Am I off Base? or mentally unstable? - page 2

Hello everyone, I need your help. During a meeting with my Clinical AdvisorI was brated for a writing a paragraph in one of my reflections. I wrote about a violent patient that I had one... Read More

  1. by   mario_ragucci
    I hafta take up for the advisor, just for the sake of it. Perhaps this advisor has experienced staff members who have trouble relating to people who are "out of the norm." What I mean is, people get used to seeing people they are familiar, and comfortable with. Then, when a human comes along we are not familiar with, our first reaction could be to restrain them. Is this right?

    I am just playing devils advocate here, and offering perspective, so please don't attempt to slam me.

    Consider the way the advisor may have interpreted your gut reaction? Gut reactions are interpretted differently than thought out ones, and can set the stage right away. You advisor may have smelt fear on you. Maybe they don't want your first responce to be going for a mask.

    Please do not attack me for what I am saying. And if you do, more power to you. I just want to assume how the advisor could have felt :-(
  2. by   JMP
    Mario
    When you have done your psych rotation you will find out that four point restraints are not used because "we see someone acting in a way we are not familiar with". Four point restraints are used when people are violent, threatening to kill, rape, hearing voices telling them to attack or be attacked. These are dangerous people. It is just part of their disease process. They are usually people who are severely and persistantly mentally ill. However, NONE OF THIS is the point of the original posting.

    When someone is spitting as a form of intended abuse, violence, etc. GET OUT THE goggles, keep your mouth shut and read the policy and procedure manual. OH, and get an order for a CHEMICAL restraint while your putting the goggles on.

    I know that the teacher's role is to be thought provoking, challenging even, but this chick was out of line to give the student a hard time. But then, often that can be the life of a student.
  3. by   micro
    :stone zhakrin.........no not off base at all for asking questions and thinking about yourself and safety.........

    JMP-----yes, nursing school is a different animal.....either here or there............but lighten up.............

    mario-----yes, could see that side of it......teaching is an awesome responsibility(and yes, all......can agree that some(not all instructors ???behind the times))

    hey all great replies and support for zhakrin.........

    now just a few more thoughts..........

    know I don't walk around with my eye goggles in pocket.......
    psych..........hate it??????no way..............we all have psych and a psyche...............

    now to the question at hand.....


    couldn't have said it better myself........mattc......so I won''t.....

    amy-----------love your sense of humor and life perspective........

    from one that has had (way too many) body fluids spashed in face, os, eyes, etc........you know that paper cut you got yesterday.................

    use the best PPP(personal protective equipment) and if in question.....flush flush flush and ...................
    keep on nursing and smilin'...................

    micro:stone :stone :stone
    life is far too serious to take so seriously!!!!!!!!
  4. by   tracib
    Sad to say, we nurses have a reputation of eating our young. And I see it more with nursing instructors....and they are the ones who should be supportive.

    Sounds as if this instructor has issues of her own that need to be dealt with...and not at your expense!

    Take heart....the rotation can't last forever (though it may seem like it). And don't let this stop you from asking questions! There are many of us out there (the majority, I think) who welcome questions and the opportunity to pass along knowledge.
  5. by   fergus51
    Originally posted by hoolahan
    Fergus, relax, you are in no way mentally unstable for your line of thinking. Your instructor is nuts.
    .
    I hope I;m not mentally unstable, seeing as it was Zharkrin who posted. I am not a student anymore (thankGOD!) and haven't been in psych since then (I have been in OB for almost 5 years, and never plan on leaving)
  6. by   mattsmom81
    Hugs to you, Zhakrin, I'm sorry you had this experience but we can all remember a power-tripping nursing instructor I'd bet!!

    The point about this being an American board with American responses is thought provoking.....you gotta follow policy and current practice in your area. Injury to nurses in psych is a hot button here due to recent deaths of nurses and 'patient rights' overpowering our right to a safe environment....

    Your questions and concerns should not have been attacked.
    I would swallow hard, and try to get along with this 'instructor' (if anything, silently learn from her poor example) but if she tries to harm your future in this school....well, best ask the Canadian nurses in your area as I would hate to give you the wrong advice...different areas of the US do things differently as well.

    Good luck and keep asking questions ...carefully...LOL!!
  7. by   live4today
    If your Instructor refuses to do something about the patient spitting on everyone, then you do something to protect yourself as a person who does not deserve to be spit on. Wear protective gear! There is nothing illegal or out of line for you doing this.

    Be thankful for having to deal with that particular Instructor's personality in your psych rotation for that particular personality will often crop up again in some of the health care professionals you will have to work alongside of, be in charge of, or have in charge of you during your nursing career.

    Nursing is 90% psych, and 10% "other"...IMHO as a nurse. Once you can handle coping assertively with personalities like you encounter with that particular Instructor, you're on the way to becoming the best damn nurse you could possibly be!

    Speaking from experience...been there/done that!
  8. by   hoolahan
    I'm sorry fergus, had another brain toot! Please accept my apologies :kiss

    Of course you are right, I meant to say Zhakrin, sorry to you both. :kiss
  9. by   wrightgd
    Hey...
    While we are all so understanding on this issue, how would you feel about the use of duct tape and plastic bags?

    OK OK .... just kidding... I agree with this group... Protect yourself, but do your best to protect the dignity of the pt. So many times they have no clue what they are doing...

    George
  10. by   ERNurse752
    You were absolutely right to ask a question...you're a student, that's what you're SUPPOSED to do. Your preceptor didn't seem to think you were out of line for asking...so I don't know why your instructor has such a problem with it.
    Workplace Violence as a topic is EXTREMELY relevant to nursing today. I did a paper on it myself, and I consider myself to be mentally stable! (most of the time)
    If your instructor tries to fail you over this, you need to go to the dean of the nursing school, or whoever the instructors' boss is.
    Good luck. You did the right thing!
  11. by   thisnurse
    mario...you want a mask?
  12. by   4XNURSE
    Originally posted by ERNurse752
    ....Workplace Violence as a topic is EXTREMELY relevant to nursing today. I did a paper on it myself, and I consider myself to be mentally stable! (most of the time) .....
    !
    ERNurse,

    I agree with the responses you gave, however I question the stability issue.

    You still work in ER? I don't know any mentally stable ER nurses. I've worked in at leadt 30 ERs. Never met a mentally stable ER nurse. - me included. LOL

    Zhakrin,

    Keep the inquisitive mind. The more you learn, the better you will be equiped to handle the future.

    ken
  13. by   PhantomRN
    The nursing instructor was and is an idiot on a power trip. She is probably practiced and is stuck in the dark ages of nursing, before we knew about all the lovely, transmittable diseases we have.

    Regarding asking the question, she should have ASKED YOU what you thought was an appropriate thing to do in this case or at the very least TOLD YOU to put on some protective gear............SHAME ON HER.

    Teaching is about trying to expand someones mind.........she was trying to deflate and then instill fear in that student nurses head.

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