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Nursing Students Student Assist

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I very often read posts on this board which complain about the staff nurses. I was a nursing student, too, and I know that such criticisms can be valid but you should know that a lot of us really dig having students around and look for opportunities for you to learn.

I work mid-shift (which means that my shift overlaps both days and nights) and I recently was helping out a colleague who had a student assigned to her. We had just intubated a patient and were tending to our post-tube tasks (e.g. OG tube, Foley, etc).

The student was just standing at the end of the bed so I looked at him and said, "Alright, time to do an OG tube."

He responded, "Um, I don't know if I'm allowed to when my instructor isn't around."

I replied, "Well, I don't know either. Please close the curtain and either come in or step out."

He closed the curtain and tentatively stepped inside at which point my colleague handed him the OG kit. He stepped up to the HOB and we talked a bit about NG vs OG, indications and contraindications, followed by guidance as to what to do.

A couple of minutes later, he'd dropped his first OG on an intubated patient.

I still don't know if he was or was not allowed by his program to drop the tube but those opportunities are relatively rare and I figured he should take advantage of it when it presented itself...

So, young Padawans, know that some of us staff nurses are actually invested in your learning... not because we have to but because we like to.

Specializes in SICU, trauma, neuro.
Exactly this. Telling the student to close the curtain "come in or step out" is rude as hell, and the insertion of a feeding tube not urgent enough to warrant being so short. Like I said before, is that also how the OP talks to patients? Or to complete strangers? I doubt it.

It wasn't a feeding tube--it was an OG (or NG, can't remember now) tube that since the pt was emergently intubated, was placed with the intent of hooking it up to wall suction. To suck any gastric secretions into a canister, thereby eliminating the matter that said intubated pt could have vomited up and then aspirated. Since he's intubated and can't manage his own secretions and all. Thereby, preventing aspiration pneumonia and ARDS and other such things that could make it a very bad day for the pt.

So yeah, it is actually pretty urgent.

Specializes in SICU, trauma, neuro.

And will the grammar police please let me off with a warning? Holy incomplete sentences. ^^^ :bag:

Specializes in Med-Surg and Neuro.
So the reality is that the "never" list isn't to stop participation, it's to keep the school's liability to a minimum by preventing students from performing a certain set of high-risk procedures. I was absolutely free to observe anything but there were just a few things I wasn't allowed to actually do.

True. I just graduated this summer. Our prohibited list was: No IV push (except flushes), cannot remove a PICC or central line, and cannot administer blood or blood products. We had simulations to cover these skills we couldn't perform in clinical, though, so I feel prepared.

I can't believe the hoopla in this thread. I've told nurses that I'm not allowed to do certain skills, (like in first semester when I wasn't allowed to pass medication), but would love to observe them. It's the nursing student's job to know what's in their particular scope of practice at that particular time in their program, and to communicate that to preceptors.

Thank You!! I LOVE when I get to work with nurses who are passionate about what they do and want to teach:) Kuddos and You ROCK!

I very often read posts on this board which complain about the staff nurses. I was a nursing student, too, and I know that such criticisms can be valid but you should know that a lot of us really dig having students around and look for opportunities for you to learn.

I work mid-shift (which means that my shift overlaps both days and nights) and I recently was helping out a colleague who had a student assigned to her. We had just intubated a patient and were tending to our post-tube tasks (e.g. OG tube, Foley, etc).

The student was just standing at the end of the bed so I looked at him and said, "Alright, time to do an OG tube."

He responded, "Um, I don't know if I'm allowed to when my instructor isn't around."

I replied, "Well, I don't know either. Please close the curtain and either come in or step out."

He closed the curtain and tentatively stepped inside at which point my colleague handed him the OG kit. He stepped up to the HOB and we talked a bit about NG vs OG, indications and contraindications, followed by guidance as to what to do.

A couple of minutes later, he'd dropped his first OG on an intubated patient.

I still don't know if he was or was not allowed by his program to drop the tube but those opportunities are relatively rare and I figured he should take advantage of it when it presented itself...

So, young Padawans, know that some of us staff nurses are actually invested in your learning... not because we have to but because we like to.

Thank You!! I LOVE when I get to work with nurses who are passionate about what they do and want to teach:) Kuddos and You ROCK!
Thank you for saying so.

It's a role that I relish.

Teaching hospitals are only for teaching medical students and house staff? Booshwah, and while it is true that there are plenty of hospitals that aren't designated academic teaching hospitals but have student nurse clinicals, that doesn't mean that one that is a designated academic teaching hospital can't or oughtn't to teach students of all specialties, and they do. 'Nuff said.

Somewhere back there somebody wanted an instructor to chime in on whether it's OK for a staff nurse to offer an experience to a student. IF I could be assured that the primary nurse for a student's patient was, in fact, competent, a decent teacher, and possessed of good judgment, I would kiss her feet if she offered my student an appropriate learning experience and taught her well. Luckily, I was generally able to assure myself that my students were with competent staffers and thanked them profusely for caring enough to enrich my students' experiences.

But since the students can't tell the difference between a good RN role model who can teach rationales and cautions from a self-important new grad LPN who talks a good game, I would like to know ahead of time unless there is no chance of getting a student in very deep trouble because something bad happens due to lack of competent RN oversight. I'm sure you could see my dilemma.

my clinical instructor(s) always told us to get as much exposure as possible. whatever happens between on the floor, stays on the floor.

my clinical instructor(s) always told us to get as much exposure as possible. whatever happens between on the floor, stays on the floor.

Not going to list my program, but I was given an opportunity to IV somebody. This was my first semester (a couple years ago) and I never done this nor practiced it. I volunteered at some hospital in the shady/sketchy areas of town NOBODY wants to volunteer at. They let me do all sorts of procedures there. I wasn't even a nursing student, at that time.

Not going to list my program, but I was given an opportunity to IV somebody. This was my first semester (a couple years ago) and I never done this nor practiced it. I volunteered at some hospital in the shady/sketchy areas of town NOBODY wants to volunteer at. They let me do all sorts of procedures there. I wasn't even a nursing student, at that time.

Just so you know, if someone had taken it into his/her head to report that someone who wasn't a nurse was doing this, your nursing career could be in great jeopardy. Practicing nursing/holding yourself out as a nurse without a license is a serious business. You are responsible for letting people know that you can't do some things if it's not part of a program clinical placement .... and certainly not as a volunteer fergawdsakes. Don't do it again.

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