placed on Clinical Action plan...again (another long post--sorry) - page 2

At the beginning of the semester in January, I was placed on a clincial action plan for my clinical performance. I did several labs on campus and wasn't allowed to go back to the clinical site until... Read More

  1. by   Psqrd
    I am a second semester and I have had the same problem with having to wait a long time for an instructor to get back to me so that I could administer meds. What I did is have the RN assigned to my patient give the meds when it looked like I was going to be late while waiting. When my CI showed up I told her that I asked the RN to give them, I felt it was more important for my patient to get their meds on time then my learning experience and that I was sure that I would get another opportunity to administer meds. She actually commended me on good critical thinking and apologized for taking so long.
    I know that all instructors are different, I just changed to my Ob clinical instructor and I actually asked her what her expectations were. I then asked her again the next week to make sure that her and I were on the same page...I didn't want any misunderstandings.
    Good luck, I know it can be tough with instructors that expect perfection out of the gate. P2
  2. by   squeakykitty
    Quote from maolin
    shining star - i see from your post that you have great insight to your own situation - your description of the problems you are having reflect your accountability & maturity. i can see that you are trying to be objective in understanding this. i think that that will help you overcome this challenge.

    while i know that it must be difficult and frustrating with this situation, i think you should remain open to your ci's feedback and develop an action plan so that you're on the same page as the ci and the expectations are clear. some people just need a bit more time and/or space to get into the groove of things and for things to "click". i think you understand what your weaknesses are and are capable of making the necessary improvements. sounds like the stress of the situation is magnifying the small stuff and you're already under close scrutiny. don't let that get you down. take a deep breath, think and then do. hang in there! you're on the right track...make the most of the ci's feedback and put it to good use.
    i had struggled in clinicals much like you described. i had time management issues and made errors. i did great in the theory part of my classes, and not so great in clinicals.

    i took an honest look at myself and dropped out of the lvn program, because i was just not going to be a good nurse.

    technically, i passed that clinical. i am a good test taker, especially on multiple choice tests, so i probably would have slipped through the cracks and passed the n-clex and got a license.

    there are 2 threads on allnurses that i printed out shortly before i dropped out that were helpful. here are the links.
    nursing - med errors
    nursing - what is the most incompetent thing you seen a fellow ...
  3. by   luvmy3kids
    ShiningStar,
    I just wanted to say.... keep your head up. Try and do the best you can, that's all anyone can ask for.

    Good luck!

    Jennifer
  4. by   caliotter3
    I hope that the OP was able to get it together and made it through the semester.
  5. by   firstyearstudent
    My immediate impression of your post is not that you necessarily have any serious clinical issues or problems, but that your are not taking responsibility. You are depending on the instructors, RNs, etc. to do everything for you. When you are in clinical, you are preparing to take on the role of RN. You should be thinking like a nurse.

    So just start thinking, "I am the RN"' (not "I am the student") and taking initiative and everything should fall into place. When you go into clinical, pretend (even if it's not exactly true because you are the student) that you're the nurse and the patient's well-being depends on you. When you go into the room to do the assessment, think, "What do I need to do, as the nurse, to make sure this patient is safe?" Of course you would do a focused assessment (post-surgery, is their wound bleeding?, heart issues, chest pain? post CVA, level of consciousness -- it's not rocket science and it only takes a couple of seconds and it is crucial).

    Also, while it is fine to ask your instructors a lot of questions, try to impress them by anticipating your problems and and solving them (or attempting to solve them ) before you meet with the instructor. Think, "I want to show my CI that I can do this on my own." For instance, figure out all the med issues before you meet with her, including, what, how, why, etc. Take a text book with you and look it up if you need to. Having one or two problems that you didn't or couldn't solve on your own is not a big deal and instructors won't look down on you. But when you have so many little niggling problems that you didn't take initiative on it makes you look incompetent.

    So, in short, if you change your perspective, I'm sure you can get there. Think, "I'm the nurse. What do I need to do?"
  6. by   cherokeesummer
    Sounds like you have gotten a lot of great advice here. It is godo that you know what mistakes you made and are taking the responsiblity. Trust me I have made some myself - my biggest one was assessing a patient with left arm pain and not connecting it with possible heart issues...the instructor and I went back and did a more thorough cardiac assessment b/c of that.

    The meds issue - OH YES, we have the same problem in our school - a clinical instructor would have 9 students (or more) each with meds to give on one or two or more patients. Very difficult...but we had to be very adamant and follow the teacher around LOL, not always feasible though when you have multiple needs for your patients. So I can empathize with you on that! I have had at least one med late, even with following the teacher around but that day all of us had late meds...guess thats how things happen sometimes. But it was a rare occasion.

    Anyway - keep trying to improve, that is the best thing.
  7. by   DutchgirlRN
    Quote from shining_star28463
    I don't fault my CI for anything and I do take responsibility for my actions. When I say that things are out my control what I am saying is that if I am ready to give my meds @ 0830 and my CI is with another student and I don't give my meds until 1000 because she has to get the meds out, then that is out of my control. I am also saying that when I ask a question about something that I am unsure of and the answer is "you're the nurse, you figure it out," it makes me feel like I shouldn't be asking questions. I'm not asking for anyone to hold my hand or to baby me but I believe that it's forgotten that I am a student...I am learning and I am trying.
    I think you are correct. You are a student, you should not be expected to "figure it out" and the fact that you have to wait on your CI is not your fault. There were many days that all of us on med/surg were 10:00-11:00 giving 9:00 meds and I've been a nurse for 32 years. That is the nature of a busy medical/surgical floor. It can be chaos.

    You realize the mistake you made in regards to the IV and watching the ECG and thankfully you learned as a student and not as the primary nurse.

    Clinicals are a time for learning what's important, how to effectively schedule your time and for having the time to learn how to give Louvenox and other meds. You won't have time once you're on your own. Never trust a care plan only trust what's written in the chart. (You'll have to question orders in the chart also at times but that's a whole other thread) Never be afraid to ask questions no matter how trivial they may seem. I ask questions everyday and learn something new all the time. That's how fast nursing changes.

    You've learned alot, take full advantage of your clinicals to learn and organize all that you can. Good Luck. Keep your chin up!

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