407,525 Nurses talking about nursing
allnurses Network: Central | Nursing Jobs | Nursing Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees Picks Help
Nursing Faculty - Nursing Educators /

Clinical Adjunct Patient Accountability



Did You Know?
allnurses is the largest community for nurses on the web. We now have 407,525 members! Join today to learn, network, laugh, and share with nurses.

Jul 05, 2005 07:06 AM

Clinical Adjunct Patient Accountability

by BGSRN

Hi,

I will be starting as an adjunct clinical instructor soon and have been told the following:

1. I am responsible totally for all the action of each student regardless if they are acting on their own or under my guidance.

2. I am responsible only if I direct the student in an action that they should not be doing without direct supervision.

3. The nurse assigned to the patient is responsible for that pt and for knowing what the student will be doing or should be doing.:icon_hug:

I am now more confused and was wondering if anyone could offer me some information/insight/suggestions/etc.

Thanks!


Share

Search Tags
None
Top

 
 
Reply
4 Comments
No. 1
from VickyRN
Old Jul 06, 2005, 09:36 AM

Originally Posted by BGSRN
Hi,

I will be starting as an adjunct clinical instructor soon and have been told the following:

1. I am responsible totally for all the action of each student regardless if they are acting on their own or under my guidance.

2. I am responsible only if I direct the student in an action that they should not be doing without direct supervision.

3. The nurse assigned to the patient is responsible for that pt and for knowing what the student will be doing or should be doing.:icon_hug:

I am now more confused and was wondering if anyone could offer me some information/insight/suggestions/etc.

Thanks!
I agree - This is a very complex and confusing issue that warrants further investigation. I would bring up these concerns with your dean. I would also check with your state Board of Nursing and area facilities. One facility in my area, for instance, specifically addresses student nurses and nursing faculty in its policy and procedure handbook. The policy clearly states that the ultimate responsibility for patient care remains with the primary nurse (in the event of any adverse patient events involving students or nursing faculty). I'm sure if most nurses in that facility realized this, they would be somewhat hesitant to allow students on the floor.
Top
 
No. 2
Old Jul 06, 2005, 05:44 PM

The primary nurse is always responsible for the patient, regardless of who else might participate in the care. You are responsible for the student to a degree, but each person is also responsible for his/her own actions. So if the student commits a crime the student is responsible. If the student fails to respond to a crisis you might be responsible if you had placed the student in a situation for which you knew he/she was not prepared. Really sticky, huh? That is why I never left the students alone. I belive the law is intentionally vague to allow for specific circumstances. Not much help am I?
Top
 
No. 3
from VickyRN
Old Jul 06, 2005, 08:02 PM

Originally Posted by purplemania
The primary nurse is always responsible for the patient, regardless of who else might participate in the care. You are responsible for the student to a degree, but each person is also responsible for his/her own actions. So if the student commits a crime the student is responsible. If the student fails to respond to a crisis you might be responsible if you had placed the student in a situation for which you knew he/she was not prepared. Really sticky, huh? That is why I never left the students alone. I belive the law is intentionally vague to allow for specific circumstances. Not much help am I?
Excellent post, and good reason for the instructor to always keep close tabs on the students on the floor. We really must have (as my mother would say) "eyes in the back of our heads."
Top
 
No. 4
from BGSRN
Old Jul 07, 2005, 08:21 AM

Thanks for the insight - I will do a little more research as advised!!
Top
 
Reply




Thread Tools


Who's Online
473 members
4,334 guests
4,807

Get the hottest nursing topics of the week. Subscribe to the allnurses.com Newsletter.

Register to participate
Article Contests

6

how EMS is adapting to the obese patient

8

Health Officials: Hep C outbreak caused by nurse

4

school nurse saves kindergarten student

0

HRSA Study Finds Nursing Workforce is Growing and More...

5

Nurses Confront Violence on the Job

28

Nurse arrested for slapping quadriplegic patient.

5

Mom's Death Manslaughter

1

Hitting the Road Nurses may want to consider relocating to...


1

Motherhood, Death and Nursing

34

When everybody knows your name

6

10 years later.. Remembering my first clinical patient

26

Dear nursing student

5

I am meant to be a nurse.

0

A Nursing Students’ Convocation Address to Families,...

13

Eight essential tools and tips for incoming nursing students

5

Why i have chosen nursing as a career

7

Patients' Perceptions of Nurses' Skill

9

Murphy's law experienced





Currently Reading This Page: 1 (0 members & 1 guests)


Advertise | Site Map | Boards of Nursing | Terms Of Service | Privacy | Contact Us | Newsletter | Copyright © 1996-2010 allnurses.com INC