Clinical question - page 2

by lepew 2,505 Views | 15 Comments

Do any of your nursing programs still require students to go to clinical the day before to pick up their assignments - to gather patient data? With decreasing length of stays it seems we make assignment only to have the pt... Read More


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    I am an instructor and I go into clinical about 45 minutes before my students do, find potential patients and talk to the night nurses. It has prevented some of the issues you mentioned above. I also feel it's more realistic for the students because as nurses, they won't have the opportunity to prep for their patients.
    sdmwd5987 and loriangel14 like this.
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    Quote from chrisrn24
    When I was in school doing clinical 2010-2011, we had to go get our assignments. I never really thought that was right. When clinical is at 6 am it seems unfair to make people stay up late working on homework. I for one value my sleep and sometimes my care plan wouldn't get done. Sorry but I refused to stay up and not sleep just to do my homework. Additionally in the real world, I don't do care plans and the staff at my work that does care plans doesn't do it sight unseen. They evaluate the patient. Ideally, I think the care plan assignments should be done after the fact. Like go home from clinical and they are due at midnight.
    I'm a new PN and an aspiring educator...

    We were required to go the day before to "pick a patient" and were forbidden from entering a unit, for the most part, until 4pm. It took at least an hour to select someone, find a computer and someone willing to walk you through where to find what you needed, get it all down, and get out- sometimes longer. Then he hours of work making med cards and care plans an writing patho reports. It was often 11 or 12 before I got to bed after prepping my uniform and supplies and lunch, and I'd have to get up by 0400 for most rotations.

    It was freaking miserable, and I agree that he care plans should be done post-clinical. Hell...almost every care plan I painstakingly crafted was useless- I always ended up doing a whole different set of interventions and would have to rewrite them.
    sdmwd5987 likes this.
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    students coming to my facility do not get patient information till the day of the clinical, just like "real" nurses.
    sdmwd5987 likes this.
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    I'm a current intermediate nursing student. We go the day before clinical for patient research only for our adult health 1 and 2 courses. There is no clinical prep for peds, maternal/neonatal, or behavioral.
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    I am not an instructor. During my schooling for my we had a set time that was blocked off that the instructor and the students went to the floor (in our school uniforms). The instructor was usually there before us and looked at the census and picked the patients they felt would still be there the next day. We were assigned our patient(s) and we had to get all the needed info for your care plans and NANDA's (labs, head to toe assessments, review tests/studie, meds, tx, s etc) before we left the floor. We were then free to go home, where hours were spent on drug cards, writing care plans etc.

    What always seemed to happen to me was my patient would be gone by the next morning or was being d/c not long after getting on the floor. The instructor just reassigned me a new patient (but I didn't have to do the paperwork etc for them).

    During LPN schooling we showed up and were assigned our patients then.
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    Quote from RunnerRN2b2014
    I'm a current intermediate nursing student. We go the day before clinical for patient research only for our adult health 1 and 2 courses. There is no clinical prep for peds, maternal/neonatal, or behavioral.
    We had more prep for peds/L&D/mental health than our regular med surg or nursing home clinicals!


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