To my preceptor, future students beware (rant)

Please, stop talking behind the patients' backs and stop making fun of their conditions. Nurses General Nursing Article

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Dear Preceptor,

This past Spring 2010 semester, I was assigned to you for a whole semester to learn the ins and outs of being a nurse independent from my classmates. It was just you and I. I was excited when I began this semester-long process of learning how to integrate what I have learned in previous clinicals and in lectures as well. My enthusiasm was at its peek when I started the semester. I thought that nothing could stop me from learning so much in practicum, and also, enjoy it all at the same time.

However, throughout the semester, I was wrong about you. I feel that I did not learn much from you at all. You spent most of your clinical time with me chatting with your co-workers, going on facebook, checking your email and even finding time to chat with someone online via Instant messaging in front of me. You would text and make personal phone calls in front of me. You even found time to buy plane tickets, plan when to take days off, and the best part, you even have time to buy knitting materials online. You even had time to look up condos for sale in the neighborhood you wanted to move to. How did you do that?

Whenever I asked you for help, you would ignore me, tell me to look it up, or take over what I try to do to learn because I have difficulties doing something like that one time I was going to give an enema. You snatched that fleet enema off my hand and administered it to the patient. Didn't you know that I wanted to do it myself so I can learn how to do it? Or that other time when I went to the restroom real quick, and when I came back out, you were nowhere to be found. Why do you always disappear? And when I find you, you've already done whatever you did, and I missed the learning opportunity as a result.

When you took a vacation and I was assigned to a substitute preceptor, I felt that I learned so much more in the small period of time that I spent with the other nurse. Not only was she nice, but she also helped me studying for my exit exam. She even answered my questions and did not brush it off. She took her time to teach me. You, my dear preceptor, always talked about how horrible this nurse so and so is. When you didn't have the patience, you always reported someone, and because of you, a nurse got transferred off the floor.

I did so much while I was under you, yet many nurses in the floor have overheard you say that I did not do anything. You gave me a grade that was barely passing and so close to the borderline of failing. Everyone in the floor knew you took advantage of me especially in how you treated me all semester, which was terrible. I did not get the experience I was hoping to get and learn this semester from you AT ALL. Because of you, I was in tears and wanted to cry just to let all this anger, frustration, and stress out of my chest.

I was filled with frustration when you wouldn't let me do anything because the hospital was taking too long to issue my ID even though I was already cleared to practice weeks prior. 40% of my clinical hours got cut off and I had to re-do those 12 hour shifts because you wouldn't let me do anything except for vital signs, blood glucose checks, or feed patients. I never learned much from you at all this semester. I've spent so much time sitting down with you at the nurses' station that I know the number of love handles and chins you have and did you know you have grey hair coming out of your head?

Seriously, you accept the position of being a preceptor, yet you eat your very own young? This is the reason why many student nurses lose hope in nursing.

In the end, I was filled with so much frustration and stress that it took a toll in my health during Spring break when I got sick for three weeks, with one week being Spring break. I was getting dizzy, running up and down the hall doing everything by myself, such as admitting the patient to their room, cleaning them, and making sure the patients we had are doing OK. You would only enter a room if meds are due, if they have to go to some procedure, or if the patient complains of pain for example.

You even talk trash behind your patients' backs.

Oh, and do you remember that time when we admitted a patient and you told me to transport the patient to the room? Well, that patient was about to have a huge bowel movement, and I caught it just in time with a bed pan before it even had the chance to soil the bedsheets, the patient's gown, and the bed. And where were you at this time? You were sitting in front of a computer chatting with your co-workers laughing about something.

And here I am now, hearing from nurses in the floor that you said I did not do much. Really? Well, guess what some of your patients have told me:

"I see you more often than the nurse. You're like my real nurse!"

"Thank you for being so nice to me."

"I appreciate what you're doing for me."

"See? I told you she's my nurse. I see her more often that the other one"

"Thank you so much for taking your time to talk to me."

True story, dear preceptor.

