Quote from SummerTimeCCRN
So, I've started precepting in my ICU. The students I've had thus far have been senior BSN students and new graduate RN's. When I was starting out in nursing, I would read the night before, ask "smart" questions, and make every effort to try new task and gain new experiences. I have been so disappointed with the ones who have come in to work with me. I understand that new grads will not know ICU drips and calculations, but not knowing what MAP is or means, not knowing that removing the patients o2 cannula can cause a patients o2 sats to drop, and text-ing at the desk, checking their e-mail, and taking random breaks at their convenience seems a little too much for me. I was never like this at a student. How can I get the new nurses or senior nursing students to take some initiative without "telling" their instructor or director, or making them feel dumb and like they can't hang a critical care unit??
Don't you have a hospital policy?? I know breaks, texting and cell phone use is somewhere in there..lol.
As for as knowledge is concern ( Maps, oxygen therapy) if you are precepting, your manager or clinical instructor should be continuously evaluating their work and behavior.
If it was me (I am a tough cookie), I would have them print out the whatever policy they are are in violation of and document that they have read it. Be honest during evaluation time. Preceptors are the doorways into any hospital unit. I am sure you have some pull in saying whether someone is prepared to work in the ICU or not.
Personally I think you are being too nice. They are taking that as a weakness. If I seen my student texting at the desk, I would immediately ask them what they are doing? I would then quote the policy to them. I would then mention all of these things during the meeting with the manager/clinical instructor and they can explain, scold etc.
Letting slackers do these things FOR ONE SECOND will encourage them to believe its okay when it's not. Maybe ICU nursing isn't for them if they think all of that is ok.