Failing a student in clinical - page 4

by Berkshire1995 10,525 Views | 36 Comments

I had a student in the last stretch of clinical before he goes into a preceptored clinical. In the preceptored clinical, they are basically on their own and can ask questions to the preceptor. Graduation is in June. This student... Read More


  1. 1
    I can't believe the student acted this way. As nurses when we make mistakes the first thing we need to do is realize our mistakes and take accountability.
    SHGR likes this.
  2. 0
    I apologize if the question was answered but, is it possible this dose was written with a trailing zero - 6.0- or as 6u instead of spelling out units? Both of these are unacceptable abbreviations per JCAHO and have been for some time, for exactly this reason.
    I am not condoning the student's response, but I am wondering if this could have contributed to any confusion.
    http://www.factsandcomparisons.com/a...2006_jcaho.pdf
    found this link, it's from 2006 already.
  3. 1
    Quote from hey_suz
    I apologize if the question was answered but, is it possible this dose was written with a trailing zero - 6.0- or as 6u instead of spelling out units? Both of these are unacceptable abbreviations per JCAHO and have been for some time, for exactly this reason.
    I am not condoning the student's response, but I am wondering if this could have contributed to any confusion.
    http://www.factsandcomparisons.com/a...2006_jcaho.pdf
    found this link, it's from 2006 already.
    Good points although if the order had been written as 6.0 or 6u then the student would have drawn up a dose 10X too large instead of 6x. I'd guess it was a sliding scale calculation that was done incorrectly but the OP will have to answer for us to know for sure. I agree that the student's response is not what we'd want to see in a fellow nurse.
    SHGR likes this.
  4. 0
    You absolutely did the right thing. Your DUTY is to protect the public, and his response speaks volumes about not either understaning or caring about putting a person in danger. It sounds like you did all the right things re: documentation, so his appeal should not go very far.

    I have been in a similar situation recently, and several times in the past. While htis is not easy, it is simply waht we MUST do.
  5. 0
    On the very first day of clinical my students get the lecture of being part of a profession nurse and what it takes to be professional, therefore the students are professional (nursing) students. I would have failed the student earlier for nonprofessional attitude. In your situation and using your own words of "The student commented that it seemed like a bit much" shows an aspect of critical thinking on the students part. I would have failed the student for other reasons but I would have to explore why the student thought the dose was wrong and then found where the student went wrong in reading the order twice.
  6. 0
    Best wishes with this matter. It sounds complex even though the students verbiage was simple. I think your post gives us all a way to examine how we would handle this matter if it was in front of us.
    Last edit by jennabond on Apr 28, '12
  7. 0
    Fail - good call, the 'tude alone should have him gone not including the unsafe issues


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