level I student nurse looking for advice - page 2
Hi, everybody! I am a student nurse in my first semester of the program! I worked really hard to get into the program, maintained a 3.95 GPA...well, I know I am able to do that. what I do not... Read More
Oct 17, '06I am so sorry you had such an awful first experience. Please do not change your major until you give yourself some more time. I think if you left so early in the program you would be selling yourself short. You put so much hard work into getting here, we all know. I would say stick with it through quater 2 when you go to a hospital or somewhere else and see how that clinical experience suits you. If I was you I would also talk to my clinical instructor and state how abonded you were by them and the staff, in a nice way of course. If they are not receptive i would go to your program director. Its very unsafe to not have supervision from your teacher or the staff you are working with. Oh and as far as our clinicals go, we help the CNA's until we are ready to be on our own which our teacher decides. Also remember dont do anything without teacher approval and always be supervised. Protect yourself in school cause students are an easy target when something goes wrong. Stick with it, its worth it! Also, even if they are not receptive to you just watch your back from now on, stay with your school since transfering can be difficult and you may not be accepted. you can do anything for 2 years
Nov 12, '07I am also a first semster nursing student and I highly recommend you discussing your concerns with your clinical advisor and your faculty. Being left alone puts your patient at risk and your school does not want that. Part of the reason why our first clinical experience is in a long term care facility is to learn how to be a good advocate for your client. Just think about what goes on when you aren't there! The nursing home environment is tough and not for everyone. It has been difficult for me and my clinical group to see things that we know are wrong and watching the staff carry on with a bad attitude and giving subpar care.
So,..Be an active participant in your clinical experience. That means not taking no for an answer. That means physically finding someone that can help you and not leaving them alone until they do. Build rapport with your clinical advisor and your staff. Ask lots of questions. Make the most of your clinical prep. You should have a list of things you are allowed to do on your own or with another licensed health professional and things you can only do under the supervision of your clinical advisor. You have to know these things in advance so that you do not put yourself at risk or your patient.
Clinicals are learning experiences. Learn from the good and the bad. Give your faculty the opportunity to correct these mistakes. Sometimes clinical advisors are new and unfortunately aren't aware of the needs of the students.
If your concerns are not met and addressed then I would take a long hard look at your school. If you want to be a great nurse then you need to be at a school that will facilitate you throughout that process. I'd rather lose six months or a year of school by transferring than to be continually be put in a position like you were.
Nov 12, '07Am I the only one to disagree?
First, did I miss something? Where were the other classmates to help the OP?
The CI should be available at all times, which it sounds he/she was not. But honestly, do you need a clinical instructor to come in the room and tell you which lotion to use?? The student nurse needs to be proactive, and able to problem solve and improvise. So your CI is not around: you needed to look at the pt and then look at the bed, and think how can I safely get the pt in it. Is there a hoyer lift? Is there another student that can help me? Will the pt be safe if I leave the room and check on where the lift team is?
You made it through the first clinical and you are still alive and in 1 piece. You only went once right? Don't you think it's a little early to be thinking about throwing in the towel?
Sorry to rock the boat.Last edit by Alternator81 on Nov 12, '07
Nov 12, '07To the op: don't give up, give it more time you won't always be in the LTC environment if you don't choose to go that direction
All I really have to say is that I am absolutely appalled and disgusted with your clinical instructor, your classmates, the RN's and CNA's and the facility itself. Are you kidding me? Leaving a student on her very first day of clinicals alone to do all that work? Oh my god, if I witnessed this first hand, I can guarantee a lot of people would be out of work, out of license and a lawsuit initiated. This is outrageous. I can't believe these type of conditions exist and there are people's loved ones being cared for here....absolutely ridiculous!
Nov 12, '07Congratulations on making it through your first clinical day!
I will not say that my first clinical day was as bad as yours, but there were some similarities. We were also just given our patients and left on our own. It felt like our CI was always too busy for our questions. (God love those "favorite" students who suck up gobs of time.) And worst of all, several of the RN's and CNA's told us that they did NOT like dealing with students and to stay out of their way. (Yes, the CI heard this too. We were basically told to put up with it because of a lack of clinical sites.) And 5 weeks into my first clinical experience, I still feel like I can't wash the smell of the place out of my clothes and hair. My first day, I was helping a patient with a shower, and out of the blue, he got mad, glared at me in silence (and naked) for a full 30 seconds, and then tried to spray me with the hand-held shower head when I asked if there was something wrong!
Stick with it. It will get better and your confidence will grow, just a little each day. I actually felt comfortable today when I had to tell a patient his comments to me were inappropriate, something I would have stressed about five weeks ago. And just keep asking the nurses and CNAs questions and for help when you need it, no matter what they say. Kill them with kindness. Because really, what's the worst thing they can do, be mean? You may even earn a bit of grudging respect with your persistence. When I get frustrated, I remind myself that my career in nursing is not going to be exactly like this clinical experience.
Good luck and keep us updated!
Nov 12, '07Does anyone else realize this post is from 2006 and the OP hasn't posted again since that day?