Hi. I am in nursing school
, my last semester (4th).
Right now in clinicals, we are assigned to 3 patients but help the nurse manage 4 patients. All we have been doing is med pass and assessments, and charting head-to-toe assessments on 2 out of the 3 patients.
My clinical instructor has barely talked to me during clinicals since she's on another floor with other students or I'm always in a procedure or she is passing meds with another student. This week was the FIRST time I was able to pass meds with my professor (and then we can finally pass meds with our nurse). This is our 5TH WEEK already. So for 4 weeks, she didn't pass meds with me but she did with everyone else and she was aware of it.
She gave us our clinical feedback this week individually and I have some N's (Needs Improvement). But I am confused because the other 4 weeks, all she did with me was come see me for 3min or so and ask about my patients and I gave a brief report to her, and said what type of meds they are on, and how they currently are doing. And she kept saying I am going great and that it sounds like I have everything worked out.
But when reviewing my feedback, I have N's on "managing 4 patients" and "knowing medications". How can she grade me on these when she JUST passed meds with me THIS week? And she doesn't know my struggle with managing 4 patients UNTIL I told her THIS week since she never had time for me previously.
Every time she came around 4 weeks ago, she would just ask if I have the meds ready and I would say no because I JUST got back from procedure and just began to look into them. And she would say okay thats no problem.
So that really upset me because she said after this week, the N's will matter if we get a lot.
I do struggle handling 4 patients. and ESPECIALLY if they have SO many damn medications. omg idk how to manage it all. its so overwhelming.
Here is what I do when I come into clinical:
get report from nurse
look at admission notes
look at labs
look at meds (I write them down first and TRY to review them all before seeing my patients but it takes FOREVER because some I have never heard or seen or don't remember. Pharm was horrible for my class).
then I go in to see my patients, do my assessment on them
then I go to try and review the medications and THATS when my clinical instructor pops up.
She told my clinical group that we are all doing VERY good, and that the other clinical groups instructor is struggling with their students, that they are doing poorly. I even told her I struggle with getting all of the pt info down first before seeing them. and all she said was, "yea you have to figure it out." you know, I'd like some guidance instead of figuring it out myself. I asked my nurses and they said they all struggle still, and they told me their routine and I tried each of theirs and I still struggle.
Can someone please help me? I am usually on a cardiac unit, whether its med-surg/tele unit.