Lazy Student Nurse Preceptors! - page 10

I am furious over my most recent clinical experience. I'm in my last semester of school and graduating in May. Our school waits until 4th semester to learn IV's. Well, the "goals" for this... Read More

  1. by   AmiK25
    I am a nursing student and I have to say that I agree that nursing instructors should have more responsibility. I realize they have 8-10 students (at my school, at least) and there is no way they could personally supervise everything that needs to be done. However, I am in an ICU clinical right now and the only thing my instructor does is come to see me twice...once to ask me my patient's diagnosis and once to quiz me about the pathophysiology of that particular diagnosis/disease. Seriously, that is it. She has never seen me give one medication or do one assessment. Instead, our preceptor is responsible for supervising everything. I (and my fellow students) have spoken at length about how we feel this is unfair to both us and the staff nurses. These nurses are not paid extra money to precept us. Furthermore, how in the world is our instructor supposed to give us a grade? The only thing she has to go by to evaluate us is our writing ability (we turn in papers every week) and our preceptor evaluation forms. First, just because a student can right a good paper does not mean he/she is clinically safe. Second, I have had more than one preceptor give me excellent marks for patient care....without ever actually watching me do anything (except give meds...we don't do them alone...EVER). Only one preceptor ever went over my assessment with me to see if it was accurate. Now, I am absolutely not blaming the preceptors for this...it is not their responsibility!! My instructor should come around and do an assessment to see if mine is accurate...otherwise, how will I ever know if I am missing something? Anyway, I have gone on way too long here. My main point is that the system definitely needs to change!!
  2. by   mattsmom81
    Great post Gardengal! Agree we can learn something from many not so perfect situations.

    The OP got an education as to what nursing can be like in the real world.....it angered her, but she still learned something.
  3. by   mario_ragucci
    I still harbour anger and resentment over my clinical experience. On one hand the nurses are telling you to go ahead and give a med, and then the instructor ding you for it. Plus, I ws the only guy the entire time, for whatever thats worth.

    My experience of so bluntly and abruptly stoped my nursing train because of failing clinicals makes no sense. I understand all I didn't do, and admit it. Well, I'm sure Florance Nightengale had a hassle with the conditions of her day.
  4. by   suni
    my whole thought is it is not up to the nursing staff it is up to your instructor who is gettingpaid a lot more than a staff nurse to instruct you on new skills, when your a gn the responsibility to precept is mine and i will gladly accept then until then go to your instructor it may sound hard but frankly i dont have time with my case load to instruct the 4 students on my end of the hall.
  5. by   ktwlpn
    [QUOTE]Originally posted by mario_ragucci
    [B]I still harbour anger and resentment over my clinical experience. On one hand the nurses are telling you to go ahead and give a med, and then the instructor ding you for it. Plus, I ws the only guy the entire time, for whatever thats worth.

    My experience of so bluntly and abruptly stoped my nursing train because of failing clinicals makes no sense QUOTE] Well for one thing-you answer to the instructor not the floor nurse-the instructor is legally responsible for your actions.....Being the only guy is not a valid argument but being "unsafe" in clinicals is as good a reason as any to be abruptly and bluntly dropped from your program....Sad to see you have not learned anything...It does take a certain level of maturity to own your mistakes-one day you may attain it-and believe me-it took me many yrs to get there myself so I do feel for you.... Students have to realize that while they may have 2 pts the floor nurse has those and usually several more....
  6. by   mario_ragucci
    Originally posted by ktwlpn
    [BBeing the only guy is not a valid argument but being "unsafe" in clinicals is as good a reason as any to be abruptly and bluntly dropped from your program....Sad to see you have not learned anything...It does take a certain level of maturity to own your mistakes-one day you may attain it- [/B]
    Aww, kptln, you don't have to burn on me for expressing myself now. I know full well about being unsafe, and I know where my attention was 100% of the time, and if you want to fail everybody you could. Right? I ain't the only person to have a hard time in nursing school, so please don't lay down no "he ain't learned" kinda talk, just be cool because i am still pretty shocked about not having been given a break. If I was cutting up or slipping, not knowing what I was doing, I would admit it. Your judgement of me serves to edcate me more, such that anyone can/will use negative rather than positive. Thats okay because the learning generated here is what I thank you for.

