Dear nursing student - page 4

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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    Wow, I have to admit that while in nursing school I would often have 20 page care plans that usually took 12 hours to complete (8 hours the night before my clinicals and 3-4 hours post clinical). Everything had to be in my own words and APA refrenced to a T.
    I will also admit that the amount I slept while in nursing school was minimal as I had a heavy work load and much studying to do. The best advice I can give you is to slowly learn to be overworked and exhausted with a smile on your face and a skip in your step until you graduate. It eventually gets better, good luck.
    Major1 likes this.

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    3. If you haven't spent 8 hours on your care plan it is likely incomplete.
    8 hours for every patient? How many patiens does a studet nurse have/week?
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    I'm starting nursing school in sept , so I need to know how much time I'll be spending on care plans
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    Wow- you guys have some intense care plans! Ours is (this quarter) 2 nursing diagnoses, one psychosocial and one physiological, with one goal each and 3 interventions each. We have to provide a rationale for the intervention. Our prep sheets are more time consuming than our care plans- those are where we have all the lab values and a progression of hospitalization.

    We get to clinical, find our patients and go to work, so all of this is due the next week. Logistically, I'm glad we don't go in the night before to prep, but it does often mean you're presented with something it would have been better to have time to look up ahead of time.
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    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.

    Not for me! Tried it. Thanks for some new tools, but cut and past plans don't give me the personal investmentt I need to make the material stick.

    Admittedly, I don't want to sprend 8 hrs for every 8 hrs I work on EACH patient I treat in the future! But for now the discovery process is important.

    Thanks for sharing! A New Start
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    Sorry. For some reason I keep double posting with my handheld. Murphy lives!

    A New Start
    Last edit by A New Start on Mar 24, '10 : Reason: double post
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    On the yelling part - yes in a perfect scenario I would prefer to be privately counseled on my areas for improvement. However, as a student with someone's life in my hands, if I am about to administer meds to the wrong patient or perform any other act that could kill them - there is not always time to pull me away and "nicely" explain what I was doing wrong. In the midst of the sometimes chaotic treatment room - if I screw up - YELL away - it may jolt my self-esteem, but it will save my patient.

    I think people are a bit too thin-skinned nowadays.
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    [quote=marty6001;4178287] 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 money, for prestige, or for the title.

    wow, thank you for this. i would definitely make a printout of this article. it puts things in perspective. hopefully, i can use it and remind myself not to take things personally. well, i'm not really that sensitive to begin with -- but i don't like being yelled at either. i have no problems respecting instructors, since i know that they had to go through a lot of things themselves.
    Last edit by vegas2009 on Apr 23, '10
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    Our care plans easily take 8 hours to create, after we get home from patient pickup. Our instructor insists they are fully complete when we arrive at clinical at 6:30 am, with the exception of follow-up information. The follow-up information is to be completed by the end of clinical at noon...but we are not to work on paperwork during clinical because "that is time dedicated to working with your patients, not working on paperwork." Do the math, and if anyone can tell me how that works without breaking the rules, please let me know because I still haven't figured it out. Generally I finish and get to bed about 2 a.m., and get up at 4:30 a.m.; I always worry what kind of mistake may occur because of my short-circuiting, sleep deprived brain that could compromise patient safety.

    Our instructor is far from a leader. She is punitive and will cut you down in the blink of an eye, and yet makes mistakes regularly herself. Heck, it's 11 weeks into the semester and she is still calling myself and another student by the wrong names, and doesn't know what work each of us have done because she confuses our names every week. She is harsh enough that one of my fellow students had a patient tell her they felt sorry for her after the instructor left the room. If she gets stressed, watch out because she is going snap at you and humiliate you in front of a patient, guaranteed. I'm a mature 40 year old, plus I am bright and work very hard, so I have pretty thick skin in regards to criticism. I just wish she could learn to deliver it in a slightly more constructive fashion, or at least pull me away from the patient to vent her frustrations.

    But I digress - my point is, respect goes both ways. Instructors can be wonderful mentors, provided they view us all as individuals and not as nameless rabble who have no idea what we are doing academically.
    vegas2009 and A New Start like this.
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    Never run from a bully wearing panties! Or any other for that matter. It makes me sick watching how some of the young people are treated around me, but I can't stand and fight their fights. It wouldn't be helpful.

    Learning how to communicate with others in your profession is an essential skill for nursing. We train people how to talk to us. When an instructor or a Dr or a preceptor attempts to belittle you, stop what you are doing. (Unless you're working on a client) But at the very least get very quiet and make direct unblinking eye contact. In a calm unwaivering voice, ask them to tell you their concern in a calm quiet professional manner. Point out any aggressive non verbal communication (like finger punching) and tell them to stop it. Listen. Listen. Listen. Then restate what you think they want and repeat it back.

    There's more. Read up on passive, aggresive, and passive aggressive communication. Your confidence will grow and your adversaries will respect you.

    They eat you cause you taste good!

    A New Start
    NRSKarenRN and vegas2009 like this.

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