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 Med/Surg, Academics.
Being forced to do something does not give one license to do a crappy job of it.

THANK YOU! Every job I've ever had included an occasional or ongoing task that I was expected to do, although I hated it. I did it to the best of my ability, so the OP's preceptor has no excuse to be a ****** preceptor.

Specializes in ER, Critical Care, Paramedicine.

You need to report this to your school. Likely it is not the first time this has happened, and furthermore, if the staff saw this going on they will report it to your school as well. This type of behavior is not ok, and I would demand my students tell me/report me if I did this while teaching them. Sorry for your experience, but if nothing else, take from this that you won't behave as such as a nurse.

1 Votes
Specializes in Oncology, Med/Surg.

leekun2010,

I am so sorry you had such a bad experience with your preceptor. Nurses really do seem to eat their young. I too had several bad experiences as a student nurse. During one clinical rotation I clearly remember my instructor taking me to a group of staff nurses whom I was to shadow. The response was, "I don't have time for this today". They actually drew straws to see which one would "have" to take the student. I was completely ignored by this nurse for the entire day. I have been a nurse for 12 years now and I try very hard to remember what it was like to be a student nurse and to make the experience positive for them. Sometimes it would be faster for me to do things myself but what a student is able to learn by doing is much more valuable than theory. After all, the students I precept today may be my nurse in a few years.

This unfortunate experience will make you a better nurse in the long run for you now know the type of nurse you don't want to be. I'm sure you will be an awesome, kind, considerate nurse one day. :nurse:

1 Votes

No excuses to treat people like crap. Just say know, you always have a choice in what you do.

I hope you were able to report this person, or give some feedback other than your rant. She may never know the impact she had on you. I think that nursing overall would benefit more if people in the profession would speak openly about issues, and use constructive criticism wisely. Instead many hold everything inside and bad mouth people behind their backs. Ultimately, the patients suffer the ramifications of the cat fight.

1 Votes

A good reason to find a preceptor in advance of the experience (if you get to pick your own, which I supposed not everyone does).

Regards,

Mukfay

I don't understand your comment jorge512. Are you implying that there is never a situation in which a student is eager, alert, and all she or he should be when the preceptor is not meeting his or her responsibilities?

No, I would have to say that your statement about three fingers pointing back is a cliche, and it does not apply in every situation. You might say something like: "remember that when we point a finger, 3 are sometimes pointing back at ourselves. have you considered what more you might have done?"

I mean, don't people deserve the benefit of the doubt when we're not actually there? It's the tendency to jump to conclusions that gets us into trouble as units more than anything else.

Regards,

Mukfay

I mean, don't people deserve the benefit of the doubt when we're not actually there? It's the tendency to jump to conclusions that gets us into trouble as units more than anything else.

True, but both people involved should get the benefit of the doubt, especially since we only have one side of the story.

I feel that since the OP is being posted as a "nursing article," I think we should remember to read it with the same discernment we'd give an article in a nursing journal.

Okay, that's reasonable, but jorge is not evaluating it in the way you describe. You're implying that the student has flaws that are encouraging this behavior on the part of the preceptor (rather than suggesting that this is possible).

Regards,

Mukfay

I feel sorry that this happened to a new nurse. One thing that hospitals and management need to remember is that teaching like nursing is a gift. I personally don't have that gift. I know why and how I do what I do but I can't teach it to someone else. I have at times had nurses following me but I try to avoid it at all costs because I know that it's frustrating for a new employee and it's also frustrating for me. I think you need to be aware of your strengths and weaknesses and I have explained to management at times that they are not doing a new employee any favors. When there is no other choice I of course will help any one. It's a shame after all this time we are still treating new nurses and employees this way.

1 Votes
Specializes in Peds/outpatient FP,derm,allergy/private duty.

A semester is a long time to be assigned to a nurse who has no interest in teaching. It's unfortunate that there isn't an incremental evaluation in the first few weeks to see how things are working out from the perspective of the preceptor and the student. It should have been a golden opportunity. Congrats on your graduation, LeeKun. At least you will know what not to do if you ever become a preceptor!

1 Votes
Specializes in OR.

Having a student nurse following you around is a LOTTTTT of work, espeically if you are forced to do it and dont want to. I like student nurses most of the time, but there are days where the questions dont end and I get so annoyed being followed around and scrutinized. "Why did you give this pill first? Why did you asses the lungs before the heart? Why did you reasses the pain level 35 min after administration when the protocol is 30 min? When are you going to call the dr about a stool softener?" lol. It's exhausting. And 99.9% of the time, there is no compensation. Thats right, I teach for FREE. You pay your nursing school and they send you to me. I get NOTHING out of the deal. The hospital has some contract with nursing schools and nurses are required to teach while taking on a full patient load. A lot of nurses can handle it, and a lot can't.

I know it seems really unfair and you probably feel unprepared to work in the hospital enviroment. But its not the end of the world, and its certainly not the last nurse you'll work with who doesn't want to teach. Just take it as a learning experience and when you start working as an graduate nurse, be vocal about the type of preceptor you want and make sure you have one that likes to teach. You learn more when you start working for real anyway.

1 Votes