid response or code
• Common nursing drips and the mistakes new nurses should avoid
• What to do after a medication error
• How to handle your first patient death
• How to recognize burnout and protect yourself during your first months

SIX PRINTABLE NURSING TOOLS

• Six-patient nurse brain sheet
• SBAR provider call worksheet
• Nursing handoff and report template
• First 90 shifts progress tracker
• Unit phone numbers, resources, and escalation thresholds worksheet
• Four cut-out nursing badge cards for provider calls, deterioration, falling behind, and rapid responses

WHO THIS GUIDE IS FOR

• New graduate registered nurses
• Nurses completing hospital orientation or a nurse residency
• Bedside nurses starting on a new unit
• Final-semester nursing students preparing for their first RN position
• Preceptors and nurse educators supporting new nurses

FILE DETAILS

• One 48-page PDF
• US Letter size, 8.5 x 11 inches
• Instant digital download
• Designed for printing or viewing on a tablet, phone, or computer
• Fill-in pages can be printed repeatedly for your personal use
• This is not an editable Canva template
• No physical product will be shipped

CREATED FROM REAL BEDSIDE EXPERIENCE

Created by Katelyn, RN and paramedic, with flight, emergency department, and intensive care nursing experience. Titratable Studies creates practical nursing education for the moments that feel different at 3 a.m. than they did in a classroom.

IMPORTANT

This guide is an educational workflow and communication resource. It does not replace your facility’s policies, orientation requirements, provider orders, scope of practice, or clinical judgment. Vital-sign thresholds, escalation processes, medication procedures, and protocols vary by facility and patient.

For personal use only. This file may not be resold, shared, redistributed, or reproduced for commercial use.