I oriented a new graduate nurse today and was absolutely flabergasted. She graduated in May and passed her boards easily in July of this year. This nurse somehow got through nursing school observing but not performing anything. She was so proud of herself for dc'ing her first IV today. She had never emptied a foley bag, drawn up medication from a vial, done a blood sugar....the list goes on.
She is slated for up to 8 weeks of orientation to the facility. This is difficult because its really not orientation to the facility she needs right now. She needs hands on nursing skills. I've been out of school for quite a while but I vividly remember the HOURS/WEEKS/MONTHS spent in clincals. Are nursing schools skimping on clinicals? Are they more worried about their stats on passing the boards--and producing nurses that are book smart and not clinically savvy?
APA papers are great tools. you may not see the importance of it right now but later on it might just help you, especially when you go into higher and higher education (MSN/Phd). you see a paper in APA format is the accepted and required format needed when disseminating information r/t your profession and ultimately to your colleagues. it is important because you belong in a profession that requires professionalism. Hence, any information or concepts that you usurp or "corrupt" in your paper must be open for your colleagues for some kind of validation, i.e. the APA format papers are professional papers (i.e. APA) which are open to peer review. Peer reviewed papers are important in one's profession because this becomes the bread and butter of the said profession; in this case, nursing. for example, one would refrain oneself from using a nursing procedure especially if it has not been exhaustively tested & tried; however, you can check peer review papers (APA) for information regarding that nursing procedure. hence, all that statistical data, original or meta-analysis, the peer review papers (APA) go through that task for you. only really good APA papers of substance get to be published, the rest die a quick death. now, you see how it strengthens one's profession, and its importance to all in the said profession.
Last edit by sleepyRN2 on Aug 27, '09
I graduated from an ADN program. In my experience how much hands on you received during clinical was dependent upon: 1). How assertive you were in seeking out experiences 2). How supportive your instructor was in helping/mentoring/encouraging you to seek experiences and advocating for you 3). How supportive the nursing staff was on the floor in which you had clinical. I had clinical shifts in which I hardly got any experience and it was largely dependent upon the nurse I happened to end up with. I experienced many nurses who couldn't be bothered. In those cases, I made the best of the situation and often called in my instructor to help out - but she had 9 other students to look after. It seemed to make all the difference in the world which nurse you ended up with. If you had a nurse who was interested in mentoring/teaching - it was a good clinical day. If you had a nurse who was disinterested in you - you were basically hosed for that shift. I think that the majority of our students got their experiences working as interns - they had more access to opportunities. Unfortunately not of all of us could take intern positions during school.
It is hard to imagine that the new grad had absolutely no experiences, but it is not inconceivable that she may have had limited experiences. I definitely feel like I did not get enough education and practice with skills at my NS program.
Last edit by naun on Aug 27, '09