First Day Of Clinical - What to Do / What to Bring?

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- Finally, our class starts clinicals next week. I have been assigned to

the floor that handles GI surgeries.

- Am looking for suggestions on what to expect / things to do?

- Each of us (there are 6 in our group) is supposed to be assigned their

own patient. My dilemna, what do I do in the patient's room for the

first hour or so - until my instructor gets around to meeting with me.

- We do not have to do any patient lookups for our first clinical. So I

won't even know if we can give the patient a bedbath or anything.

- What I am trying to say, is what do I do for that first hour or so while

the instructor talks with other students? Remember, each of us will

be in a separate room with their own patient. So someone is going to

have to wait a while until the instructor shows up.

- We are not doing any care plans, patient lookups that weekend (our class

is every other weekend). Not even sure if we can do vitals. Have never

done vitals except on other students and my kitties (persian cats).

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- Any advice on the above, or other ideas/etc (like what to bring) would

sure be appreciated. Yeah, I'm nervous -- so is everyone else but our

instuctor. She says it will be "fun". We'll see.

- Gotta run,

John Coxey

Evansville, Indiana

Specializes in LTC & Private Duty Pediatrics.

LeesieBug:

- If we could talk about fly-fishing (or cats) -- that'd be one thing. But this

therapeutic communication is gunna be tough.

- Will have to brush up on that while re-learning to make the bed on next Friday.

Gotta run,

John Coxey

Boy am I glad I am not the only one. I think back to my 4 weeks doing LTC half day clinicals to learn basic care skills and if I were a CNA I would have been fired! Just changing sheets, doing sponge baths, etc....took forever and I was shaking and sweating hoping I was doing it right. Good thing my pt did not understand much because I babbled my whole way through it I was so nervous. :imbar

So the soaking sweat is requisite? Maybe I will go back to BSN school after all. Thanks for making me feel better! :rotfl:

I think it took us one solid hour just to make the bed and do the bed bath. It was actually pretty comical. I think we would have killed really sick patients by exhausting them. I was so nervous that I broke out into a soaking sweat.

If you get your pt. assignment the morning of or the night before look up their diagnosis so when your instructor visits you in the room you will impress the heck out of her and the pt. you will also feel more comfortable knowing what you're dealing with. We had a pre-conference before we were allowed to enter pts. rooms. Once we were assigned our pt. all ran for the charts to look up pt history, diagnosis, labs, etc. You'll be lucky to find the chart since the dr. will have it or its disappeared into a blackhole. Once we introduced ourselves to the pt. we performed a head to toe assessement that includes vitals, with the form our school provides. Talk about nervous the first time in entered a pts. room. Bring your stethescope, pen light, scissors, one of those tiny centimeters measuring tapes to measure wounds, a black pen and an index card with any notes you want to remember. After that you won't have any room in your pockets for a stick of gum. Find your nurse assigned to your room and ask questions ! Don't be afraid even if they seem to act like you are a pest ! Most are very helpful. Good Luck !

i have a question... how long does your clinical "shift" in a day last? 8 hours? :)

Specializes in LTC & Private Duty Pediatrics.

Amanda_Student:

- Our actual clinical time is:

- 7:00am - 8:00am (pre-conference)

- 8:00am - 12:00pm (clinical)

- 12:00pm - 1:00pm (post-conference)

- We do this on Sat and again on Sun. Looks like it's that way for the next 8

weekends (16 weeks - as we go every other weekend).

- We have exams and class on Friday 4PM - 7PM.

- We have classes/competencies on Sat/Sunfrom 1PM - 6PM.

- Makes for long weekends --- but worth it.

John Coxey

Evansville, Indiana

John Coxey

Amanda_Student:

- Our actual clinical time is:

- 7:00am - 8:00am (pre-conference)

- 8:00am - 12:00pm (clinical)

- 12:00pm - 1:00pm (post-conference)

- We do this on Sat and again on Sun. Looks like it's that way for the next 8

weekends (16 weeks - as we go every other weekend).

- We have exams and class on Friday 4PM - 7PM.

- We have classes/competencies on Sat/Sunfrom 1PM - 6PM.

- Makes for long weekends --- but worth it.

John Coxey

Evansville, Indiana

John Coxey

So will this be your first time flying back and forth to clinicals? Let us know how that works out for you.

Specializes in LTC & Private Duty Pediatrics.
So will this be your first time flying back and forth to clinicals? Let us know how that works out for you.

Dianacs:

- I've been flying up there every other weekend since June for classes. Don't think flying is going to affect clinicals (at least I hope not). Hospital is across the street from the dorms (hospital owns/runs both the school and hospital).

- What's getting to me is the time factor. Where to find time to study and full-time job. Can't imagine if I had kids to worry about. Cats are tough enough and they're potty trained.

