Clinical Failure - page 5
So, I am on the brink of getting kicked out of my program due to the clinical setting. I arrived late quite a few times and the instructors don't like me or teach me, just reprimand me. I get 80-90%... Read More
Oct 3, '12 by finalscore3b1gDo u take any responsibilty in this? Are you ever held accountable outside of school? Doesn't sound like it...
Oct 3, '12 by woohI knew a student that showed up. Early. On 9/12/01. Her brother was missing and last expected to be at WTC.
Do you have to be THAT committed? Probably not. But when you're compared to students that don't think THAT is an excuse? Three tardies is hard to explain away as "favoritism."
Oct 3, '12 by timmedicoIf you are truly willing to change bad habits (being late, etc), consider the nursing process:
Assessment- You've already gathered why you are having issues in the program.
Diagnosis- Clinical failure related to lack of responsibility/professionalism and manifested by tardiness (etc).
Planning- Plan to wake up earlier, accept responsibility (aka drop the grievances) and all rules of your program.
Implementation- Get your work done, get to school on time, accept school policies. It might be hard, but it's worth it!
Evaluation- Determine how the change has affected your status. Perhaps the instructor might like you more (favoritism is lame...I agree with you), and hopefully you've shown them that you are serious about the program.
The program will require sacrifices...less sleep, holding back when you want to write the grievances, etc. It is not my place to say whether you want to be in the program any longer or not...but if you do, show everyone how determined you are to succeed. You've done good with the test grades, so if you can get this part under control, you'll be back on the road to that RN status.
Oct 3, '12 by Meriwhen, ASN, BSN, RN Senior ModeratorQuote from student1919This may not be what you want to hear...but this is my advice:So, I am on the brink of getting kicked out of my program due to the clinical setting. I arrived late quite a few times and the instructors don't like me or teach me, just reprimand me. I get 80-90% on the exams but it doesn't matter since the instructor can decide to fail you for the smallest reason, such as wearing the wrong color nail polish or being ten minutes late. I already failed one course for that reason. A few days after my grievance over the grade was filed I got an email stating that I'm not allowed to go to clinical the next day because my TB test was overdue so I will probably fail the course, which will be talked about in person. After one F transferring is relatively impossible and the constant meetings make it difficult to accomplish anything other than talking. I was reminded that my test was overdue and asked the status two weeks prior but I was busy writing a few papers and stacking copies of documents for the grievance filing. Does anyone have any advice for me? It would be much appreciated.
It sounds like you have done far too much damage to yourself in this class. To be honest, the behaviors you describe could very well cost you a job in the real world, so I'm not surprised that a passing grade is on the line. I would definitely try to appeal it, but it doesn't sound like the odds are in your favor. Also, take full responsibility for your mistakes, because the more you try to shift blame onto anyone other than you, the worse you will look. It's no one else's fault you're chronically late or wore the wrong polish or missed a TB test...it's solely your fault.
If you end up having to retake the course or end up transferring...you still need to address the issues that caused you to fail in the first place.
1. Stop being late. Find out what is causing you to run late and address it--is it traffic, are you slow to get started in the morning, are you going to bed too late and oversleeping, whatever? Yes, there are sometimes circumstances that happen that are outside of your control, such as that traffic accident you mentioned...but honestly, was there a traffic accident every single time you were late?
2. I'm surprised they let you wear nail polish period: in most clinical programs nail polish at clinicals is a big NO. So ditch the nail polish. If you feel naked without it, see if they permit clear topcoat (don't be surprised if they don't). The point being, adhere to the clinical dress code to a T. Don't think that you can be the exception to the rule because you are not.
3. Clinical sites frown upon students with expired TB tests. It may very well be their policy--and not your school's--that is keeping you from attending clinical. As busy as nursing school can get, you NEED to stay on top of this and other vaccinations/tests.
4. Nursing school may seem unfair--and sometimes really is unfair--and that is a fact of life that you need to accept. While you are in nursing school, the instructors' words are law. Doesn't matter what you think of the policies: if you want to play in nursing school, you need to obey those policies. Doesn't matter how busy you are with other things: deadlines need to be met. And to them, it doesn't matter if you have to sacrifice free time, plans with others, freedom of dress, etc. to achieve all of this, because you are expected to do whatever it takes to meet the school's standards.
Nursing school is something to be taken very seriously, as nursing is a serious profession. Nursing instructors have no tolerance for the excuses and antics that may have worked for students in the high school or even non-nursing collegiate setting. That's how it is. You need to take this seriously if you want to be a nurse...and I suspect you have not yet realized how serious it is. I sincerely hope you do.
