Bad day at clinical

Nursing Students General Students

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Hi everyone,

I had the worst day at clinical today. :o

We're in a long term care facility for the next six weeks. We began clinicals yesterday, and I actually had one of those "I know I want to be a nurse" days yesterday, and I was really excited that I "knew" I was in the right place, even though I've been feeling like quitting for the past several weeks.

Today, I may have been pushed over the edge. We only have a short clinical on Fridays, pretty much just long enough to help do feedings and to do assessments on our patients. Keep in mind, this was only my second day -- I fed my first patient ever yesterday. Today, my instructor told me to follow some of the NACs around that were passing trays so that I could learn to do that, and I somehow got roped (by one of my fellow students, no less!) into being the sitter in the dayroom, where three of the residents eat. Two of the three eat fine by themselves, but have some strange habits that keep them away from the other residents, but the third is a food thrower. The NACs were very specific in telling me that I needed to give her one thing at a time to eat or she'd dump or throw her food.

So, that's what I did. I gave this resident one thing at a time, and it was fairly frustrating, since she wasn't very interested in eating. She dumped her water on the floor and kept throwing her spoon, but it wasn't anything I couldn't handle. Meanwhile, one of the other residents in the room kept motioning me over and pointing to his plate. I honestly had no idea what he wanted, and I acknowledged him as best I could while trying to keep food off the floor from resident three.

The med nurse on the floor was finishing up her rounds, and was glaring at me through the window. My instructor refers to her in class as "the troll," so this gives you some indication of what she's like. She came storming in and demanded that I put all of resident three's food in front of her. I told her that she had told me she was done, and was refusing to eat anything else. She again demanded that I put the rest of her food in front of her. So I did, and I'm sure you can guess what happened next...scrambled eggs and oatmeal all over the floor. This med nurse in the meantime had sat down to feed resident two (the one that had been motioning to me), and then said, "Why don't you go over to the kitchen and...oh, never mind. You don't KNOW anything, anyway." Imagine that said in the nastiest tone you can, and that is how it was said to me. She then got up and left the room. I cleaned up the mess from the floor as best as I could and moved the table away from resident three and asked her if she'd like for me to help her put her slippers back on. I was reaching down for the slippers when the med nurse came back in the room, pulled the tray back in front of the patient, right between the patient and I -- and VERY abruptly, I might add -- and then slammed down a nutritional drink in front of the resident, then went back over to feed resident two. Of course you know what happened next -- nutritional drink on the floor. The nurse just glared at me. I walked out of the room, saw another of my classmates in the hall and just started bawling.

She pulled me into the bathroom and I recollected myself, and then my teacher found us and I started crying again. She pulled me into the conference room, reassured me that this was nothing that I had done and that the behavior of the nurse was unacceptable, then she took me to the nursing director's office where I had to repeat my story again. Then they called the nurse in question in and talked to her (my instructor also had some other problems with her that she had already discussed this morning). After she got chewed out by the director, she kept trying to corner me, but thankfully my instructor kept telling her to back off, that she had traumatized me enough for one day. Then on my way out after we were done for the day, she grabbed my arm, and I said, "Look, I'm not doing this today," and I removed her hand from my sleeve. I cried all the way home. :o

Knowing that I am a new student, this nurse could have poked her head in the door of the dayroom and said something like, "Looks like XXX would like a little help eating this morning," instead of barking at me about the other resident and then doing the feeding herself. I think making suggestions is usually more effective than barking orders, particularly when this was not a life and death situation.

I can't believe I'm paying tuition to be treated like that by a nurse on the floor. I also feel like I never want to set foot in there again. I've been teetering on the edge of wanting to quit, and after I got home, my husband and I discussed what would happen if I left the program. I just don't know what to do; I just know I never want to go back there. I also feel like a total baby for being upset about this; I mean, I know I'll have to deal with this kind of crap out in the real world, but being a student is hard enough without nurses that just can't be bothered by what they perceive to be idiot students. Maybe I'm really not cut out to be a nurse.

What a miserable day. :o

Krista

Thanks, everyone. :)

I'm studying today for my theory test tomorrow, so I guess that means I'm not leaving this week. ;) I'm still dreading the thought of going back to clinical on Thursday, but I'll deal with that later this week...

Thanks again. I'm going to print out some of your responses to keep with me for when I get discouraged.

Krista

If it makes you feel any better you are not alone.

I attend an ADN program and I am in my 3rd semester. We are doing our OB rotation now. I have never been pregnant.

I was told to discharge my patient. (The first day of the rotation with textbook knowledge only). The coassigned nurse (hospital nurse) tells me she is not my instructor and she did not have time to review discharge instructions with me. This should be something I was taught in school and she does not get paid to teach me! She does not know why I am given two patients as a student. Nice huh. I was only going to ask her where the discharge forms where kept, if she needed to check the patient's episiotomy site and where her spouse could pick up the patient.

I went and did all the teaching and assesment. My instructor cosigned the discharge and dragged me to the nursing supervisor to repeat this story. The nurse then appoligized to me and said she did not realize you were in your third semester. My instructor shocked me and told her she should not treat any nursing student like that regardless of what there status in the program is. She also told her that you need to go back and remeber when you were in school we are not born knowing how to be a nurse.

Personalities like this nurse at the hospital only make me stronger because it fuels me to excel. Nursing is a profession not a job. Profession people always act professional. Rude and ungreatful nurses should not fuel you to drop your dream of becoming a Nurse! Chalk it off as a learning experience as to not how to be! Hope this helps sorry it is so long.

Just wanted to update you on what happened today after yesterday morning.

Seems the new "agency" nurse was the nurse from hell, who made about 15 med errors, (she is older than me, and a RN, AND been doing this a "long time" according to her.) had NO clue as to what the diff is between a NEBULIZER and an INHALER...--gave the inhaler instead of the neb rx....

And so on and so on, must have been the nightmare on Elm street kind of day.....

I got to work this morning, and Ms STAFF nurse came running up to me, hugged me, and said, "THANK GOD you are here.....don't EVER leave me again!!!!""

I darn near dropped my teeth!!!!

She promised me that she would have a chat with the Nurse Manager and tell her how I SAVED her today!!!

So....it ain't all bad...

Marla:D

Specializes in ER.

Reading these posts, I want to say that most of these nurse cannibals would be dropped and dropped hard if they tried any of that crap with an old and seasoned RN. They do it, and are used to getting away with it because students don't have a support system built up on the floor, and because as students you always walk around with that little niggle of doubt that maybe you ARE a stupid know nothing. Reasonable when you keep in mind all the information you get thrown at you every day, and you need to keep it straight and then pull it out and use it.

Look, if someone treats you in a way that you would not put up with on the street it is still not OK in the hospital. I guess that telling them off would not be wise, if you are still learning the norms of the hospital. But please move away from tears to anger, this is not a problem you caused, it's her(or him), and if any of us oldies were there they would be thrashed in a quick second. We need you guys, so hang in there.

And, by the way, one of the greatest feelings you'll get is when a group of nurses unite to deal with a problem child be that a doc, nurse, whatever. Wait for it, it's pretty cool.

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