    Just be helpful, and really understand that nursing is not all fair and we should help each other/not tear down. All I still want to do is learn nursing so I can help people enjoy their life. I will do this next time around because I HAVE LEARNED!
    R U Experienced?
  7. by   mark_LD_RN
    marrio there is no "breaks" to be had in nursing school nor should there be! nurses have to much responsibility to warrant getting a break. and no we do not try to fail everyone or tear everyone down.while some may tear others down the goos ones don't. now it's time to suck it up and move on. and do what is right and become a nurse.


    and ktwlpn is absolutely correct, being the only guys has no merit and nothing to do with it, while it may make you stand out more,use it to your advantage.shine and show them how good you can be.

    nursing is more than just knowledge. it requires compassion,knowledge,professionalism,people skills and perserverance among many other things
  8. by   ktwlpn
    Originally posted by mario_ragucci
    Aww, kptln, you don't have to burn on me for expressing myself now. I know full well about being unsafe, and I know where my attention was 100% of the time, and if you want to fail everybody you could. Right? I ain't the only person to have a hard time in nursing school, so please don't lay down no "he ain't learned" kinda talk, just be cool because i am still pretty shocked about not having been given a break. If I was cutting up or slipping, not knowing what I was doing, I would admit it. Your judgement of me serves to edcate me more, such that anyone can/will use negative rather than positive. Thats okay because the learning generated here is what I thank you for.

    Just be helpful, and really understand that nursing is not all fair and we should help each other/not tear down. All I still want to do is learn nursing so I can help people enjoy their life. I will do this next time around because I HAVE LEARNED!
    R U Experienced?
    I should not burn you? I am just expressing myself too....Still SHOCKED ABOUT NOT HAVING BEEN GIVEN A BREAK? Why would you think you or any other student unable to cut it in clinicals should be given a BREAK? Is that the nurse you would want taking care of you and your loved ones?I don't think so...Apparently you did NOT know what you were doing or you would still be in school...sorry :>)
  9. by   baseline
    Sigh....haven't we done this before? My best advise is to ignore his posts. Keeps your blood pressure down, and the threads on track. Just an opinion guys.
  10. by   Overland1
    As there is a shortage of nurses, there is also a shortage of those who want to serve as preceptors. Among what is left, there are even fewer who excel as preceptors. Unfortunately, this hold true in many other professions.

    I know of one EMT-Critical Care (between Intermediate and Paramedic here in NY) who had a preceptor who announced that she (preceptor) would do all of the IV's meds, defibs, etc. The student informed the course coordinator of this and the preceptor was dropped from the list of preceptors. This is not a slam on the preceptor; she had admitted several times that she did not want to be a preceptor, but was made to do it anyway.

    Several people came up short on that one .

    I know many excellent nurses who hate to teach or to oversee others. That is their choice. I enjoy teaching and "precepting", both in the ICU/ER and in the field, but that may be because I also teach EMT's in the classroom. The real conflict occurs when one of my students attends a clinical rotation in my unit on my time, and the charge nurse tries to assign me to that student. We have since cleared that up, such that I will occasionally assist in teaching a student from my classes, but not be that student's preceptor.

    What a student does in clinical rotation will affect how well they perform after graduation; the student and the preceptor need to make the most of it.
  11. by   mario_ragucci
    All right - all right. I mean no disrespect to anyone. Hey! Some of my loss is shared with al the potential PT's who could have had me as a nurse sooner! I'm not being arrogant. And it's not fair to you because you don't know me except for the text here. I sorry for still flaring about waiting an additional year to earn my RN. Everyone knows how to overcome a disappointing and cold event in their life.

    The topic of male/female relations and bias is something worth discussing to learn :-) Mark LD RN - I do my best to learn. Would you kick someone off a bicycle when they were learning if they skidded and fell while learning to ride? And the male/female denial is contrite :-) Lol. Overwhelmingly, there is no bias 97.5% ofthe time, honestly. But just like I can remember WM's were treated differently, and how a British Marine looked at me in disbelief about a woman in the Marine Corps, some women may feel men really shouldn't go into nursing. I don't know. In a way I can see how men can be biased to women, so I can understand how women can be biased to men.. Just a thought only. And thank you for the additional insight :-)

    Jerry, I know it must be hard to be a preceptor to some. Yes, some folks teach and communicate well. You speak the truth when you mention how well you learn in clinicals may effect how well you do as an actual RN. In another life I would love to afford to learn nursing where you are assured proper and quality skill teaching by folks who love to teach, and teach well. Fantasyland. I need to spend more time of my own researching clinical studies, even if it is 100% new. Phew!

    ktwlpn - I recommend you ignore me, especially if I may harm your heart, as baseline says.
  12. by   ktwlpn
    Originally posted by mario_ragucci
    [ktwlpn - I recommend you ignore me, especially if I may harm your heart, as baseline says. [/B]
    Nope-just can't do it.......It's like talking to someone whom is unaware that there is a big,green booger hanging out of the side of their nose....or a big,fat pimple in the center of their forehead-you try not to stare-but you can't stop...And my blood pressure is way good,thanks for your concern...The board is open to all and we are all free to express our opinions.....
  13. by   kids
    thwack...thwack...thwack (the sound my head makes hitting the edge of my desk) thwack...thwack

close