Quote from obesity33
How do you deal with rude/ inconsiderate nurses during clinical?
Things that really irritate me:
> not letting me see a specific patient without a good reason
I want to see *every* patient, not just the nice ones. If it's a danger to my safety or the patient's safety then I understand but some nurses don't give me a reason. The other day a nurse didn't let me see a patient because "she had a good relationship with him" and she spent most of the shift with him, leaving me out. I luckily just tagged along with a different nurse but I felt like she was rude and offered me a poor excuse.
EDIT: if the patient asks for no students then it's okay as well because of consent and such.
Some nurses can get very protective of their pts. I see nurses like this a lot with chronic populations that spend a lot of time in the hospital (ie. Oncology pts). Pediatric nurses and critical care nurses can also be very protective. It shouldn't be seen as something personal against you, and hopefully one of the other nurses on the unit will be more welcoming of students.
> Expecting me to know certain things then telling my instructor I don't know anything.
As a nursing student, I am clinical to learn. I am not going to right away have the skills go into action. It's like riding a bicycle--easy *once you get the hang of it*. Thankfully, my instructor is nice, but it's a mean thing for a nurse to just tell the instructor I know nothing when I am a student trying to learn the things I do not know. But now I am scared to ask my instructor for a rec letter in the future.
Depends what you didn't know. You should come to clinical understanding what your pts medications are and how to administer them, knowing what your pts diagnosis is and what to assess for with that condition, and you should be able to formulate basic priorities for your day. If it is more tasks (ie. Foley or iv insertion) that you will learn with experience.
>Leaving the nurse's station to do a procedure/ task and not letting me know.
This bothers me to no extent. If I see the nurse I was assigned to for the day and kind of saunter off without telling me then I get up, chase her and follow her. If you don't want a nursing student with you then you should have worked at a facility that doesn't take students. I am going to follow you whether you like it or not. Even if you are just getting a blood glucose (which I am sort of an expert at doing now since I have done it so many times) or asking the patient if he needs anything.
Sometimes nurses may need to get a task done right away, and may not have time to instruct a student (ie. If a pt is symptomatic hypoglycemic). Make sure you communicate to your nurse at the beginning of your shift that you are willing to help out with any tasks, including on pts that arent yours. Also, there are certain tasks that some facilities do not allow students to do, so be sure to know if your clinical locations are like this.
> Saying things like "why didn't you become a doctor?"
Why didn't YOU become a doctor?
>Saying "you're timid, is this your first day?"
No. I am not timid or shy at all. I am comfortable going up to people and asking them if they need help. But these hospitals are potential employers and I am guarded in what I say or how I act in them. I am not going to chuckle at your jokes about the patient because I want a job next year
Not sure why a nurse would say either of these but try to not let it get to you. Take the doctor comment as a compliment that maybe you seem smart or confident compared to your peers.
>When the nurse doesn't introduce him/herself to me when I am assigned to that nurse for the day.
This is just rude.
Why didn't you introduce yourself to the nurse?? The nurse may or may not be told at the beginning of the day she has a student with her, and it is very possible she has no idea who you are. The same nurses don't work every time you do clinicals, and with students only being on the unit for a couple months at most, it can be hard for a nurse to keep everyone straight. I say you take the assertive role and introduce yourself.
What do you do in these situations? How do you handle them? I am just really mad, I had a bad experience this week. I know I am not supposed to be entitled but I am paying 20,000 plus a year out of pocket for nursing school.
I am sorry to hear you had a bad experience this week, but I think you need to change your outlook toward staff nurses. Many of them see students on the unit as extra work, for which they get paid nothing more to assist with. They have to double check your charting, supervise your tasks, and answer your constant questions, so you can see when a nurse has a full assignment on a busy day some may prefer not to have students. You seem to be acting as if you are there to make the staff nurses job easier, but you actually make it harder.