Nursing Student From Hell - page 4
So I need help. I've been a nurse for 6 years now. I have a BSN & an MSN and am also a CNM. I've worked 4 years in critical care and the past two years in labor and deliver at a large suburban... Read More
Mar 11, '17I'm a little surprised at all the fail her posts. She's a student. A student. I feel like some of you have way high expectations of students.
Have you asked why she is hiding? It could be she just doesn't feel comfortable. Also, since you decide whether she passes or fails, have you clearly laid out your expectations? Do you interact with her outside of the room? Try to bring down her nerve level a little?
I always try try to find out a little about my students and I tell them a little about me. I get our conversation going so they aren't a bundle of nerves. It helps us work together better and even though they really can't do anything, they help with turns and some oral care.
You have every right right to fail her, but realize you are failing her and she may or may not get a another chance and this will affect her life in a big way. It's very difficult to get into other programs and it may very well be the end of her career. I just don't feel a few hours a week as a student is indicative of how safe of a nurse they will be. I would most certainly not give a recommendation if she were to ask for it and I would discuss my concerns with her, but fail????
Mar 11, '17Reading through more of the posts ...
I still stand by my original statement: a failing grade.
Maybe because school is still so fresh in my mind, and the fear is still very real ... again, like I stated before, learning new skills can be intimating. Hiding sounded pretty good sometimes (esp. with trach care, my kryptonite). Being a new grad, on a new floor, it's still damn scary!
But ... YOU DO IT! This isn't a new nursing student. This is an almost new grad! Why are we giving this special snowflake so much leniency? I'm sorry if this sounds harsh; however, this student completely knows the responsibilities more often than not, they have been stated in the beginning of this semester (and semesters prior). Gone over during her midterm evaluation. OP herself seems pretty organized, giving her handouts/readings on policies/topics/etc to prepare for next time. Many students don't even get this of which the OP is providing (at least, I didn't).
It sounds like this student really lucked out in getting the OP. She's missing a great opportunity to learn. Confidence (or lack thereof) ... it doesn't matter. It's time to buck up.
This student is learning something alright; that she can disappear when the going gets "tough" and not face the penalty.
Mar 11, '17If she is hiding out as a student, what can we expect as a nurse? You can't just hide out when the going gets tough. That is my biggest concern here. That and if she IS lazy, that won't do either.
Maybe, you should let the above concerns guide you on what to do. I don't see a lot of redeeming value in this person as a nurse, if everything you say is accurate, OP.
Otherwise others have pretty much said it all; won't rehash or pile on.
Mar 11, '17Quote from LovingLife123She is a senior student that is a few months away from graduation. This is not her first clinical. She needs to be held to the standard of a new grad hire. The expectations of a senior Capstone student is to be engaged in the clinical, ask for oportunities to increase her knowledge, attempt all skills ask for by the preceptor, be at the hip of the preceptor at all times, and by the completion of the final clinical- be able to independently care for a patient.I'm a little surprised at all the fail her posts. She's a student. A student. I feel like some of you have way high expectations of students.
Quote from LovingLife123She is hiding because that is what she has always done in group clinicals. The problem is that this is a one-to-one clinical and it is difficult for it to go unnoticed. She stated that she clearly laid out her expectations. The student "claimed" to have went to the bathroom and couldn't find the preceptor- BS. If she had told the preceptor that she is going to the bathroom and came back promptly, it would not have been a problem. The problem is that she told no one where she was going and then claimed she couldn't find her, so she hid somewhere. It is hard to believe that if she asked any of the other nurses, they wouldn't have a clue where the OP was.Have you asked why she is hiding? It could be she just doesn't feel comfortable. Also, since you decide whether she passes or fails, have you clearly laid out your expectations? Do you interact with her outside of the room? Try to bring down her nerve level a little?
My assumption is that since she is student and not a nurse you feel there are no expectations and she can hide out instead of participating in the clinical. Even if there were no defined expectations, she is an adult and should take it upon herself to learn as much as possible.
Mar 11, '17OP, is there any way that her instructor from school can drop in for a visit during these last shifts?
I would alert your student that she is on thin ice and needs to shine.
