A lamb in a den of wolves!

Nursing Students General Students

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The nurse that you're paired up with during your clinical rotations can make or break your love of a certain field. I fully understand that you (RN) has been at the hospital since 6:45am, or earlier, have 6+ patients who don't all understand that you are trying your best to care for their needs. Have more than likely been peed, pooped, and/or vomited on, and are more than likely late with your assessments because of a difficult patient but please, I beg you, don't take it out on me, the young naive nursing student that is following you like a lost puppy; because I want to do is learn something other than what's in the text book. I'm here to learn, to see what 'real' nursing is all about and who knows, I might be a colleague in a few years. We as students are truly like a ball of clay and how you treat us during these rotations does mold us. Remember, you were a student once too!

What I described was how it was for me in nursing school 15 yrs ago too. We had to "page" (pre smartphones...lol) our instructor if we wanted to do a procedure or meds, but we were "highly encouraged" to do it with our nurse if she was willing because it would sometimes take the instructor an hour to get back to us. Nowadays, the clinical instructor had maybe a dozen students max that she is in charge of. She places a few in CCU, a few in ER, a few in step-down, and maybe 1-2 in OR. These units aren't close by...so it's a lot of walking for her. Most of the nursing schools in our area are like this now. When I have a student, I never bother with the clinical instructor because most of them aren't ICU nurses anyways. I overheard one of them "teaching" her student wrongly, so I had to correct it anyways! Oh, and there are sometimes multiple nursing schools at our facility on any given day and shift! It's so confusing!

This is the way my clinical experience is. Our clinical group has the hospital to ourselves, so we're spread out around the entire place and rarely see our CI. We can text her if we need her, but the results are mixed. There have been days when I've had absolutely nothing to do other than my assessment and paperwork unless the CNA is looking for some help. I'm really, really not a fan of the set-up.

I have taught in circumstances where I was forced (against my objections, but because the facility's units were too small to support the entire group on one unit) to have students on multiple units, and what I've done in those circumstances is to keep circulating constantly from one unit to the next the entire day; so, if I'm not there at the moment, I will be within the next 20 minutes or so. Makes for a lot more physical effort on my part, but I can certainly use the exercise :) and I'm not comfortable with leaving students on a unit without me at least showing up frequently during the day.

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