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mc3, LPN 14,221 Views

Joined Jun 20, '05 - from 'AZ'. She has '12' year(s) of experience and specializes in 'various'. Posts: 1,011 (51% Liked) Likes: 1,696

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  • Mar 11

    This put me in a good mood. Last week, I had a 4th grader come to my office. I don't even remember for what, it wasn't anything big. But I noticed she didn't have a pencil case and instead was using an old plastic berry container to carry her supplies around. This is a family pretty well known to the staff, very low socioeconomic status, struggles in school, etc. It made me sad to see her without school supplies so I lamented to my sister about it.
    Two days later I had an Amazon Prime box in my office. My sister had bought a pencil case and shipped it to school for me to give to this student. It's a really nice one, too. My sister's an alright gal.

    Hope this cheers you all up, wherever you are.

  • Mar 11

    Wish you had been my preceptor.

    I mean, my preceptor was great, and by the time I was done I was able to care for 4 patients on my own with minimal to no assistance. But she never stayed late with me or gave me articles!

  • Mar 11

    Reading through more of the posts ...

    I still stand by my original statement: a failing grade.

    Maybe because school is still so fresh in my mind, and the fear is still very real ... again, like I stated before, learning new skills can be intimating. Hiding sounded pretty good sometimes (esp. with trach care, my kryptonite). Being a new grad, on a new floor, it's still damn scary!

    But ... YOU DO IT! This isn't a new nursing student. This is an almost new grad! Why are we giving this special snowflake so much leniency? I'm sorry if this sounds harsh; however, this student completely knows the responsibilities more often than not, they have been stated in the beginning of this semester (and semesters prior). Gone over during her midterm evaluation. OP herself seems pretty organized, giving her handouts/readings on policies/topics/etc to prepare for next time. Many students don't even get this of which the OP is providing (at least, I didn't).

    It sounds like this student really lucked out in getting the OP. She's missing a great opportunity to learn. Confidence (or lack thereof) ... it doesn't matter. It's time to buck up.

    This student is learning something alright; that she can disappear when the going gets "tough" and not face the penalty.

  • Mar 11

    HIDING? No. Just no. Her eval should highlight her lack of accountability and unwillingness to enhance her skill set in a supported situation. Does she think you're going to her first job with her?

    Even if you're the preceptor from hell, Alice still has to own her own performance. It sounds to me like you went above and beyond. Sometimes someone just isn't nurse material. Hiding and making excuses and blowing things off isn't nurse material. Sorry, despite all your best efforts, Alice has to go. You can't save people from themselves.

  • Mar 11

    The fact that anyone is even questioning whether or not you should report this student and end her preceptorship early is just crazy to me.

    I start my preceptorship at the end of the month in the ER. I am getting flash cards together now so I know my meds, labs, common things they see in the ER, asking friends who work in trauma to tell me what I need to be prepared, just in the hopes that my preceptor will even trust me a little. I want to learn every possible thing I can from her and am honored she is willing to give me her time when she is already so busy, free of charge since she doesn't make any extra money doing it. If she says hey do an IV, my butt is gonna be in there in a hot second and doing the best damn IV I can do. That's what a normal student should do, anything less they should be failed.

    You have already gone above and beyond for this student, anyone less would have been over it after the first two shifts together. IMO you have been failed by her school because this not all likely that she only started acting like this now. Please, fail her, I am beyond tired of staff members who do not pull their weight, never see repercussions, and drag the whole team morale down. She is exactly what we need less of in nursing.

  • Mar 11

    Quote from LovingLife123
    She's a student, not a nurse in orientation yet. I could get your frustration if she were a new grad that was an employee, but she is a student, of course she's nervous and scared.
    She's a student in her last semester who is getting one to one time with a nurse, not trying to compete with other students for an instructor's time.

    I'm surprised she's allowed to do as much as you are saying she is. When I was in school, we did nothing with the nurses, only our instructors. And when I have a student, they do nothing with us.
    This is clearly a program that offers a capstone/preceptorship/whatever other term of the day is used. This student is getting intense one on one time with a nurse in a certain specialty with the expectation that the student will be acting independently with the supervision of the nurse who agreed to be a preceptor.

    I just think that expecting her to be a full on trainee nurse at this point is a little much. If she ends up graduating and passing NCLEX, then finding a job, let it be up to her employer to handle laziness.
    Nursing clinicals and especially capstone/preceptorship should be considered as an extended job interview. An impression will be made on staff, who will have opportunity to provide input if/when the student applies for a job in that unit.

    I was scared to death of IVs as a student and I still stink at putting them in!!!
    There's a difference between being nervous and avoidance. This student is clearly avoiding instead of trying to learn.

    Now, if she's late, not following you around, not doing what you ask, that's a reason to fail. But not nerves.
    There are many reasons a student can and should fail; not demonstrating expected actions during a clinical is one of them.

