Dear nursing student - page 5

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

  1. by   HJS27
    Care plans in your work leave a "paper" trail. The purpose of which is to cover the ass of the facility/staff in the event of a lawsuit. They "prove" you addressed problems specific to the care of that particular patient.
    Last edit by dianah on Apr 4, '10 : Reason: mild profanity allowed by TOS
  2. by   HJS27
    While in school, the primary purpose of care plans is to train you to think using nursing process. And, it works too.
  3. by   vegas2009
    They're not easy to do, but yes they work though. They're a good practice to enhance one's analyzing skills. My problem has always been, coming up with the interventions. They are hard to figure out for LTC residents, since they HAVE been there for years. Care plans have to be realistic.
  4. by   tokebi
    I just finished reading through an older thread that had a very interesting debate on whether nurses in advanced practice rely too much on medical model than that of nursing. That made me think very hard about nursing philosophy, and why I would not spare a glance at medical school in favor of pursuing nursing career.

    And yet, I never cared much for writing care plans. I now realize that's because I continued to think in terms of medical intervention. There were even times when I did not take nursing diagnoses and interventions seriously, which all seemed like nothing more than common sense to me. If I really think about it though, they are exactly why I wanted to become a nurse to do, written out on paper.

    In other words, HJS27 and vegas2009, you're right, care plans have their place and train us in line with nursing philosophy.

    My complaint still remains though. More often than not, we nurses are so busy putting out fires minute by minute on the floor, and barely having time to finish the required documentations, the care plans end up being just another annoying paperwork to finish and then ignored.
  5. by   mixtapes
    I wished people would get over being so judgmental about tattoos and piercings.
  6. by   StudentNurse2011
    As I understand it, one of the biggest rationales for care plans in nursing school is to teach us the little bags of tricks that we'll be able to use as nurses. Obviously experience will teach us more, but they get the ball rolling. I frickin HATE care plans, and they're a royal pain in my patootie, but I can see their value in school. Whether or not we use a written care plan in practice is another argument altogether. I suppose that depends on where we choose to practice. But the care plan will always be there; it may just be in our heads because by then, it'll be second nature to us. I know I used my own version of a care plan in my job as an UAP, and I even used the same process. I just didn't call it a care plan and it certainly wasn't in writing. Assess the situation through subjective and objective data, come up with a "diagnosis," determine goals that need to be accomplished, what can I do to fix the issue at hand (complete with rationales), and constantly re-evaluate. Yep, that's a care plan, and I did it for years before I knew what a care plan was all about.
  7. by   CrazierThanYou
    Quote from marty6001
    Wow, I didn't expect to take such a beating here.. LOL.. All I was trying to do was to tell students that they are not alone, that most of us out there teaching them were in their shoes as well, and that all we're trying to do is give them 10 years worth of education in 12 weeks in most cases.. I suppose I should have typed "if you are given constructive criticism, don't take it personally"... I'm really taken aback that the first 2 folks to comment have found fault. Sorry about that...

    Edit: I fixed it as I really meant to say constructive criticism.. As all my students hopefully would say, I am passionate about this profession, probably to a fault. My wife and I both have given a good portion of our adult lives to advancing the profession where we can, and really love what we do!! Thanks for opening my eyes to that one, I re-read it and shuddered!! LOL
    Unfortunately, there are many instructors (and nurses in general!) who HAVE forgotten what it is like to be a nursing student...
  8. by   marty6001
    Wow, what a great bunch of comments... I enjoyed reading all of them, and did not expect this article to take off like this... Thank you all for the kind words. I am very passionate about nursing and teaching, and agree that an instructor's goal should not (and usually is not, even when perceived that way) to crush students. I am tough on mine on the unit. When they ask a question, I ask it right back to them. They are expected to get into the literature and their patho section rivals a medical student write-up. That is how a nursing student learns.

    One of my students and I were talking the other day. Here's what we came up with: If a student if afraid of their instructor, they will never learn. However, being afraid of the patient's illness, disease, or trauma is ok, use that to better your care.
  9. by   NURSEMOMMIE75
    I loved the post it was spot on. I remember going for my LPN my instructors really stressed care plans, (they wrote a care plan book) I am glad they did. We had to have two careplans each week for our patients. I feel it gave me a better understanding of Care plans and the role they play in the nursing process. It also helped me land a job as a MDS Coordinator. I find however that students who have not had care plans stressed during clinicals do not appreciate their role. As for the comments about 8 hours being a lot clinicals are not supposed to be easy they are supposed to be hard and time consuming to make sure that the students have what it takes to handle the stressful situations that nurses can be thrown into.
  10. by   Fleming
    As a clinical instructor I thoroughly enjoyed your post. In fact, I have just finished sending it to several of my colleagues, I plan to implement much of this post in my next student orientation.
    Thank you for taking the time to submit this post.
  11. by   marty6001
    To all the students that read this and think the work was too much, all my students survived their semester with me. To a person they all said that if they hadn't done the work on the care plans, they would never have been able to care for the patients. It is imperative to know your patients, both as a student, instructor, and staff. If you don't, the patient will suffer. Thanks everyone for all the kind words, I am glad some folks liked this article.
  12. by   studentRN88
    Hi there, i am a 2nd year RN student! This is my first year at uni as i completed my enrolled nursing diploma last year and received credit for first year!

    Thank you for your post! I can see that you are devoted and care about your teaching and the professional development of your students that you teach!

    I am trying to learn the most that i can, however i feel very nervous as i do not think i have as much skill as i would like as yet but i do know i will pick this up in time. I study so much and feel like i have not learn much because it seems that the Registered Nursing degree is so academic which i can understand, respect and appreciate. I am just a little dissapointed because i wish the stubjects i am studying were a little bit more related to nursing itself and not SO BROAD! Some of the subjects i study i can REALLY understand is what we need to know about as it is all related, but i just cant understand why they are teaching us information in certain topics which is sooo.. far from being linked to nursing when they should be teaching us information in that topic which is more relevant!

    I have been so fortunate and lucky to have worked with some wonderful nurses and i thank them so much for all the knowledge and experience that have passed on to me. When they ask about my training and my course, they all say the same thing! Back in the day it was more hands on practical training! I really wish the University would provide more of this in addition to academic learning! I really want to be a good nurse and i know i will be, i am dedicated, good natured and i care! I know i need to learn and read in order to put theory into practice i just wish that the course would emphasize more on teaching nursing skills and knowledge and not make it all about writing academic essays (which most times is not directly related to nursing) and freaking out about a reference list not having a commer or dot point where it should be! LOL a little stressed here :|

    But hey, ill get there in the end and i will try to learn the most that i can whilst on placement! Im just worried that i will graduate not knowing much because i lack experience.

    Thanks for listening :-)
  13. by   Jessica-lynn
    This is wonderful!! By the end of the day i usually spend about 8 hours or MORE on my care plans. This does include all research needed. I make DETAILED pages with all sorts of research .