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... Read More
Mar 17, '10 by marty6001I 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!!!
Mar 17, '10 by in2myfutureEight 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!
Mar 17, '10 by oncnursemsnGreetings- 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.
Mar 18, '10 by A New StartI 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
Mar 18, '10 by Lilmimrn, RNThank 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!!!
Mar 18, '10 by marina2010What 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.
Mar 18, '10 by marty6001The 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!!!
Mar 18, '10 by dudette10, BSN, RNQuote from marty6001liked the letter, and i laughed at this part (not in a bad way).remove your piercings and cover your tattoo's....imagine your grandmother in the hospital and the nurse comes in with a nose ring or a tattoo. .... would you want that person caring for your family?
there will come a day when all the patients are tattooed and have the tell-tale pinprick scars of youthful piercings. just you wait and see....
Mar 19, '10 by studentmomof2I just want to say that this is a great letter to students. You sound like the kind of instructor I would love to have. And as for the care plan taking 8 hours... right now in my clinical rotation we have 2 patients, we do research on Monday's as long as the patients are there and we can do it... so far I have only been able to research for one patient on Monday's and the other is left for Tuesday and Wednesday while we are caring for our patients. Then we have to do the pathophysiology, analyze labs, medication research, 4-6 nursing diagnoses with 5 interventions for each and this is all due by Wednesday at the end of clinical. Then we have a journal that is usually between 4-6 pages due Sunday night. I don't got to bed till after 1-2:00 am Monday's and Tuesdays and up by 5 Tuesdays and Wednesdays. If I had a week to hand this stuff in I would be in heaven. Thanks for the inspiration!
Mar 19, '10 by lauranceI enjoyed you post greatly, It has touched my past and will impact my future. I am a recent graduate of methodist college of nursing, with your permission i would like to forward this to all my past intstuctors. I think it would be a nice addition to any sylabus at any nursing school. I have had wonderful instructors: and in your writing i can tell that you are a wonderful nurse and instructor, my regret is that i didn't get to take one of your classes or clinicals.
Laurance - RN/BSN
Mar 19, '10 by marty6001I'm sure Laurance that there are lots of dedicated nursing faculty and professors who have written much more touching and thoughtful stories than mine.. I put this on here for everyone to have, flame, like, hate, print, burn, etc ... I'm just suprised that folks actually enjoyed reading it, makes me want to write a few more
Mar 19, '10 by totally_nutsI like the post!
As a student about to go on clinical placement, it's interesting to know what instructors are looking for.
Being in a different country though I'm confused about something - do your students have 12 weeks of classes or twelve weeks of clinical placement? And what sort of nurse is that?
In Australia we have 2 basic levels - an enrolled nurse and a registered nurse. The enrolled nurse completes 14 months class training and nine weeks in clinical placement. The registered nurse completes three years class training and I think it's 16 weeks clinical placement. They can both do further training after completing the original lot.
Nursing in the USA certainly sounds complicated!
Mar 20, '10 by HJS27:smackingf Seriously? Eight to twelve hours on a single care plan is just too much. There is no particular merit in time lost to mindless busy work.
There are excellent resources available that allow a fabulous care plan to be put together in much less time. This, in turn, allows time to actually think critically about the information. Yes, putting the care plan together does get the juices flowing, but looking up each factoid and handwriting them simply wastes your precious time. It is just as effective to read a completely pre-prepared care plan document for each NANDA and choose & adapt each part to fit your particular patient's needs. The process is still an exercise in critical thinking. I particularly like an Evolve resource, the online care plan constructor that comes with "Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care", by Ackley & Ladwig, from Elsevier.
For medication information, the Drugs section of Epocrates Online in an exceptional resource. The basic application is free, the medication information is broken out into categories making it a simple task to pull the information for your care plan, and the Diseases section is excellent as well...concise, complete, and also broken out into sections.
Being a well-rested nursing student/nurse is a good thing, and is not to be under estimated. Do a little research on sleep deprivation if you don't believe me. :zzzzz