Confessions of a Nursing Student: Why I Will Never Be Late to Clinical Again!

This is a little story about how being late to clinical is the worst thing ever and can in fact ruin your life. It tells how showing up late can only be compared to DIC (DISSEMINATED INTRAVASCULAR COAGULATION). This article is mixed with both fact and fiction. Nurses Announcements Archive Article

For those of us that have ever been late for clinical, we know that it is one of the WORSE things that can happen to you in nursing school. Those of you who have ever been in that position, know that I am saying that because being late to clinical is like a cascade of events that can only be compared to .....DIC.

(DISSEMINATED INTRAVASCULAR COAGULATION).

The scenario plays out like this:

You stay up all night preparing for clinical. For whatever ungodly reason, your alarm clock fails to wake you up and you roll over just at the crack of 6:17am. OH NO!!! This can't be you have strict orders to be on the floor, ready to go, at 6:30 am sharp! There is no way that you will make it to Bergan in time. You hop out of bed and make a beeline for the bathroom door. After a 15 second mental debate on either a shower or brushing your teeth, you quickly decide that brushing your teeth is simply something that is a priority, you multi task brushing and dialing your clinical instructor to alert her of you tardiness. OH NO!!!!! SPLASH! Well so much for calling your instructor, the phone is screen down in the toilet. I guess she will have to find out when you show up!

You manage to jump into your clinical attire without incident; you even remembered to put your clinical bag in the car last night. As you're speeding down the highway, you run a few red lights, half stop at a few stop signs, and you manage to spill coffee on your not so white whites. But you can take care of that, you quickly place your badge over the smudge and that is where it will stay all day until clinical is over. You pull up into the parking lot of Immanuel Hospital, run into the building, into the elevator, onto the floor. You look around.... You look around some more. You see absolutely NO one you know.

You see some students from Clarkson, you see the lady from dietary, you see a tumble weed blow down the hall, but no IWCC nursing students. WHAT IS GOING ON. QUICK, you pull out your clinical schedule.

OH NO!!! You're not at Immanuel today; you're supposed to be at Bergan Mercy. Why today of all days?!?! You hightail is out of there like you're leaving AMA, you run for the first time since you started nursing school. You drive like you have police sirens on the top of your car all the way until you arrive at Bergan. You have never been so happy to see Bergan Mercy. In fact, until this very day, you have despised the very name Bergan Mercy. You Jump out of the car, run into the facility, hit the elevator like a madman, and get up to the floor as fast as you can. You try not to make eye contact with a single soul because you have NO dignity left, your self esteem died this morning at 6:17 and you just want to try and get through the day without any more incidents.

Finally, the moment you have been dreading, the INSTRUCTOR! She walks up to you, she can see the dried up tears, snot, crust etc. she knows that you are all cried out. The only thing she can say is are you OK You offer a somber "yes"; I tried to call but blah blah. In all actuality, it doesn't matter what your excuse is, because she has already called the board on you, they have already set a date, time, and meeting place. Your fate is already set. You will be making up clinical, you will have a patient that poops, pees, and becomes dyspneic on demand, and you will be paying for it!

The instructor (probably a very calm speaking one) says "I'm glad you got here safe, that's all that matters". She hands you your patients for the day which is sure to be at least two isolation patients, and lets you know when and where you will meet the board. But what she doesn't know is the hell that you went through to get to clinical. Yea, you showed up 17 minutes late, and yea, you're alive, but does she really know what you went through to get here? Does she know that you ran over a pedestrian, lost a hub cap, got a 450 dollar speeding ticket, or that at this very moment, you're parked illegally? Does she know that you just went into your patients room and sobbed for 20 minutes as you did their head to toe assessment (thank goodness your pt is in a coma)?

How are you going to pay a clinical instructor and buy a new phone? As the day goes on, it just gets worse. You get behind on your charting; you get a med error because you were late giving iron REALLY!?! Iron? Of all things, iron? It wasn't even IV! Oh the agony, Oh the humiliation! Seriously, there is nothing left to do in this day but hemorrhage from every orifice of your body and die.