- Will let everyone know how it goes.

John Coxey

i have a question... how long does your clinical "shift" in a day last? 8 hours? :)

From 7:00 am to 3:30 pm the same as classroom time or even longer if post conference runs long. There is usually something unexpected that comes up.

My first day was pretty bad, they threw us in there, we had to do it all, except gives meds and take care of the IV's. Have a plan, you'll develop this over time but go over in your mind what you want to get done before lunch and it will help your day go more smoothly.

We meet in pre conference on the 1st floor of the hospital at 7:30a.m., our instructors then tell us what we can do better and what to not forget. We get to our floors a little before 8a.m. If it's Tuesday, I start with my assessment, morning care, straightening the room, checking ice, etc. Then I change the bed if it's needed. I try to open my notes by 10a.m since we have to do 11am vitals, and accu checks if they're ordered. We get 30 mins. for lunch and back to the floor. We have to keep up with the pt.'s I's and O's and chart that on the CNA sheet. We need to be done, finished with nurse notes, reported off to our nurse, and make sure our pt.'s are ok, they have ice, and their rooms are neat and tidy by 1:30p.m. We got to post conference and then leave by at least 2:30pm, hopefully......

Hope this helps.

Sandy

wow. we have 8-hour long clnicals. the first time i had my clinical, we had a graveyard shift, 10pm to 6am. we do that for 3 days in the first week then 2 days of regular class. then on the 2nd week, 2 days of clinical, then we get a day off, then classes for two days. after those two weeks, we get rotated to another hospital. and the area i was assigned to that i loved the most was the ER. so exciting. my classmates and i would wait for people to come in and hope we'd be able to do a minor case--like assisting the doctor in suturing. :coollook:

My first day was pretty bad, they threw us in there, we had to do it all, except gives meds and take care of the IV's. Have a plan, you'll develop this over time but go over in your mind what you want to get done before lunch and it will help your day go more smoothly.

We meet in pre conference on the 1st floor of the hospital at 7:30a.m., our instructors then tell us what we can do better and what to not forget. We get to our floors a little before 8a.m. If it's Tuesday, I start with my assessment, morning care, straightening the room, checking ice, etc. Then I change the bed if it's needed. I try to open my notes by 10a.m since we have to do 11am vitals, and accu checks if they're ordered. We get 30 mins. for lunch and back to the floor. We have to keep up with the pt.'s I's and O's and chart that on the CNA sheet. We need to be done, finished with nurse notes, reported off to our nurse, and make sure our pt.'s are ok, they have ice, and their rooms are neat and tidy by 1:30p.m. We got to post conference and then leave by at least 2:30pm, hopefully......

Hope this helps.

Sandy

HI Sandy

Sounds like a pretty good plan. We are on the floor at 7am,do head to toe assessments with vitals, chart the assessments by 8am then do morning care. Pass meds. Depending on the instructor we may have to do bed baths. Chart again at 10 and 12 including vitals, straighten up the room including emptying the trash if needed. The first few weeks on the floor our instructor would not let us chart until she reviewed our notes. I can still hear her 'its a legal document and you're working under my license and I want to keep you all out of trouble when you're on your own.' If we didn't have our notes to her by 8:00 there was no excuse. Mrs. O'Neill was wonderful. Her charting was a beautiful thing, we were all amazed how professional it sounded. I remember one day saying "I can't do this !!" when my total hip pt. had to have her IV dc'd ,foley dc'd, bandage changed, hemovac removed, and order out of bed. I was about to hit the down button on the elevator, but I found it gets easier over time and if you have a routine like you do it works until the unexpected happens which is all the time.

Specializes in OBGYN, Neonatal.

Wow, on my first clinical we shadowed a nurse for half a day. That was cool because I was put in the ER. Very neat!

Then we learned how to do vitals and we had another clinical in a fitness center to do wellness screenings, then we got to go to a nursing home and do a health history and vitals.

We were spending our time talking to the patient and getting a history based on Marjorie Gordon's Functional Health Patterns, which takes quite some time especially in a nursing home or LTC setting.

After that we did vitals. We were not allowed to do anything like bathing or bed making or assisting with ambulation.

This term we learned how to do beds, but not baths. Well we know how to do newborn baths but not adult ones. So, your instructor(s) should give you some idea of what to do, but talking is always good, be positive, non-judgemental and get to know the patient. Make sure you are at their level so if they are in the bed, sit down beside them so you can be at eye level. Remember your nonverbals (i.e. don't close your body up with crossed arms etc.). This way the patient will feel as if you are open and receptive to their talk. We were also taught to ask open ended questions to gain more detailed answers.

Hope that helps! Remember don't do anything you were not cleared to do (i.e. we are not cleared to pass meds yet so we cannot even hand out tucks pads!).

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