No IV Practice / Little hands-on practice in clinicals - page 4
by SlyFoxRN 8,637 Views | 42 Comments
Hello all, I am half way finished with my 1 year accelerated BSN program, and so far I like it for the most part. Our classes have been really interesting and in depth regarding disease processes, etc. and I'm doing quite... Read More
- 2Mar 23, '12 by tothepointeLVNQuote from nursejen07oh yes this was a very successful strategy for a classmate of mine and myself. the nurses would love it they could hang and we would do the vitals checks and sit with the patient in case anything went afoul. volunteer yourself up for scut and you might get some perks too.if you see the blood bank drop off some blood, grab the nurse that picks it up and ask her if you can watch her hang it
- 1Mar 23, '12 by KlimpysI just wanted to add to my previous post regarding the NA course and phlebo. These classes are offered in the Continuing Education department and were two nights a week. They lasted anywhere from four months (phlebotomy) to six months (NA II). I took them at the same time I was taking my curriculum classes. They did/will not slow me down from getting my RN.
- 0Mar 23, '12 by threebrats46I didnt learn how to put in IV or draw blood until my first job. Most nursing programs don't teach it. You aren't incompetent at all...all the skills will one day be so natural to you and you will think back and laugh. I felt exactly the same way you felt when I graduated nursing school.
- 3Mar 23, '12 by shortnorthstudentQuote from CuddleswithpuddlesI disagree with you. Assessment is absolutely important. However, you are missing the boat on interventions. Those skills that many are so interested in are not independent nursing actions. You cannot drop an NG, start an IV, put in a foley, pass meds, etc. without an order. The interventions that are within the nurse's independent scope of practice are not those skills. As the nurse, you can do SO much to help your patient based on your assessment and those are the interventions that you need to be focusing on in nursing school. Knowing that your patient is going to breathe better if you put them more upright, that you can prevent pneumonia by teaching the patient to use the incentive spirometer and making sure they use it, ambulating your patient and so much more. Those aren't the sexy skills, but it is the bread and butter of critical thinking and is what makes an RN different than someone who has simply been trained to draw blood or put in an IV. Plenty of non-RNs are trained to perform the skills that we get so excited about in early nursing school. But, Assessment IS an RN specific skill that we are educated to do. Note the difference in my language between trained and educated. As a nurse on a floor you may never have to insert an IV (depending upon your type of unit). Does that mean you aren't really a nurse? Absolutely not. It means that your time is taken up with responsibilities that the CNA, medtech, phlebotomist, LPN, etc. cannot do.Assessment is nothing without intervention. A is only one letter in ADPIE. It's just as important to do a thorough head-to-toe as it is to know what to do, then do it well.
I believe the OP's schooling is not conducive to this but, sadly, not the exception among nursing schools nowadays.
- 1Mar 24, '12 by Wrench PartyI'm in a traditional program and my clinical experience this semester has been great- one of the benefits of
going at a slower pace is there is more time to learn everything. In the middle of my 3rd semester, and
we've done trach care, hung blood from the bank and IVs, done wound care, put in and d/c'd Foleys, and now we're learning
I also make it a point to offer to be a runner for the nurse I'm working under- that strategy got me extra
experience with passing meds, setting up a PCA pump, hanging IVs, doing IV flushes and d/c'ing them, and doing wound care.
I try to make up for all the extra hassle I caused her by being a pain in her butt.
- 4My opinion: The typical hands-on skills can be learned fairly easily, and even if you spend hours upon hours in a skills lab at school, you need practice on real people, which may not happen in clinicals. I think learning skills in nursing school is a highly overrated endeavor.
I've been working a little more than 6 months. There is a particular skill that I had to perform last night. I didn't know how to do it. Three of the four nurses I was working with have more than 15 years experience. NONE of them knew how to do it. We called a nurse from another floor to come show us. I performed the task under the teaching nurse's direction, while the other nurses watched and asked questions.
THAT is true teamwork, and no nurse would survive without it.
For those who gasp and clutch their pearls because a new grad doesn't know how to do something, I'm quite sure feeling of superiority brings immense satisfaction, hiding under the mask of shock and disappointment. There are EXPERIENCED nurses who are courageous enough to change specialties that don't know how to do certain skills.
Everyone brings up the IV insertion skill, as if that is the Valhalla of nursing skill. If a 10-year experienced nurse in LTC takes an acute care job, there's a pretty good chance that her IV skills would be limited. Experienced OR circulating nurses can do their jobs with ease--and a floor nurse would be lost in that environment--but inserting an IV? Unless they rotate to pre-op, outpatient, or PACU, very little IV experience to speak of. Gasp and clutch your pearls at that.
- 2Quote from subeeI have posted many times on what an ABSN program really is. Accelerated because the first 60 hours of general education are not part of the ABSN program. Accelerated because there are no significant school breaks.Why do we even have accelerated programs? Jobs are scarce anyway. Do we need people who are rushed through a bare bones program...
There is nothing "accelerated" in the knowledge gained. You must take at least 60 hours of nursing coursework in an ABSN program. I did four semesters of an ABSN program in 17 months with no summer break. ADNs at the most popular community colleges take four semesters in their program in 21 months with a summer break!
What's more is that the local ADN programs have classes included in their nursing programs that were required pre-reqs in my ABSN program.
All one has to do to understand program requirements is google the various programs in the area and look at the coursework required. Every site I have ever visited has that information on a site page. I am clearly talking about programs in my area.
On this site, I have never made condescending remarks about ADN programs or ADN-educated nurses. I have, however, defended BSN programs and those universally-hated "fluff" courses which are, by regulation, required in the BSN programs in my state. I just wish others would research facts about the programs before making uninformed remarks about them.
- 1Quote from CuddleswithpuddlesIn my state, nursing students are not allowed, by regulation, to do venipuncture, hang blood, and transcribe MD orders. Only licensed nurses can. (Of course, phlebs can do venipuncture, but I'm talking about the nursing profession...)I would expect a new grad nurse to hone basic skills like IV sticks and gain experience in all the quirky, imperfect situations one has to perform them (like on a thrashing, demented and dehydrated patient).
I'm not sure if a clinical instructor or primary nurse would even allow a student to place an IV on a thrashing, demented, and dehydrated patient in those states that allow it. That is setting a student who barely knows how to use the equipment up for failure--and ultimately a HUGE waste of precious time.