Moral of the story: Never be late for clinical. The world stops turning!

See, for me it depends. Was it a now order that wasn't caught, or was it a once a day home med that was continued the hospital that the pharmacy (not the MD) timed for a specific time? That makes a difference to me whether it's truly something that should be written up as an error.

I didn't read into it. If the patient takes the med at a different time and refuses it, that's a different issue. The context of the original error wasn't nearly that detailed.

This is my worst nightmare. I'm so afraid of missing clinical or being late that I can't sleep the night before and have to "self medicate" for any chance of sleep more than 2 hours. Thanks for the story...especially the part where you go to the wrong facility....I've actually done something similar when I went to my clinical site instead of going to school.....hey they were both heading in the same direction and at 5:30am the brain doesn't function past red light, green light and only 3 hours of sleep.

This is so me, I had to laugh.

Specializes in L&D.

wow!!! I love the way you write...

and you mentioned my nursing school in your article. Props, man. Props. I love fellow Nebraskans! ;)

LOL, where did you go to nursing school!!! I enjoyed your story, I'm sure we all felt the same way about being late to clinicals.

I was so paranoid (had an hour commute on a good day to some of the hospitals we had in rotation) that I would be at the clinical site 1 hour before we had to be there :sarcastic: . What being that early did do was give me time to settle myself, review notes and take a deep breath before the terror began.

This is me! When I was doing my clinicals for my CNA program I got to the LTC facility and the hospital about an hour early each day. Traffic can be really bad (although not really at 5am) so made sure to give enough time for the worst possible traffic. I just sat in my car listening to my iPod and eating breakfast. I am sure I will be the same way for my nursing clinicals :)

Specializes in Hospice.

This was hilarious! I could totally see myself doing this. I think I will drive to clinicals the night before and sleep in my car.:sleep: Or at the very least, set my regular alarm, with a fully charged battery back up, as well as my cell phone alarm. You have thoroughly scared me :poop:-less.

Specializes in oncology, MS/tele/stepdown.

Halfway through first semester, I wake up, get ready, get on the train. I keep wondering why so many people are out this morning, why the sun is so bright (how nice!) and where my friends are that I usually get breakfast/coffee with. Then I get a phone call from my no-nonsense clinical instructor.

"Swellz, what are you doing?"

"Umm... eating breakfast... what are you doing?"

Somewhere between her asking if I knew what time it was and dropping my coffee and oatmeal on my shoes, I realized I did my whole clinical routine to the timeline of my lecture day routine. I was mortified. I got there an hour late. When I arrived, she had planned to give me a talking to, but said I looked so distressed she thought it was unnecessary, haha! She put it in my mid-term review, but she didn't make me leave and pay for a make-up day (which she could have).

I was late to my first ever clinical day--almost 10 minutes. I was so mortified I cannot even put words on it. I was so afraid my instructor was going to lose her mind on me, but I think I looked so pitiful that she took pity on me & was kind. She didn't even count me tardy on my clinical eval! I could have hugged her.

Specializes in Hospice.
Halfway through first semester, I wake up, get ready, get on the train. I keep wondering why so many people are out this morning, why the sun is so bright (how nice!) and where my friends are that I usually get breakfast/coffee with. Then I get a phone call from my no-nonsense clinical instructor.

"Swellz, what are you doing?"

"Umm... eating breakfast... what are you doing?"

Somewhere between her asking if I knew what time it was and dropping my coffee and oatmeal on my shoes, I realized I did my whole clinical routine to the timeline of my lecture day routine. I was mortified. I got there an hour late. When I arrived, she had planned to give me a talking to, but said I looked so distressed she thought it was unnecessary, haha! She put it in my mid-term review, but she didn't make me leave and pay for a make-up day (which she could have).

:roflmao: Love this!