Quote from ManEnough
Who knew we all went to the same school? :chuckle
I forgot the WORST part of all.. going to the hospital the night before to pick your patients. Dealing with the grumpy nurses who feel like you're getting in the way. Finally selecting a few patients. Going home and spending hours and hours on careplans. Arriving the next morning at 5:30 am to find that patient #1 was sent to the ICU, patient #2 was discharged unexpectedly and patient #3 refuses to have a student. All three careplans in the trash. Three new patients picked. Instructor demands to know why you chose such "uninteresting" patients and your careplans aren't complete two hours after shift begins. Hypothetical? It happened to be last week..
Geeezz ... this doesn't exactly sound like the greatest system.
At my school, the clinical instructors make the patient assignments, after consulting with the unit nurses. When you go to get your assignment between 4 - 8pm the night before, you have an assigned patient and an alternate. In addition to spending about an hour with the chart to get all the needed info, you're encouraged to go in and meet your patient, so if there's some major issue / personality problem, you could select the alternate patient. Occasionally something happens between the time you're there and the next morning - discharge, ICU transfer, etc., but I don't think there's really anything anybody can do about that. Then it's a scramble to look up meds for your newly assigned patient before you give them, but my instructors have been pretty understanding.
Nursing school is starting to feel like an endurance test, but I would have to say that overall I'm pretty happy with my program. And honestly, I think it should
be hard - look at the responsibility you'll be entrusted with. I'm not trying to sound like a martyr - I don't like staying up until 0200 doing care plans any more than the next person. But ... gotta keep your eyes on the prize ...