Opening statement: Maybe I'm being too much me rather than an RN Student or I just don't have work experience.
Being the nursing program
takes up ALL of our time. Some instructors have even told me that the nursing program is a job; one that you need to be committed to 24/7.
Previous clinical days have been "interesting." You really find out instantly who are the good nurses and who are the not-so-good nurses. It's like I have to be on alert for the sharks in the water. (1) i'm never watching what I say or do. I just be the "nice" me and help out with anything I can. Whenever the patient I'm assigned to needs something, I tell their nurse because somethings I may not be in scope of practice, well within the scope of being a RN student. One nurse, I just went up to because that's the nurse. She was at the med cart and the first time she answered me. The second time, she said, "Look, i'm kinda busy at the moment and i can't be distracted. I'm handing out meeds. Come back to me in 30min." It was a firm statement. No harsh tones or a smile, just firm. Although, part of me thinks she was annoyed by me. I don't know. Should I not be coming to the nurses so often?
Anyway, to make this short...i have to many experiences...
one major problem is i don't know when to speak and when not to. Anyone can just take what i said and twist it around to make me look bad when i don't mean bad at all. two recent clinical stories: my instructor called for a meeting and two of our students were not present. The instructor GENERALLY asked, "where are they? has anyone seen them?" I have this unconditional urgency to help people when help is not asked for or when a question is asked by one of my classmates not towards me and I answer anyway. So, I speak up and say, "I don't know where they are. I haven't seen them. I don't know where they are." Honesty. My instructor went on with the meeting. My classmates show up late and all seems well... until my classmate pulls me aside and tells me, "When the instructor asks 'where are these people?' don't say you don't know. Saying, 'you don't know' makes us look bad. It's like we've just walked off our shift being lazy and not doing work. We could have just gone on our 15 minute break and forgot to let someone know. You don't know. But don't say that. Either say nothing or say 'they might be on their break or in the bathroom.'" After that, I felt so stupid. how could what I say you look bad? really? if you look bad, that's on you.
How was I supposed to know that??! grrr.
Well, lesson learned.
Then just last week i freaked out over a new patient who was diagnosed with pneumonia and was breathing in my face all during the head to toe assessment. Within the hour, I started have a weird feeling in my throat. I told a classmate and she started freaking out with me. I tell my instructor shortly after and the instructor starts laughing and saying "an infection does not happen that fast. I know you are smarter than that." and goes on and on about it...well for the next 5 minutes, which felt like forever. then she shares this with a nurse who works on the floor and now she laughs at me.
I wanna just not speak at all unless spoken to. A CNA hates me now for not following her orders... well then again my instructor says i don't have to do what a CNA tells me because they have a tendency to take advantage of RN students and give them jobs the CNA should be doing.
So, what is like the basics of how to act in clinicals? How do I handle certain situations?
I know this was long but any insight is great! thanks!