You think I did not watch your every move when we were in clinicals? I know how you are, and you are not a nurse that is fit to teach a student nurse in how to become an independent nurse. And please, stop talking behind the patients' backs and stop making fun of their conditions. Nurses are caring people, not bullies and backstabbers.

Yours truly,

Your student

:nurse:

Specializes in Obstetrics.

There are always two points of view. As a staff and charge nurse for many many years, I have seen students who should have been terminated before the end of their first semester...students who had no prayer of ever passing boards or functioning in the role of "professional nurse." I have seen colleges who tolerate poor grooming, immature behavior and inappropriate social skills in nursing students. It is frustrating to nurses to see this happen and sometimes we don't handle the situations like we could. Maybe we should be brave enough to sit "our" students down and have a heart to heart with them. Maybe some nursing students would be happier and better suited working in a lab, a nursing home as an aide or in the hospital kitchen. Just because you think you would like to be a nurse doesn't mean you should be!

I understand your frustration. At the same time that is nursing....having to depend on yourself because no one is around to help. Everyone can say it shouldn't be that way, and to a certain extent, yes...she should have been there to help you. At the same time, It is your preceptorship (experiencing what nursing really is like). You got a crash course in it.

too sad... but true...hopefully we never become like that

congrats on surviving that!:up:

My preceptor went to work out at the gym, took long lunches, went to church on Sunday mornings. Unlike me..I barely ate, got no exercise, and slept thru Sunday mornings.

These type of preceptors are a disgrace. I ended up working on the same unit, too.

Then one day I was called to the human resource department and asked to tell them my experience. It seemed my preceptor had changed hospitals, but wanted to come back.

Well, it was either tell the truth, like it was, or lie. Hmmm..What should I have done?

You got it. I told the truth!! Several weeks later say my preceptor on the street. I was like hmmmm....what should I do?

I held my tired head high and kept on walking.

To the OP. Great story.

You must have had the same preceptor that I had! If not then they must be related!

Specializes in PACU, ED.

Over the past year I've precepted four graduating nursing students. It is unpaid and it is a lot of work. I also consider it a privilege as I have the opportunity to train nurses who I may be working with in the future. It's a time to share my philosophy of care, demonstrate good work habits, and pass on helpful tips from calculating meds to symptom management. We have 84 hours to meet the school's requirement but in that time my students have become proficient enough to be able to manage a non-complicated post op patient in the PACU. I've been lucky enough to have students who want to learn and not just put in their time.

All preceptors should read the ANA code of ethics. As nurses we have a duty to advance the profession and one way we can do that is by helping the next generation of nurses. It is a lot of work but someday I may be a patient and I hope my nurses had a good start in the profession.

True, but I give someone more leeway if they are being forced to do it rather than volunteering for it. I shouldn't be allowed to perform heart surgery. Now if I volunteered to do it, and killed the patient (as I most certainly would do,) then blame me. If someone holds a gun to me and says I have to do the heart surgery, when I kill the patient, it's the fault of the person holding the gun to my head.

No such incentives at my job.

However, she is not only unfit to be a preceptor, but unfit to be a nurse. I wouldn't even afford her to be a CNA. In fact, maybe not even hospital security. In fact not I wouldn't afford her to . . . . . . . .

(yes, it really does go on and on. She needs a job in retail, that fits her personality much better!)

excellent article from the experience of a student

so sorry you had that trying, frustrating time in your pregrad, your preceptor unfortunately was a poor example of what a truly caring professional should be..

good luck with your career

I am so sorry that you had to go through that, I've learned over time that those that speak down to or about others have serious self confidence issuses and try to put the focus on others to cover up their own short comings...you sound like you are going to be a wonderful nurse:nurse:

I found your article to be really interesting. I'm sorry you had a bad experience w/ ur preceptor. I am a nursing student myself and I hope I get a nurse who is as interested to teach me as I am to learn.

this is a well-written letter. did you give it to her and a copy to her director? just curious. i think you should. really sad how some nurses eat their young and are very insensitive of their patients' status ..... shame on them