From Kati Kleber, MSN RN

Nurse educator, author, and owner of FreshRN®

Learning how to be a safe, effective, and efficient med-surg nurse is challenging. We created the ultimate resource for nurses new to this complex and dynamic acute care nursing specialty.

I was once completely overwhelmed as a new med-surg nurse too

Whether you are fresh out of nursing school or an experienced nurse starting out in med-surg for the first time, the learning curve is steep.

Back in 2010, when I was preparing for my first day on the floor was really important to me, but I didn't know what to look up, read, or study.

I spent hours scouring the internet for help, but it was full of the same tips and general advice. It was either geared towards nursing school, or highly technical and over my head.

This course is everything I wished I had when I was starting my first acute care nursing job - and more.


With Med-Surg Mindset, here's just a few things you'll learn:

  • What normal progress during orientation looks like so you can have realistic expectations for yourself and keep your morale high
  • The unwritten rules of a med-surg unit
  • How to be tactfully assertive
  • How to manage your time when your patients are stable - plus many time management and prioritization practice scenarios
  • How to give and take report like a highly-experienced nurse
  • How a normal shift should flow - from start to finish
  • How to perform an awesome med-surg level head-to-toe
  • A run down of the pathophysiology, unique assessment findings, patient pathways, and nursing considerations of the TOP disease processes in med surg + considerations for common accompanying conditions
  • Basics of the most common diagnostics, how to explain them to patients, and how to coordinate getting them done
  • Written by experienced nurses who genuinely want you to succeed
  • ... and so much more!
With enrollment, here's what you get:
  • 18 hours of audio files - listen to each module like a podcast!
  • Over 3 hours of video content
  • High-impact downloads that can use at work tomorrow! These include: Sample report sheets (and audio files to practice at home), an ideal shift timetable (for nights and days), assessment checklist, electrolyte disturbances, patient flow checklist, and a post-op checklist!
  • 18.0 contact hours* upon successful completion of modules and a post-test
  • 24/7 lifetime access - unlimited logins, video views, and audio plays
Plus enjoy these bonuses!

My exclusive coaching package ($97 value) that includes videos to get the most out of each section of modules and your orientation to med-surg!

A complimentary enrollment in Nursing Skills Refresh to brush up on basic nursing skills ($97 value) like IV med admin, labs, respiratory equipment, and more!

A 290+ page PDF download of the text of the entire course ($77 value) so you can take notes and revisit topics offline.

Over $270 worth of bonuses absolutely free!

*This continuing education activity was approved by the Ohio Nurses Association, an Ohio Board of Nursing approver. (OBN-001-91) A post-test must be completed, and a PDF is automatically generated for the learner as proof of participation.

Check out the full course curriculum below!

(And preview the Pneumonia module at no cost)

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  Get Your Game Face On
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  Starting Your Shift Right
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  Anatomy of a Shift - Game Time
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  Patient Care
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  Common Primary Disease Processes
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  Common Accompanying Problems
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  Common Procedures, Diagnostics, & Medications
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  Serious Situations
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Meet your authors, coaches, and biggest cheerleaders

Kati Kleber, MSN RN

Kati has been a nurse since 2010 with experience in cardiac-med surg, stepdown, and neurocritical care. Now a full-time nurse educator, Kati is an award-winning nurse, published author with the American Nurses Association, national speaker, and owner of FreshRN®.

Crystal Griest, MSN RN CMSRN

Crystal is a highly experience med-surg nurse and unit educator. She was an integral part in her med-surg unit receiving the PRISM award, a designation provided by the Academy of Medical-Surgical Nurses (AMSN) and the Medical-Surgical Nursing Certification Board. Crystal regularly functions as a preceptor and charge nurse, and holds her MSN in Nursing Education.

Hannah Schlake, BSN RN CMSRN CCRN

Hannah graduated from nursing school in 2018 and worked on a surgical floor for three years. Since 2021 she has worked in the Surgical Intensive Care Unit of a Magnet-designated, level-one trauma center in downtown Chicago. She has been a charge nurse and frequently serves as a preceptor. Hannah is currently working on her DNP in Nurse Anesthesia and will graduate in 2026.

Enroll below!

🌱 Hey Med-Surg Nurse, Upgrade to All-Access Mastery!

