Clinical Nursing Student Needs Advice 5 patients - page 2

by Lynn52 8,539 Views | 70 Comments

Hello All, I am finishing up my ADN with 9 weeks to go. I'm in my mid fifties. In my current rotation we care for as many as 5 patients on a cardiac tele unit. I am overwhelmed to say the least. I have to make it through 5... Read More


  1. 1
    In my area tele units are routinely staffed 1:7-9. I never took more than 3 patients in clinical except for during my practicum (which was 12 hour nights and 9 patients was the norm, plus admissions) but wish I would have to better prepare me for the real world. I take 3 patients typically at my real job, but they're more critically ill. Utilize your resources you have now and learn from the experience.
    Fiona59 likes this.
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    Wow some of you guys are not nice...that is a lot of work for a student. When I started my first job it was a struggle.

    OP, it will be easier once you get into a job where you actually start to know the people, the place, where supplies are, what supplies you have, how to use them, etc.
    Hygiene Queen, Surprised1, RNam, and 5 others like this.
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    8 patients is ridiculous no matter the unit. 3 in the ICU is unsafe.
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    No matter what you do "in the real world" of nursing, jumping into it as a student without... how can I put it? Titrating up in number of pts can be difficult and very stressful. I would think especially so if you still have to have the CI shadowing all of your meds etc and the CI also has other students.
    RNam likes this.
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    I agree with Chrisrn24. What the heck is wrong with you people? It's NOT SAFE for a student to have that many patients, not knowing the unit, or where stuff is, or being able to do anything without an instructor there.... That's crazy. What they are asking you to do is CRAZY. Sure we handle a lot of patients in "the real world", but common... this is a nursing student with no real world experience. Did they hand YOU 8 patients your first day on the job and say "have at it"? I sure hope not. Typically you go through a training time or preceptorship where you learn the floor and how to be a nurse... THEN they can load you up with patients. Let's have a little compassion. Do you remember how you felt when you were out there the first time on your own?
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    If she is nearing the end of her program she should be building up to a full work load.Employers will give you orientation to the floor but they don't expect to have to teach you how to do your job.The OP may find this tough but when she gets out of school she will be ready to hit the ground running. More schools should prepare students this well.Where I work new grads get a few days orientation and then they are on their own with a regular patient load. Of course help is always there if you need it. Just ask.
    Rose_Queen, elkpark, GrnTea, and 4 others like this.
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    I agree too Bezoars.

    Lots of *** posters on this thread
    Last edit by Esme12 on Feb 23, '13
    RNam likes this.
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    Thank you bezoars.

    I'm very disappointed how the majority of the posters here are treating the OP. Can I quote some comments you've all made?

    Sorry, OP. You are very near the end of your education and this is make-or-break time. This is actually less than you may be expected to do in your first job. I don't see this as being "set up for failure" at all, unless you enjoy the victim role, and you don't sound like the type.
    And what is your point? In the real world you will work much harder than this. If you think this is too much for you, maybe you should have pursued a different career....and you're not even working nights, weekends, and holidays for 12+ hour shifts yet, as ou will do as an RN.
    So many new grads today expect a long, lengthy orientation.
    If you really like making people feel like crap well congrats you've done it.

    This is a STUDENT. She isn't experienced, she hasn't handled this many patients before. Sounds like there is no support from the floor nurses and her clinical instructor is stretched thin.

    You negative Nancy's sound massively burned out. Do yourself a favor...take a few vacation days and take some deep breaths, have a cocktail or ten, go out and dance your butt off at a club, sit on the beach, or wiggle your toes in the grass in your backyard. Build a snowman with your children and then drink some hot chocolate with them. If you're single, make an online dating profile and chat with a few people. Go out and treat yourself to a personal toy and have fun! If you're in a relationship, sit down your GF/BF/spouse and just talk, reconnect...and then roll around in the sheets. Go to see a movie or stop off at Barnes and Noble and buy a new bestseller and spend the day reading. Be crazy and go buy a plane ticket and spend the weekend in a big city or a sunny place, or go on a weekend road-trip!

    OP, again, please don't listen to these people. Your experience is too much, too soon. You need to build up to that amount of patients, and ideally that should be done in your first job setting where you will have proper support. You have lives in your hands and you should feel supported and encouraged by the other staff.
    lindykid and RNam like this.
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    This isn't her first clinical. She is 9 weeks away from graduating.When she gets out there she needs to be ready to function on the floor. We aren't suggesting she shouldn't have support when she starts working, but carrying an assignment will be a reality.Where I work new grads get a full assignment.

    We aren't being negative and we aren't burned out. Just realistic.Nursing is tough. Being babied isn't going to prepare you for the real world.Why do you think we need a vacation just because we know what the job is really like? Good heavens, that's quite an assumption.
    Rose_Queen, elkpark, GrnTea, and 2 others like this.
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    She is near the end of her school.....while it is a lot....it is very challenging. I know that many nursing students graduate and are totally unprepared for what nursing really is......it is sad we don't try to prepare our students better.

    However....I don't think it should be a pass/fail process for that is not fair.....and there is not a proper support system.

    OP what you need are some good brain sheets.....

    .here are a few.

    mtpmedsurg.doc
    1 patient float.doc‎
    5 pt. shift.doc‎
    finalgraduateshiftreport.doc‎
    horshiftsheet.doc‎
    report sheet.doc‎
    day sheet 2 doc.doc

    critical thinking flow sheet for nursing students
    student clinical report sheet for one patient

    Imade some for nursing students and some other AN members(Daytonite) have made these for others.....adapt them way you want. i hope they help
    dawniepoo, Surprised1, not.done.yet, and 3 others like this.


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