Quote from Rainscape
Would some of the LPN nursing students mind sharing their clinical experiences?
The school I attend seems to focus so much on the nurses aide portion. I have nothing against nursing assistants or the work required (and no, I don't think I am too good). However, I am not going to school to become a nursing assistant. It is just that even if an opportunity came up for me to learn something I am too wrapped up in caring for my patient to leave him/her. I have been in clinicals for several months and I have only passed meds (with supervision), a couple of finger sticks, one shot and suctioned a tracheostomy. Is this usual? Am I expecting too much?
I am just worried that once I am finished with school that I won't be prepared.
Sorry to say it, but most of us are not really prepared for the real world when we graduate. What semester are you in? Because the first one is usually the nursing assistant portion. What is unfortunate is that the student is working under the license of the clinical instructor. In other words, if you screw up, SHE is held liable. This is one of the reasons why many instructors give strict orders not to do anything without their permission or their knowledge (there are lazy instructors, also, though). Most of my clinical instructors did not make a big deal about us doing much more than nursing assistant work, however, they expected us to provide nursing answers to the questions they asked, such as the medication side effects, disease process and nursing intervention. IN FACT, some of my clinical instructors were so lazy that we used to leave to go home three hours after we got there, or sometimes, they would designate a student to call everyone to cancel!! I came to work as an LPN dumber than dumb...believe me...and I just got my license last June. I am still learning and I still feel a bit unprepared. But, what I do is draw on what I have retained, use a bit of common sense, and if I am not sure, I MAKE SURE that I tell the RN. I'd rather look dumb than harm someone.
What I am learning is that it really takes time. Let me make you laugh a minute. My head nurse told us that if a person has difficulty breathing and you hear wheezing, to give them 2 liters of oxygen with a nasal cannula and inform the physician ( I work in a clinic). Three days later, a woman came in and had difficulty breathing. She spoke Spanish, so, I had to get an interpeter while I was checking her chart. No history of asthma. But, I listen to her chest sounds, and I hear what appeared to be wheezing, so, I get the O-2 administer it, then I got another RN, who got the preceptor. Her pulse oximeter was 99%. The preceptor told me that she was not wheezing, that it wheezing happens when it is an whistling sound when the person is exhaling (I think....I STILL forget). I had to take away the oxygen and the patient got upset, because I think it was comforting to her to have it. All I can do is laugh at myself, and, now, I am looking for my CD ROMS to re-listen to chest sounds. My head nurse told me that she was proud of me because I didn't ignore the patient and I tried my best. This will happen to you, too. Best wishes...