Unlock the full potential of your nursing education journey.
Get exclusive access to all of our high-value courses with the All-Access Pass. For the price of a single course, you can now enjoy unlimited learning opportunities and stay ahead in your career. Don't miss out - seize this opportunity now!

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Hear what current learners have to say about Med-Surg Mindset:

Includes 18.0 Contact Hours

This continuing education activity was approved by the Ohio Nurses Association, an Ohio Board of Nursing approver. (OBN-001-91)

A post-test must be completed, and a PDF is automatically generated for the learner as proof of participation.

Try for 14 days - Risk Free

The last thing we would want is for you to be unhappy. My simple offer is if you don’t LOVE this course, I’ll give you 100% of your money back with no questions.

You can check out the course and if it’s not translating to a deeper understanding of med-surg, a smoother orientation process, and less stress - I will absolutely give you 100% of your money back. Provided you have completed less than 50% of the course and have not claimed any contact hours. The refund must be requested and issued within 14 days of original purchase (please allow 1-2 business days for processing).

All you need to do is send one email (listed in the course) and that’s it. No phone call. No awkward conversation requiring you to explain anything. No questions asked. One email.


Section 1 - Get Your Game Face On

  • Describe characteristics of an overbearing preceptor 
  • Describe characteristics of a disengaged preceptor
  • Discuss professional ways to navigate when a preceptor-preceptee match is not ideal. 
  • Discuss how to advocate for yourself to maximize your orientation experience.
  • Describe how to delegate tasks to nursing assistants, navigate challenging responses, build rapport, and foster teamwork.
  • Explain the chain of command and hierarchy of a medical team and how to ensure effective and efficient communication between nurse and provider.
  • Define the three types of communication styles, and provide example responses of each type.

Section 2 - Start Your Shift Right

  • Discuss at least three important pieces of information to review from a patient’s chart prior to hand-off
  • Discuss strategies to maximize efficiency and ensure appropriate continuity of care during hand-off
  • Discuss why shift change is considered a critical transfer point

Section 3 - The Ideal Shift

  • Discuss the benefits of developing a shift routine
  • Identify important key topics to discuss during interdisciplinary rounds on a med-surg unit

Section 4 - Patient Care

  • Identify the steps of a medical-surgical head-to-toe patient assessment
  • Discuss the difference between pain management and pain elimination and the importance of managing expectations surrounding pain management
  • Verbalized at least 4 reasons why accurate and timely documentation is paramount to safe patient care

Section 5 - Common Primary Disease Processes

  • Describe pathophysiologic processes, unique nursing assessment, typical patient pathways (including common diagnostics, labs, medications) and important nursing considerations of the following disease processes: 
  • Congestive heart failure
  • Pneumonia
  • GI Bleed
  • Acute renal failure
  • Chronic obstructive pulmonary disease
  • Urinary tract infection
  • Sepsis
  • Pancreatitis
  • Venous thromboembolism
  • Bowel obstruction
  • Altered mental status
  • Describe nursing considerations for pre and post-op patients, and patients admitted to a medical-surgical unit for the purposes of a cardiac work-up

Section 6 - Common Accompanying Problems

  • Describe patient considerations for the following common accompanying medical problems often impacting medical-surgical patients:
  • Alcohol withdrawal
  • Diabetes
  • Chronic pain and substance use disorders
  • Dementia
  • Chronic kidney disease
  • Electrolyte disturbances
  • Fluid imbalances
  • Mental, social, and financial issues

Section 7 - Common Procedures, Diagnostics, and Medications

  • Differentiate between computed tomography and magnetic resonance imaging
  • Identify different insertion sites for central venous catheters, differentiate between a PICC line and a midline
  • Describe why a central venous catheter enables vesicant medications to be safely administered 
  • Describe appropriate patient positioning for central venous catheter discontinuation
  • Define CAUTI and describe at least two preventative nursing management techniques 
  • Differentiate between peritoneal dialysis and hemodialysis, verbalize complications of each, and the med-surg nurse’s role in facilitating each 

Section 8 - Serious Situations

  • Discuss tactful yet efficient ways to navigate when a provider is unable to be reached during an urgent situation
  • Describe the primary nurse’s role in a cardiac and/or respiratory arrest 
  • Differentiate between palliative care, hospice, and comfort care
  • Identify at least 3 nursing responsibilities after a patient passes away


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