  • Mar 11

    That student from hell will become the co-worker from hell. For the sake of future patients and the nurses who will be caring for them, let "Alice" pass or fail on her own merits. She shouldn't need all this hand holding so close to graduation; someone who is close to graduate usually jumps at the chance to have more experiences or skills under his/her belt.

  • Mar 11

    As a student currently in practicum, my advice is to fail her.

    Practicum, as you know, is the time for us to prove that we are committed to learning and perfecting the skills we've learned so we can take care of patients on our own.

    The fact that she hides, instead of embracing these opportunities is a huge red flag. I would feel terrible as a preceptor if I passed her only to find out later she harmed a patient.

    We always talk about safeguards in the healthcare system to stop errors from happening. You are one of those safeguards. The nursing faculty trusts your judgement and is relying on your ability to discern whether she is ready to continue on to become a nurse (if she can pass boards).

    I think she needs to fail this round, have a come to Jesus moment with the reality of patient care, and have her try it again next semester. We can't always hold people up, sometimes it's best to let them fall so they can see where they actually are.

    I adore my preceptor, and I value her opinion of me and my skills. Should my preceptor ever say to me that she felt I wasn't ready, I would do everything in my power to fix my issues, not hide.

    I wish you luck. It sounds as though you are a very caring person and don't want to fail her, but your job as her preceptor is to do what's best for her and making sure she's safe to practice is definitely what's right.

  • Mar 2

    Don'tcha hate it when you have the student call home for a good butt chewin' and instead your student totally starts crying and begging, "please, just come pick me up?? Please??"

  • Mar 2

    Quote from WineRN
    oh no, maybe I'm making a newbie mistake...

    Even after the 4th visit, if they are just suffering from acute pretenditis, I send them back to class. I have had a few who have refused to leave the room, and on those I call the parents, explain that their child is fine but doesn't want to leave the office and I need help convincing them to go back to class. There is usually tears but then I don't see them for the rest of the day.
    Bolding mine.
    I like acute pretenditis.

    Must be a precursor to status dramaticus.

  • Mar 2

    Quote from WineRN
    acute pretenditis
    Yay for new diagnoses!

  • Mar 2

    2nd visit for the same complaint. I used to give it 3 but my patience level has deteriorated. With the kids in the Platinum Level of FF Club, I call on the first visit.

  • Feb 17

    Clearly I lack everyone's ambition. I am spending my summer not working, sitting in a chair on the shelf of my pool watching my kids swim. Oh, and we'll go to Maine for two weeks.

  • Feb 17

    Thank you for taking care of our kids while they are in your classroom. Truly, I appreciate it more than you know! There is no way, on God's earth I could do what you do and, from the bottom of my heart, I am grateful you are here!

    With that being said, did you get your lunch today? You did! GREAT! I had bites of a lunch I paid for, between kids, with the kids looking at me while I ate. By the way, my fast food, chicken tenders went cold before I could finish them, so I'm glad you got to the microwave (ahead of me, when I was trying to heat up a towel to put on a kid's stye) so your lunch could be hot.

    Did you get your planning period today? You did! GREAT! I don't get one. Ever. It's not built into my day. So, I'm sorry you had to use your planning period to call a parent, and not meet with the other grade-level teacher to work on lesson plans, I really am. I call parents all day long, between kids, with kids looking at me, and between bites of my now, cold lunch.

    You take work home and stay late? ME TOO! By the way, I'm hourly and get paid on the same scale the paras get paid despite the fact that, like you, I have a bachelor's degree and (most of) a masters.

    Kids don't always run fever with a virus? REALLY??? SHUT THE FRONT DOOR! I didn't know that! Thank you for sharing your medical knowledge with me. I will be sure to tuck that little gem in to my very small arsenal of facts and hope to learn more as I continue my nursing career.

    By the way, you won't mind if I tell little Johnny's mother that he is having problems in math will you? I mean, he sitting here in my clinic waiting for pick up since you called his mother to tell her he is sick. I know I haven't looked at his grades, and it is only his word that he is struggling, but I think I'll have a discussion about it with her.

    One more thing, since I'm hourly, I don't actually get to work the "work days". I mean, don't get me wrong, having the extra days off is great, but while you are here, putting in your grades and organizing your room, and calling parents, and taking care of what you need to take care of, I will be at home thinking about all the things I can't get done because I'm not allowed in the building. Of course, I'll take some work home, but I can't call parents from home, because, unlike you, I REFUSE to use my personal cell phone to contact parents - they don't need my number.

    Well, that about sums it up. Again, please understand, I am grateful for you and what you do! I hope you understand, I'm not angry, I'm just as ready for a break as you are.

    Thanks!

    The School Nurse

  • Feb 3

    Put a scarlet "N" on their forehead so other teachers know they have been seen once today.


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