Best of luck with your appeal and your future plans.Last edit by Meriwhen on Oct 3, '12
Oct 3, '12 by cnmbfaQuote from student1919If you were in our program, you would fail clinically after you second tardy. You would be kept out of clinical if ANY of the things like TB skin test, CPR card, vaccines, flu shot, drug screen, etc. are not done. WHY? We sign an agreement with clinical agencies that you are disease free, and will NOT spread TB to their vulnerable patients. No one is willing to take your word that you don't have TB, cannot spread flu or pertussis, know CPR, etc. If your failure to meet expectations led to a patient acquiring a serious illness, the school and hospital would be sued for damages.So, I am on the brink of getting kicked out of my program due to the clinical setting. I arrived late quite a few times and the instructors don't like me or teach me, just reprimand me. I get 80-90% on the exams but it doesn't matter since the instructor can decide to fail you for the smallest reason, such as wearing the wrong color nail polish or being ten minutes late. I already failed one course for that reason. A few days after my grievance over the grade was filed I got an email stating that I'm not allowed to go to clinical the next day because my TB test was overdue so I will probably fail the course, which will be talked about in person. After one F transferring is relatively impossible and the constant meetings make it difficult to accomplish anything other than talking. I was reminded that my test was overdue and asked the status two weeks prior but I was busy writing a few papers and stacking copies of documents for the grievance filing. Does anyone have any advice for me? It would be much appreciated.
Nurses have to submit the Tb test, attend fire & safety, OSHA training, keep CPR up-to-date, renew license, etc. every year for their entire career. It is up to YOU, not anyone else, to get all these things done on time. No excuses! Managers hate nurses that they have to bug to get things done, and doing this, plus being late means you will not only never get promoted, but they will probably find a way to fire you eventually, just for being such a nuisance.
When you are late, what is the nurse waiting to give you report so he or she can go home supposed to do? If you do this repeatedly, your colleagues will hate you; do it three times and you will get disciplined and eventually fired.
If you cannot live with these standards--be on time, every single day, on the unit, ready to work at the start time; stay on top of all the things required of you, etc.--find another line of work.
Oct 4, '12 by Rosa_GNot to be mean but yah you should never be late to clinicals.. It really reflects poorly on you... Set an early alarm, have all your stuff ready the night before so you just get up, get ready and go... As far as nail polish... again not to be mean but no nurse should be wearing ANY nail polish..Your nails will harbor microbes... I really stopped reading there... You should really think about why you chose the path in the first place and focus on that... It is not easy but it is worth it and being a nurse... you can make such a huge difference in people's lives if you do it right... Set your mind to it if this is really what you want to do... It is ok if this is truly not for you... :-) If so then use your talents in other areas... You did well on the technical stuff... perhaps another focus area like respiratory or XRAY or Dental... YOu have to want to succeed... anyhoo... I wish you the very best
Oct 4, '12 by brandy1017You sound immature if you know being late is becoming a major issue and yet continue to do it. That is a sign that you are not taking clinical seriously and the instructor probably sees it as a sign of disrespect. Would you be late to someplace you really wanted to be say a party or vacation? Also we can't wear fake nails in nursing as its a source of infection. FYI hospitals are very strict about absenteeism and tardiness, even by only 1 minute! Hospitals rule by discipline and you wouldn't last long with your habits of being late and nail polish! Also hospitals are very strict about safety measures and will suspend you if you are overdue with TB tests or nurse license renewal or recerting BLS/ACLS. Your attitude is probably what got you in hot water with the instructor. These things are signs of disrespect, immaturity and not taking your clinical seriously. Nurses need to be meticulous, and mature because mistakes can endanger patients!
If this is so important to you then you need to make some major changes. You can't be a free spirit or rebel in nursing, it is like the military, rules, rules, rules and you have to toe the line and although it can be grating, it is understandable because we have people's lives in our hands!Last edit by brandy1017 on Oct 4, '12
Oct 4, '12 by PacoUSA, BSN, RNNow that I think about it, I WAS late for clinicals ... once ... in my entire tenure of the. The power had gone out overnight and reset my clock radio (the 9 volt battery backup was missing). When I woke up my clock was blinking 4:00am but the light coming through window said otherwise. I jumped out of bed in a panic and ran to my cell phone with a silenced ringer. Sure enough, it was about 7:15am! I was 15 minutes late to my OB clinical, and I had several missed calls and text messages from the classmates that I carpooled to the hospital. They ended up catching a cab to get there on time. I called my instructor, who was not too happy with my lateness. I ended up arriving to the hospital an hour later. As restitution for being late, I took it upon myself to do an extra clinical day in the NICU, and that was quite acceptable to her (even though she later said I did not have to, but I wanted to make up for it anyway).
From that day forward I started to set both my clock radio AND my cell phone alarms on clinical days. Never late again!
I was brave enough to ask her for a recommendation letter months later when I applied for a job at the university hospital, and she did mention in the letter that I was late once to clinical but made up for it on my own initiative. I guess that was a positive spin on the incident. I ended up getting hired, so fortunately all ended well.
I was lucky. Repeated lateness however is really unacceptable. The first and only time should have been your (no pun intended) wake up call to get your ducks in a row.
Oct 4, '12 by SCSTxRN, ADN, BSN, MSN, NPMay I suggest you look into a law career? Or hold off on being a nurse for a few years, anyway.
I was an 'older' student, and there were still many times in the course of my nursing school career that I wanted to hold my breath until I turned blue, lay on the floor, kick and scream, and in general behave like my two year old. I still love a good argument - but time and life have taught me that, most of the time, it's smarter to hold my tongue. I find it funny, now, that my professors claim to have liked me - because I would have sworn at the time they were giving me grief for the fun of it. I was able to suck it up, though, because my mom was dead, dad was dying, my family was broke, and my kids were looking to me to provide for them - I really DID NOT WANT TO TEACH anymore.
