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Terrified for clinicals because...



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No. 10
from vashtee
Old Sep 01, 2007, 05:24 PM

Default Re: Terrified for clinicals because...
My clinical instructor has a reputation for being absurdly difficult, too. It was rumored than her students hid in their patient's closets last semester when they saw her coming.

I don't know how you can possibly memorize everything, so I suggest you write down the medication info on an index card, including relevant labs, side effects, etc. and tell her you think it is vitally important to be as prepared as possible, but you simply can't memorize everything in such a short amount of time. Tell her you were worried that attempting to do so may jeopardize your patient's safety if you inadvertantly forgot some vital information. Then you can (and should) focus on understanding the patient's pathology.

So far, although my instructor expects a LOT out of us (even the staff nurses think so), I have to say that she is extremely bright, and I expect to learn a lot from her. The rumor mill was a tad bit exaggerated.
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No. 11
Old Sep 01, 2007, 10:51 PM

Default Re: Terrified for clinicals because...
Originally Posted by danh3190 View Post
What's "med nurse"?
Med Nurse is a day in clinical where you are assigned 5 pts that you will do nothing but pass meds to. Sounds easy? Well, you need to know every single med that you are passing to these pts. Side effects, action, labs, etc. You also need to know how to prioritize which pt should get their meds first, second, and so on. I've heard horror stories from previous students. It is a pass or fail assignment, and if you fail, you FAIL!! I'm really freaked out because I really need help with my med actions. My teacher told me that a lot of the knowledge is there, but that it isn't quite up to par for med nurse. If it was only po's it wouldn't be too bad, but it's everything. I don't even want to think about it! HELP!!!!!!
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No. 12
from danh3190
Old Sep 01, 2007, 11:47 PM

Default Re: Terrified for clinicals because...
Originally Posted by yorkprincess96 View Post
Med Nurse is a day in clinical where you are assigned 5 pts that you will do nothing but pass meds to. Sounds easy? Well, you need to know every single med that you are passing to these pts. Side effects, action, labs, etc. You also need to know how to prioritize which pt should get their meds first, second, and so on. I've heard horror stories from previous students. It is a pass or fail assignment, and if you fail, you FAIL!! I'm really freaked out because I really need help with my med actions. My teacher told me that a lot of the knowledge is there, but that it isn't quite up to par for med nurse. If it was only po's it wouldn't be too bad, but it's everything. I don't even want to think about it! HELP!!!!!!
Wow. Can any students in the classes ahead of you give you any tips on how to prepare? Good luck.
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No. 13
Old Sep 02, 2007, 12:30 AM

Default Re: Terrified for clinicals because...
Thanks everyone for your advice and comments! It feels good to know that what I am up against is as crazy as it seems to me. Someone mentioned that my instructor may just want to see how we react under stress. I've heard that is part of the reason she reacts so harshly if a student doesn't know something. All the information I've been told is from students who have had this person as recently as last year. Supposedly, if there is an issue in the patient's room, we are supposed to keep our cool and ask to take the conversation outside of the room because it's unprofessional to carry on in front of the patient. At that point, she backs down. I know this person has a wealth of knowledge and experience, and hope to learn a lot from her, if possible. As long as my care plans are good, that's what really matters as far as grades go. We get a clinical evaluation at the end, but all our points come from the care plans.
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No. 14
from deeDawntee
Old Sep 02, 2007, 01:43 AM

Default Re: Terrified for clinicals because...
Wow!! It looks like you have some good support and suggestions. I do think you do have it figured out. She is seeing how you react to direct confrontation and how you handle not knowing something right off the top of your head (happens frequently with MD's on the floor). I really like the idea of having the info at your fingertips on an index card, so although it may not be memorized (how idiotic is that, and a waste of limited memory capacity, at least it would be for me!) it would be quickly retrieved. Don't forget to also look at the trends, especially with WBC's and HGB and PLTs if they are abnormal-- undoubtedly she will want to know if they are improving or getting worse!

Keep your cool and you'll do fine!!

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No. 15
from luvmy3kids
Old Sep 02, 2007, 04:49 PM

Default Re: Terrified for clinicals because...
Can I ask what school it is you go to?? You're freaking me out... I'm in MN too!

TIA
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No. 16
Old Sep 03, 2007, 12:11 AM

Default Re: Terrified for clinicals because...
I've just been told to get there as early as possible to prepare. You only get the evening before, so there isn't much time.
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No. 17
Old Sep 03, 2007, 08:57 AM

Default Re: Terrified for clinicals because...
I don't think memorizing the MAR is very safe, either. It would give you a false sense of security when getting drugs ready to admin! I always take the MAR bedside when giving meds. But I do have to know how the drugs work on the booy, their side effects, etc. Some of my instructors allow us to keep drug cards with us to refer back to.

The whole being reprimanded at the pts bedside is just plain wrong--but I know how it is about not complaining. You dont want to get targeted, but you should say something about it, if only on your clinical evaluation!

I hope things improve! Good luck to you...
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No. 18
Old Sep 03, 2007, 06:58 PM

Default Re: Terrified for clinicals because...
Technically, the information doesn't need to be memorized for the entire day, however we need to know it if we are asked a question. We will be quizzed on the bulk of things before we even get on the floor, so we have to get there early anyways. We do get to take the MAR bedside (we have to, to do our 3rd check), and we are supposed to make drug cards with all the details on the drug and bring them along. We need to have copies of our care plans as well. The instructor may or may not check our cards and documents, but we need to have them. However, we can't refer to them while we are verbally quizzed. I am thinking it's going to be impossible time-wise for the instructor to quiz every person in the clinical group (there will be 8 there at a time) about every single drug our client is on (even those we will not be administering), in addition to the information about our 2 patients (medical dx, relevant history, labs), and our care plans for each of them, BEFORE we even get on the floor. So, I think I will focus much more on the drugs I will be administering, plus any other significant drugs I may see effects from during my time there, or that are important or unique to the patients' condition. The patients' other general information isn't too difficult for me to remember, thank goodness. I am really curious to see how the first clinical goes (next week). Next Monday, I am going to talk with some of my classmates that have clinicals with the same person this week and find out how things went. Hopefully I get assigned to some great, fun patients as I did last year, and will at least enjoy my time spent with them! That's the best part about nursing, for me.
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No. 19
Old Sep 03, 2007, 07:27 PM

Default Re: Terrified for clinicals because...
thats to much memorizing.. that instructor must be crazy... wow.. whay does she want it all memorized? i'm glad my RN program didn't require that .. i would of flunked..lol..... well do what she says and get through it.. keep us updated on how you are doing.. my prayers are with you
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