Dear nursing student - page 2

dear clinical student, i am your soon-to-be instructor. know that i love this profession and have dedicated my life to it and to my patients. i consider this profession to be a calling. i did not come to this profession for... Read More

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    I wish all nursing instructors expressed that the reason behind the things they say and do is wanting students to be good nurses! It's hard to see that sometimes when you're starting clinicals for the first time and don't know a thing about nursing or the challenges it brings. And then there are some teachers that are just on a power trip! :P

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    i was pretty good with most of the post, but am concerned a little with the following.

    originally posted by marty6001

    8. if your instructor yells at you, do not take it personal. listen to what they are saying and improve. show them you can internalize criticism and get better.
    i hope that "yelling" is a figure of speech.

    one of the things i've noticed is that nursing schools turn out nurses. what they fail to do (and to be fair it would add a year or more to school otherwise) and more importantly what hospitals often fail to do is develop leaders. as a profession we need to remedy this.

    instructors are first and foremost leaders, and leaders who yell aren't usually good leaders.

    a good leader develops, coaches and motivates. most people are willing to be lead, but unwilling to be driven. leaders don't criticize, they identify areas where improvement can be made, offer suggestions and plans of action and sets simple, measurable, and achievable goals for the future. the leader reassures the (employee, nurse, student) of their faith in that person and their inate goodness, humanity and their ability to improve and overcome whatever issues that've been identified.

    they don't berate, belittle, intimidate or threaten. ever.

    in my experience, a good leader talks about a time when he or she faced a simialr problem, how his or her leader dealt with them, and assures their (employee, nurse, student) that if the leader could learn and grow from the expereience then they're absolutely certain the (employee, nurse, student) can too. they build up, they praise and most importantly, they lead.

    i really hope you're a leader too.

    i had one nursing instructor who was neither a leader nor someone who controlled her frustration and anxiety very well. i never forgot her and how disgusting she was. luckily, all of my other clinical instructors were professionals in every sense of the word. amen to great clinical instructors, you make an already difficult pursuit of a nursing degree, easier and calmer.:heartbeat
    timetoshine, ru4rns, and A New Start like this.
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    8 hours? I guess I beat that. I took 5 hours at the hospital to get all the patient data that I needed, such as H&P, pathophysiology, labs and dx, and medications. And then it took 3 1/2 hours to fill out the purpose of the patient's medications, cluster all abnormals, and finally come up with a nursing diagnosis and 5 interventions. Oh, and I went to the hospital well before everyone else did because I was unsure of whether I had to write down an inhaler drug that my patient was getting. All in all, got 4 hours of sleep. Somehow I didn't fall asleep throughout the day.
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    I thought 8 hours was conservative, but when someone said it was way too long I had to really go back and ask my students about it.. There is so much to learn and so little time to do it in, I can imagine it taking 12 plus hours easy..

    Thanks for the comments... It's my first try at writing an article and I hope it was well taken... I took out the "yell" comment as it was a figure of speech... What it says now is what I think is the way it is, criticism is good, but belittling someone is just wrong!! 1100 plus views, I'm still hoping for more comments!!!
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    Eight hours for a care plan? I wish! I think the least amount of time I've spent on a care plan yet is about 14 hours (I'm in my 2nd semester in an ASN program). In addition to pathophys (on 3 different medical diagnoses, including s/sx, tests, medical tx and nursing tx for each one), lab results (with interpretation), and outcomes & interventions for 3 priority nursing diagnoses, our careplans include a complete rundown of Gordon's functional health patterns (with separate columns for objective and subjective info) for that patient along with any and all nursing diagnoses that may apply (this section alone usually runs about 8-10 pages), a page on discharge planning, complete info on all meds the patient is taking, and a page listing and explaining ALL treatments the patient receives. My careplans usually average about 25 pages (and get A's ), but one of my classmates did one that was 50 pages long . Fortunately, we only have to do 2 careplans for the entire clinical and usually have a week to work on each one. I won't go so far as to say that I LIKE careplans, but I do understand why we have to do them -- all of that in-depth info really helps me understand what's going on with my patient, how to prioritize my care and just why I'm doing what I do -- all that 'critical thinking' stuff my instructors love to talk about. Nursing school isn't easy, but for the sake of all of our future patients, I'm glad it's not!
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    Greetings- especially to "A New Start"! Wow!
    I am humbled but still asking my students to be respectful. I do have huge expectations of my students- but I have grace. They must complete a care plan (concept map) but ask me for direction- of course. I love teaching and know that when my students are stressed- they don't learn. I try to challenge and not stress my kids. (Er, my adult learners.) Bottom line- they will be responsible and mature.
    Major1, ru4rns, and A New Start like this.
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    I do hear what you guys are saying when you talk about having a good care plan. It. shows ME AND my instructor if I'm just guessing. I don't want anyone guessing on me or one of mine.

    I Love what one of my instructors says about nursing plans. "You can stop writing them when you don't need them."

    Personally, I love research and problem solving. I know! It's weird. Students aren't supposed to like that kind of stuff. But then I like healing and mercy and other corny stuff like that too.

    For you instructors out there-- One of you took me into confidence a while back and discussed a job opportunity with me. You said, "I don't know if I'm making a difference doing this. The students give me those blank stares when I lecture. It doesn't seem like they care!" I didn't give you advice because I've quit that for the most part. But I wanted to scream this! Hear me now!

    Don't give up on us. We need you. We need you whether we know it, look like it, or act like it.

    I've enjoyed watching the other "kids" as we've struggled through your tough assignments. I've watched them grow in their commitment and care. I was your top student. Some of them are passing me now. They look over to see how I'm reacting. They study me and call me a weird old man when I do more than you ask of me. Please don't quit. I remember and still use great lessons taught to me 35 years ago! They will too. There's nothing wrong with them that a little time won't cure.

    Thank you. I know you can make a lot more money doing your old specialty. But don't quit on us little knot heads. Please.

    A New Start
    tiredstudentmom likes this.
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    Thank you for your letter Marty! I am currently a nursing student in my second semester and I thoroughly enjoy coming on this website and reading about different things. As far as care plans go, at my college we research our patients for about an hour or so on Monday evenings. Then we have clinical Tuesdays & Wednesdays. Our reports, which consist of full pt. history including x-rays and and diagnostic testing, full assessment of patient, list of 10 prioritized nursing diagnosis', all meds researched and written, all abnormal labs defined and related to pt., one nursing diagnosis written out in full care plan form and I am sure a few others I am forgetting, are due on Thursday at noon. All of this also includes researching topics that you have not yet encountered and understanding them so that you are prepared at pre-conference at 6:45am on Tuesday morning after you researched 24 meds until 2am! Tell your students 7 days to hand in their reports is a gift Thank all of you for your posts and keep them coming!!!
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    What an excellent post! I must say, as an incoming nursing student, this has certainly opened my eyes to what may be expected. I will certainly print this "letter" and pin it to my wall! Thank you for your honesty.
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    The best part of teaching for me is that you folks just coming in are so excited about learning this amazing craft and it really is infective... Everytime I get a bit down about my day, week, month, etc I just watch my students in action... Drawing the first IV medication, flushing that first central line, and it brings me back to my first day and keeps me going!!!

    I'm also enjoying coming on here and reading the posts from all the nursing students and instructors... This is a difficult profession to make your mark in, and to see folks actually taking the time to comment really makes my night!!! Thanks for doing all you do to keep me doing all I do!!!
    JHU2016 and sharonp30 like this.

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