There is NO WAY that I would have succeeded in nursing school in young 20s. I was brilliant - 4.0 without trying, but I was ENTITLED. Life has a glorious way of sucking the entitlement out of a good chunk of the population as they age - and I was one of the lucky ones. Fall on your butt hard enough, you learn to be careful where you put your feet and be grateful that they don't slide out from under you. 10 years of life was enough to help me shut up and listen - it might give you the same gift.
That being said, if arguing and filing briefs and grievances is what fills you with passion - really, look into law. Paralegal studies offers plenty of opportunity for research, and some states still offer 'clerkship' as a method of qualifying to sit for the bar exam (because law school is pretty ridiculous, too - whole new dress code).
Oct 4, '12 by nurseprnRNI think the OP has left the building. She didn't really want to hear it in the first place, anyway.
Oct 17, '12 by student1919Hey, I'm here again. Thanks for all of the responses. WELL I really need to get into the whole story I guess. We are aloud to wear nail polish, and the instructors wear colors. I say favoritism because one student wouldn't get a point deduction for something I would, that's very specific. I filed a grievance because my evaluation was based off of what one nurse who was fighting with another nurse that I worked with right afterwards said. I kept asking the first nurse about the med that the issue surrounded. The legitimate reason I was failed was for arriving on the floor WHEN THE INSTRUCTOR WAS NOT EVEN THERE. It's illegal for her to leave a buncha students working on the floor, and the reason was showing one of her favorites around the hospital. She couldn't even be there with me to do my first IV med because she was conversing with the staff. If I really can't even do an assessment, she should have been much more concerned. I tried asking her a bunch of questions, so that was transferred to meaning I'm an idiot. I helped out other students and kept asking for extra stuff to do, but all I was offered were vital signs.
The next class is when I posted this. So, you know most of that story. After the post I arrived on time etc. I turned in my paper 2 days late, a 2 point deduction, to make it VERY detailed with much more than required. I never even received a grade. For my makeup assignment, I was told to create a teaching plan for 2-5yo's parents about child safety, create a visual aid, spend 2 hours in lab getting my assessment watched, and create a care plan. The care plan wasn't on the paper used for clinical, but I was not given one. The assessment wasn't mentioned. The visual aid was said to not be up to par, for no specific reason. The teaching plan was said to be inadequate. I did a 6 page outline covering how the developmental stage causes the issue, signs and symptoms of each issue, and things to do to prevent each issue. I guess it was supposed to be an essay, and it did not cover enough about HOW these topics were going to be taught. This is something taught in Community Health Nursing, a class I never even took. So, I failed and I'm kicked out of the program. I probably would have been able to work at the being late a lot more if I wasn't meeting with the director and everyone else on campus 2-3x a week, talking in circles because it was required. While yes, it's an issue to be addressed, it turned more into a reason to make sure I would not be successful.
Relating this to a job.... if you had to meet with your boss, administrator, the health department, etc. multiple times per week for several months, how much work would you be getting done? If you were getting threatened of being fired, what would you concentrate on during work? If the reason was because you were late on completing your work, do you think this would exacerbate or remedy the issue? It's not like I was getting told what to do, just that I don't do things on my own and that I'm not normal. And yes, considering it's the same instructors every semester, it does matter what they think of you. I wish I would have known more about what I was getting into when transferring to this campus. The idea of law does sound nice. I want a job where I want to arrive on time because I know there's something important to do once I arrive, not one where it's all about who brought donuts and whose ass you covered.
Oct 17, '12 by student1919I'd say this post is more of a 'troll' of negativity than anything. Everyone else has been helpful and respectful. Considering the issue is being late, the nursing profession actually does give the trophy to whoever shows up on time.... just for showing up. I see lotsa older nurses sit on their ass most of the shift then point fingers at others for their wrongs.
Quote from ColleenRN2BI'm not so sure. Personally, I think this may be the first wave of nursing students who grew up in the era of "everyone gets a trophy just for showing up" and could do no wrong in the eyes of everyone around them.
Personal responsibility was not something demanded of them as a child and going through life with the attitude of "my instructor doesn't like me and refuses to teach me" is going to be the trend, I predict.
Trolls don't typically come around again once they put the match to the pile, this OP did make another appearance---albeit to further "explain" why she was in the right and the school is looking to see her fail....Last edit by student1919 on Oct 17, '12 : Reason: lack of quote
Oct 17, '12 by BuckyBadgerRN, RNYou are (or WERE) and nursing STUDENT, there is SO much you haven't seen--trust me, adults in the working world do NOT get a trophy just for showing up on time. I wish you much luck in your future endeavors.
Quote from student1919I'd say this post is more of a 'troll' of negativity than anything. Everyone else has been helpful and respectful. Considering the issue is being late, the nursing profession actually does give the trophy to whoever shows up on time.... just for showing up. I see lotsa older nurses sit on their ass most of the shift then point fingers at others for their wrongs.