First Day of Clinicals....Disaster - page 2

Hi everyone, I just wanted to share about my first day of clinicals. It was awful. :crying2: We had partners to take care of one patient. Our patient was 95 and her daughter was glued to her side. I was to start vitals. The... Read More

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    Hang in there! We ALL make mistakes at first and you are taking those mistakes as a way to learn. Kudos to you as I think that you have exactly the right attitude! Be glad that you learned a few things and move on. Your instructor will (hopefully) get over it! Good luck to you!

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    Definitely sounds like a hectic first clinical. I hope you have a (much) better experience next week. I'm not in school yet (start in May at BC, north campus) and must admit I'm somewhat fearful of days like these. Just thinking about it makes me cringe a little. Try not to let your thoughts consume you though. Learn from it and move on.
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    I've posted my first day of clinical story so many times.....

    We were told during our orientation the FIRST thing we are to do is get our residents to their rooms for assessment.....so I get this alzheimers guy, he's sitting at breakfast....i take him away, get him to room, assess quickly, and then present myself at medcart saying "mr x is ready for his 8AM meds."
    the staff nurse goes "he's diabetic, did he eat breakfast?" I explain "no....i was told to get resident to room first thing to assess him by my instructor(who is standing right there)" Instructor goes "YOU NEVER TAKE A DIABETIC PATIENT AWAY FROM BREAKFAST! go feed him, and then get back here for meds...." so I do that.....feeling like crud the entire way......get him back, do meds, then spend some time in room with resident, staff nurse comes in with a fiber supplement drink "can you get him to take this?" so I do...when I get up to station to chart it in MAR, instructor says "ok, he needs his metamucil...." when I say that he already got that, I get pulled aside and told "you just gave meds without checking with me..." today is done already, and we'll have a meeting next week.
    I got a action report on me, and wound up with the threat of one more instance of a issue in clinical and I was out! needless to say I was very scared the next 7 weeks, but I did it and I got through it. You will too, you will be VERy careful the next few weeks, good luck!
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    Wow. Thanks for writing that. I felt sorry for you while I was reading it. I don't know why instructors have to be that way. Making people nervous does not help them to learn. Although I can tell you where I WILL NEVER leave the foley bag again. And how I will watch that IV like a hawk and not get a drop of water near it. It's so scary to have so much responsibility for people but I'm going to do it. Thank you.
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    Instructors can put so much scare Into us "little lambs" and make something so easy be so stressfull!!!

    I am really glad that I did not have to go through that!!!

    my first bedbath lasted 3 hours, because the pt was incontinent and did not know when IT was comming, so when I got there, the bed was soiled, cleand pt up, made the bed with the pt on it, and when I was about to leave, BOOM more doodoo, so fine, cleaned patient, changed the chuch, when i rolled the patient to the side to pull the new chuck from under him, BOOM farts and diarrhea, that went all over!!! so another bed change on a room which the temperature was 85 patient was cold, I was on contact isolation, sweting like a pig!!!

    what did I learned from it? when pt is incontinent and cant feel it coming, you got to move the arround, and roll them a bit to get the pipes cleaned!!!
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    I think everyone has at least 1 bad clinical experience, some of us more than others. Try to stick with it and stay calm. Trust me, by this time next year, you will laugh about how nervous you were to give a pt a bed bath.

    Things will not always go as planned, in fact they rarely do (for me at least). IVs come out. We had a seasoned paramedic accidentally pull out an IV while transferring the pt from the stretcher to the bed. It happens!! No one died!!!!

    Foley bags are placed on a pts legs while in transit. Granted, that's increasing the risk for infection, but you simply placed it on the bed rail, no need for panic!

    Be patient with your instructors. We are practicing under their licenses. Medication can be a sore spot for many instructors. I have had both types, one that wouldn't let me do any meds, but I still had to research them. And one that would watch me pull them up, verify pt, and then leave the room while I administered them. Go figure, everyone is different.

    You will eventually figure out what each instructor wants. I tend to take the, "Yes, ma'am, You're right, ma'am. I will try not to let that happen again" approach. But again, Stay Calm!!
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    When I first began thinking about nursing school, I took a CNA class. I asked my RN instructor how nursing school had been for her. She shared some of the things she had loved about it, paused, and said, "Of course, there's always some old battle axe ready to jump on you..." But she laughed as she said it, and then said, in a serious tone, "But they were the ones I learned the most from."

    I don't actually think jumping down people's throats is an effective teaching tool, but it doesn't matter what I think. When I run into correction at my job *or* school, no matter how it's delivered, I try to look the person in the eye and say, "Thank you. I appreciate the feedback."

    And I *do* appreciate the feedback. If I don't appreciate the delivery, my response tends to turn down the emotion. Even if your instructor is being unprofessional, keep responding as a professional. If nothing else, you'll be learning to respond as a professional under stress.

    One thing you've learned is that this instructor does not intend to soothe you when you feel overwhelmed. You still deserve some soothing, so kudos to you for coming to a safe site to get some. I hope your next clinical goes smoothly.

    Dina
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    Quote from MAFDC08
    Definitely sounds like a hectic first clinical. I hope you have a (much) better experience next week. I'm not in school yet (start in May at BC, north campus) and must admit I'm somewhat fearful of days like these. Just thinking about it makes me cringe a little. Try not to let your thoughts consume you though. Learn from it and move on.
    Hi there. Good luck starting in May! It's exciting. When I went back to clinicals the following week it was much better. I did well for the rest of the time and passed. We just got through Nursing Process I. Process II starts next week.

    Thanks for the pick-me-up!
    WordWrangler likes this.
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    WillBe,

    You must be very proud of yourself! I'm so glad to hear that you are now proceeding to process II. These experiences, as nerve-racking as they may be, will make you that much stronger and smarter too!

    Please keep me updated on process II. I'm always up for any tips and advice on how to survive (lol), grow, and just different things to look for to be more successful as a student and hopefully a nurse...
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    I totally feel your pain! My first clinical rotation was a complete nightmare. My instructor was a complete witch, she made me cry every week and told me on numerous occasions that I should look into a different vocation. She humiliated me in front of my classmates during post-conference-she actually announced that she was pulling me from the floor for the rest of clinical because she felt I was "unsafe" to give pt. care. It was a nightmare-I almost quit school after that.

    It's a hard thing to get used to-doing invasive procedures on a living breathing human being, while being scrutinized by an instructor who has years of experience on you and the power to fail you out of school. It WILL get better though. A good instructor can make all the difference-once I was put with a NI who saw potential in me and actually put the effort in to help me learn from my mistakes and grow as a nurse, I really started to hit my stride. Hopefully you will get someone like that next time around.


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