Are new nurses adequately prepared? - page 6
:confused: As a nurse, I see more and more new grads who have little clinical experience and who are overwhelmed, more than I was and that was a lot. Many have had no more than 1 or 2 patients during... Read More
Dec 21, '02Watch the movie, "The Right Stuff". It's about astronauts. The same thing, though, can be applied to nursing.
Not that many with "the right stuff". Chuck Yaegar had the right stuff. He was one of the only ones who realized that most of the astronauts had the right stuff too.
Dec 21, '02Nursing school has much in common with Medical school. They both prepare you for general entry into your field. The difference comes after graduation. Md's thenhave to complete a residency in order to become proficent in their choosen area.Nurses are thrown into their work enviorment and maybe have OTJ trainning but that depends on the facility. Nurses like physcians only improve with experience. How the experience is obtained will control what type of a nurse you become. I am a true believer in Nurse Interns programs. Any new nurse is not ready to function by themselves and should have a clinical working experience that includes education and strong resources until they have received adequate hands on experience.
As far as experience nurses lack of willingness to help educate new nurses, their are some reasons. Hospitals refusal to pay nurses appropriately for their experience,or even their efforts to chase these high price nurses out of their facility, has caused a rif in nursing. For years, I have watched new grads be hired , get one to two years experience with the benifit of the experienced nurse, then leave to another hospital to receive a pay ratemprable to those expeirenced nurses. This leaves those nurses who train the new grads to do it all over again with another group. Physicians who work at a residiency facilty are given facility privilages and wages to train residence, nurses are told to do this without extra benifits,most of the time, or minimal befits($1.00/Hr). I have found several facilities that have hired new graduates at a higher pay rate then nurses that have worked at their facility for several years. The hospital is able to do this because they prohibit their employees from discussing their payrate with each other. Can we really blame these nurses for their lack of enthusiasm to educate after being treated in such a way? How many of use have watched new grads be hired into positions such as dayshift with the hospitals telling their their exesting night shift staff they cannot have the dayshift slot because they cannot afford to lose their experience on night shift. As long as hospitals treat their nurse as such, you will find the lack of willingness to teach new people.
Dec 21, '02I graduated from an ADN program 3.5 years ago. The skills I learned were very basic that is what the school is for. You were expected to find learning opportunities anytime you could. i was lucky I worked in a very high acuity Stepdown ICU as a tech for the last year of school and was able to do many things other students had never seen or done. Iwas able to help doctors with bedside procedures like chest tubes, arterial lines, central lines etc. I was given opportunities to do CPR, put in foleys and NGT with the guidence of the nurses I worked with. I am sure this is not the norm. But I sought out these oppotunities but I am the exception to the rule.