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!

Specializes in Geriatric/Sub acute/Home Care.

only thing I remember is upsetting my instructor so badly...I gave a ferrous sulfate pill without her knowledge...I looked at my med book and SAW 730am ferrous sulfate.....I SAID TO MYSELF...wheres is my instructor, should I give this? should I not...its 730 and counting, OMG its 731!!!! I panicked and gave it....signed it off and then we she saw it she blurted out..OMG YOU GAVE THAT???? I NEVER HAD A STUDENT GIVE MEDICATION WITHOUT MY KNOWING IT IN ALL MY YEARS OF BEING AN INSTRUCTOR............so.........after that, I crawled into a crack on the floor and just evaporated......it was horrible.....the patient did not have any adverse effects from it.....although I WAS REALLY UPSET.

Ok you need to slow down, take a deep breath and calm down before you kill someone. Seriously, you could have killed someone because you were late for a clinical :/ And you could have caused a pt serious harm because you showed up too flustered and were not paying attention. Yes it was only an iron pill but what if was something else IV, such as a med meant for another pt or a miscalculation?

If you knew you were going to be late and you had the issue with your phone, you should have stopped at a phone and made the call to your instructor and then proceded, calmly and without breaking every traffic code possible, to the hospital, like a mature, responsible adult who is attempted to become a mature, responsible nurse.

I think you're missing the added dramatic flare to this story. And you aren't her mother.

Specializes in Medical-ICU.

This is too funny! I tend to wake up five times before my alarm on clinical days for the fear of being late.

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.

I was late to clinical once...but thankfully my instructor considered my excuse (hubby involved in a major incident at work) as valid!

Posting from my phone, ease forgive my fat thumbs! :)

Specializes in Emergency Room, Med/Surg, L&D.

I absolutely LOVED your post! :D I graduate from nursing school over 2 years ago, I cannot even REMEMBER when my last clinical was but this post DEFINITELY took me back! You're hilarious! Thanks for making me laugh; I can TOTALLY relate to what you were feeling that day! :D

Specializes in Med Surg, PCU, Travel.

Funny how in real life every time you late you get all the stop lights, a grandma in a old Buick or an 18 wheeler truck is slowly driving in front of you, people jay-walking in front of you and just when you think you going to be on time you get stuck in one of the worse traffic pileups in your city's history.:roflmao:

This is too funny! I tend to wake up five times before my alarm on clinical days for the fear of being late.

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.

Personally, I'm not sure I'd consider giving an iron pill late a "med error." I mean, sure, super anal-retentively technical-like it is - but come on...

Personally, I'm not sure I'd consider giving an iron pill late a "med error." I mean, sure, super anal-retentively technical-like it is - but come on...

It'd be a med error in my facility unless you had a good reason to hold it. "Right time"... yes? Late is late.

Specializes in Med Surg.

At my school if you are late you are sent home and it is a missed clinical day. You cannot pay an instructor to make it up. If you miss a clinical day, there is a make-up clinical later in the semester which you MUST attend. Additionally, if you miss a clinical, you are required to complete additional work, typically involving presentations or research papers.

If you are ever sent home again, or if you miss another clinical or if you are late one more time, that counts as a second missed clinical and you fail clinical (which means you receive an F for the course regardless of the grade you have in the actual course). If you receive an F in any course, you are removed from the nursing program. You can reapply, and you MAY be reaccepted. If you are reaccepted, failing another course will terminate your relationship with the nursing program.

So let's say, you were ill on one clinical day. If you are ever late to clinical that semester, you will fail the course.

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.

It'd be a med error in my facility unless you had a good reason to hold it. "Right time"... yes? Late is late.