"Failing to fail" is a real phenomenon in nursing schools across the country. No one enjoys failing students, it is difficult and everyone suffers in the process; but we have to ensure that patients are going to be safe and cared for, and there are a lot of red flags here (namely the hiding). Just because a student has made it to practicum/capstone or whatever the school calls it does not mean they were stellar in their other clinicals.
OP, I am sorry you signed up for what you thought would be a nice swan song. It's clear that this is distressing to you, I suspect because you already know what you need to do. But it's the student who passes or fails, we don't just inflict it on them. Good luck!!
Mar 11, '17Quote from vanilla beanand this is why we have the "special" snowflakes.OP, I'm not going to weigh in on whether or not the student should pass/fail her preceptorship; you are the only one that has spent enough time with her and has the full knowledge of the situation. I can appreciate that you are using us as a sounding board to work through the seriousness of the decision you're trying to make.
What I want to tell you is this: there are presently a couple of posters on your thread that have/will have you scratching your head wondering how they've read so much into the situation and have the opinions they do. I would suggest (if you have the time or inclination) that you read through some of those posters' previous posts as it may help give you some clarity of their thinking/online personalities. It may help you decide how much time you want to spend considering their opinions and advice.
Mar 11, '17Quote from Pixie.RNThis was standard during my capstone- the instructor had to drop in at least 4 times. We were asked questions just like we would have been in a normal clinical with an instructor. Concerns were addressed.OP, is there any way that her instructor from school can drop in for a visit during these last shifts?
Mar 11, '17Quote from LovingLife123And I think you're not getting that this student is near graduation and should be held to high standards. A student doesn't stay a student forever; expectations become higher as more classes are completed. A student in the last semester with a one on one preceptorship should be nearing new grad expectations.I'm a little surprised at all the fail her posts. She's a student. A student. I feel like some of you have way high expectations of students.
Mar 11, '17My first thought was fail- not because she is scared or hesitant to perform tasks, but because she is going AWOL. There is really no reason for her to not be soaking it all in.
I think a very blunt conversation needs to be had with a written contract that she signs stating the goals/objective of the next 4 clinical days. This will CYA and make it perfectly clear to the student what she needs to do in order to have a chance at passing.
Mar 11, '17Yes, she's a student who will be graduating soon! I have taken on capstone students and the expectation is that we treat them like a new grad and they are expected to be able to function somewhat independently by the end. This is a student who most likely will be looking for a job on your unit. This girl has some issues. That student should be glued to her preceptor, it is NOT her preceptor's job to be hunting her down all shift to remind her of what she needs to be doing.
And four shifts is not enough time to "redeem" herself. She obviously has not picked up skills and shirks her duty. Four shifts, not enough time.
I stick with fail her.
Mar 11, '17Wish you had been my preceptor.
I mean, my preceptor was great, and by the time I was done I was able to care for 4 patients on my own with minimal to no assistance. But she never stayed late with me or gave me articles!
Mar 11, '17I wouldn't want her as my nurse. Its your responsibility to make sure patients are safe once she goes out into the real world. If you dont work, you dont pass.
Mar 11, '17Quote from LovingLife123I am thankful my school had such high expectations. My preceptorship I was expected to do anything allowed by my school and the facility. That meant, at least attempting IV starts, passing meds, IV meds (no chemo, obviously, no blood per state law), assessments (though I was not allowed to chart them). I did my preceptorship on a critical care unit (bone marrow transplant), and I took advantage of that opportunity.I'm a little surprised at all the fail her posts. She's a student. A student. I feel like some of you have way high expectations of students.
What the student did in the OP is not acceptable. The student brought this on herself. Not the nurse precepting her. She is weeks or a couple of months at most shy of graduation. I don't know about anyone else, but nothing magical happened to me when I graduated from nursing school that made me more knowledgable about nursing care than when I was still in my practicum. And nothing magical happened when I passed my boards, except that I was now legally a nurse. I knew the same amount that I did when I finished my practicum.
The student is digging her own grave. Should she fail out and not be able to continue, that is on her, not the nurse precepting her. She needs to be held to professional standards. Yes, even as a student.