Please a kind hearted nurse student-- Someone
weigh in with your advice or experience that could help!! I am in an accelerated RN program and in my final quarter. I graduate at the end of the year and know I don't have enough clinical experience under my belt. My school messed up and lost its positon in clinical rotation scheduling-- so instead of doing clinical work in a hospital we ended up in a nursing home for med/ surg clinical! Nothing but passing meds! I have NOT started an IV on a real person, or completed many skills other nursing students typically do, like wound packing. I am a licensed CNA and work as a PCT and imaging assistant at 2 different hospitals. I graduated from a med asst trade school, so I can draw blood and do injections. But when it comes to using all the different devices, parts, etc., I don't know what I will do. I live in fear of ending up with a cranky preceptor and being found out that I am all thumbs with ports stopcocks... I see all these different things stacked in the supply room of the Med Surg floor and I am TOTALLY lost! I feel like I have a big secret that I am afraid someone will find out... My Maternal Health clinical (moved back, after Peds!) will be in a clinic and I don't expect to see action there, either. My Peds clinical is at a hospital and we are not allowed to TOUCH the children! The good news I did get some experience with critical care and also rehab, with brain injury patients... but NOT the fast paced world of Med Surg! Is this more common than I think? Anyone? HELP!! Thank you from the bottom of my heart. I promise I will Z"pass it on" when I become a nurse mentor myself.:heartbeat signed, b33again
Quote from grntea
please, please remember that what we call in the ed biz "psychomotor skills," the things you do with your hands, can be done by anyone with enough practice. hell, we teach lay people how to do peritoneal dialysis at home or suction tracheostomies. but the understanding of why some things are as they are is something you get in better education: more science, more sociology, more psychology, more history, a basic statistics class, exposure to more clinical settings (i doubt if you'll get a full semester in peds, psych, ob, or any public health at all in any as program) give you the insight to ask better questions and make better decisions.
heck, by that logic, why be so impressed with just about any skill or service out there? the majority of services provided in the world can be done by anyone with enough practice, can't they? much of the intense competition to get into nursing school, medical school, law school etc has more to do with not enough teaching resources or strategic limits of entry to the field, not a lack of qualified applicants.
a couple of psych and soc courses could bring any lay person up to speed with the psych/soc aspect of rn education. most any life science major will have taken more science courses than that required by most nursing programs. i came to my nursing program with a strong background in psych, soc, life science in general and human biology specifically so i didn't get much more out of the nursing program in those aspects.
clinical exposure? that's definitely a benefit of a nursing program, but my bsn program had just 5 measely weeks (2 days/week) in each different clinical setting. it was a great introduction to the spectrum of nursing care but by no means prepared us to actually take on full rn responsibilities in those arenas.
yes, nursing is *more* than just psychomotor skills, but let's not diminish the value of such psychomotor skills. anyone can learn to change the motor oil on their car, just like anyone can learn to insert a foley or start an iv. but i'd expect a *professional* mechanic to bring to their work the experience of already having
changed oil on many different cars, to have more than just a barely passing exposure to the variations in oil change procedures on the most common cars out there, and to recognize problems that may otherwise have gone unnoticed. and as a licensed nurse myself, i had hoped to bring more of this type of competence in basic psychomotor nursing skills in most common situations - not everything and not in every situation, but more rather than less. but as a student in my program, we had few opportunities as students to do much of anything besides pass oral meds and take unrealistically long and involved health histories and physical assessments.
Last edit by jjjoy on Aug 7, '11