You will not learn anything in the conference room!

[dudette10, MSN, RN]

Why are you there then?

Do NOT hole up in the conference room with your classmates. Please! Answer call bells, help toilet patients, pass or gather trays.

If you are paired with me, you WILL learn something. If I have to go to the conference room to say, "Hey, I'm about to titrate a Cardizem drip," why aren't ALL of you following me?

If the nurses were told you'll be doing ADLs for the patient today, and I've told you that your assigned patient needs turned q 2, why am I having to remind you? Why isn't your ONE patient washed up by 1000?

Why, when listening in on report, are you chattering to your classmate? Just because it isn't your assigned patient doesn't mean you can't learn something through the off-going reporting to me, or my questions to her.

There are very few students I've been impressed with lately. Today, two of my patients had students. ADLs only, no med pass. One student was velcroed to my side. She removed a Foley, dressed a sacral wound, hung an IVF bag, and did a SQ heparin all with my supervision. The other did nothing with me, and I had to go to the conference room to remind him on turns and a bath for his patient.

With no humility whatsoever, I can say that you, as a student, WANT me to be your nurse on clinical days. If you've shown me that you want to do stuff, I will give you the opportunity to do stuff. If my first impression of you is that you don't have the initiative to take advantage of what I have to offer you, I won't waste my time on the next clinical day.

I've been where you are. I know that not every nurse wants to teach students. But when I found one, I became her shadow, and I learned a lot.

[smf0903]

Wow, where is the instructor? Why are you having to go prompt students?? If any instructor I've ever had saw us hanging out in the conference room it would have been on like Donkey Kong!! There is never nothing to do.

Our facility always tried to do assignments in chunks (one RN has rooms 1A-8B, next has 9A-14B, etc) and so I always find it beneficial to listen to report on pts other than my assigned ones because I can get a quick overview of info in case I get called into that room. I just jot down things like assist info, if they're NPO, (everyone is I/O so that's just a given LOL), etc. That way I have that pertinent info if I answer a call light or what-have-you.

I do have to say though that we would be eyeball deep in you-know-what if we had given a med under RN supervision if it wasn't our day to pass meds. Our instructor always has to approve our med passes. I had an RN last semester who insisted she could do med passes with me without our instructor. She got very angry with me after I thanked her but declined, citing the potential for dismissal from the program for not following med pass protocol. No thanks, I worked too hard to get where I'm at to be given the heave-ho for passing a couple of pills!! Just something that popped out to me in your post (and the school/facility may be different there as well as far as protocol!! :) )

You do sound like a great RN to be with! There were a couple of nurses on our floor last semester that were my "go to" nurses. They were ALWAYS willing to answer a question if I couldn't figure it out/find the answer, very helpful, etc. However, I do have to say I have seen people get their undies in a bunch because an RN snapped at them for asking a question. Nine times out of ten it's because of two things: either A, they asked something that could have easily been looked up or B, they asked the question when the RN was up to his/her ears in something. Use some common sense

One last thing, as a student one thing I have learned is that the RNs are not your single source of info on the floor. I have learned tons from aides, LPNs, housekeeping, transport, you name it. Spread the love, you'll learn a LOT!

[mmc51264, BSN, MSN, RN]

Amen to that! I was the opposite-I kept getting told to give others a turn. I would volunteer to do anything and everything. Even now as a nurse, I will step up and try things that are new. naso-pharyngeal swab, I'm there, penile swab, same, NG tube? Ant procedure that I can practice I will do.

[dudette10, MSN, RN]

The instructor was in the conference room with the students. When I opened the door, everyone had their heads in care plans...it didn't look like any type of de-brief or review was going on. I don't know what she was doing!

Other instructors are very good. One I absolutely love, and SHE taught me a new technique on a procedure. She's in rooms with her students, she stands in the hallway and directs wayward students to do things. Having her groups are an absolute pleasure.

[dudette10, MSN, RN]

Based on my last post, I realized that my acrimony may be a bit misplaced. Instructors set the tone for their clinical groups, and they need to be aware that they have to model the kind of behavior of their students. Nurses and nursing assistants form impressions of the students based on how the clinical groups behave and interact. To avoid leaving a bad impression, instructors must get out of the conference room themselves.

If any of you students have an instructor like the one my students had yesterday, don't treat it like an "easy" clinical. You must make the most of a lackluster clinical instructor/group, and take initiative.

[la_chica_suerte85, BSN, RN]

It's frustrating that there's such a seeming rarity of good nurses who want to teach and then a plethora of students who would rather not do what they're supposed to be doing when they're there. I've only had one nurse who actually wanted me there and gave me rationale for everything we were doing. The rest are kind of like, "Well, if you want to help but I'm not really doing anything today." and I'm left to go beg off other students who have things to do with nurses who are enthusiastic to teach. Eh, maybe next qtr will be good. Maybe next qtr I'll be matched with someone like you. I'll keep holding out hope. But, it just seems like this division between RNs and students is growing with more RNs being jaded by slacker students (not that anyone could blame them).

[mmc51264, BSN, MSN, RN]

I am looking into becoming a clinical instructor. I was a teacher before I was a nurse and I love the clinical portion of nursing. I would like to motivate students to be like I was as a student.

[NuGuyNurse2b]

Our conference room was the size of a broom closet - how they managed to fit a refrigerator in there is beyond me. So needless to say, there was no huddling in said conference room for all 10 of us. But even then, we get shoo'd away from the nursing station by our instructor. We were only allowed to go there to retrieve the charts to get the overview of the client on pre-clinical day. I'm not sure what this clinical instructor was doing.

[lub dub]

If any of you students have an instructor like the one my students had yesterday, don't treat it like an "easy" clinical. You must make the most of a lackluster clinical instructor/group, and take initiative.

I was a clinical instructor for eight years. None of my students hid in the conference room, believe me. There were students, however, who did have instructors who allowed them to hide. And these students liked it! Too many students want "easy" instructors, who don't ask much of their students. It is only after graduation that they realize how much learning they missed out on during their "easy" clinical rotations.

[beckyboo1, BSN, RN]

As much as I agree that students should be out on the floor (and in my years as an LPN have complained plenty about those who sit in the break room/conference room all day), I was shocked in my RN program that we are expected to do a LOT of paperwork (involved med sheets, bare bones of care plans, plus more paperwork to be added this coming semester) but not after clinical..DURING clinical. While I appreciate having it done at the end of the day instead of working on it that night, I would much rather be out with my patient or helping nurses do things. I know it makes a lot of nurses, and techs too, think we don't have the initiative to get out and do something with our patients. But dudette10 I absolutely understand where you're coming from with many students!

[LadyFree28, BSN, LPN, RN]

I am looking into becoming a clinical instructor. I was a teacher before I was a nurse and I love the clinical portion of nursing. I would like to motivate students to be like I was as a student.

I'm looking to be an educator in the future as well; I want tongue back as enthusiastically as the nursing instructors that I had in my educational travels.

[cd365c]

Last spring semester, I was the scared nursing student in the nursing home. I tried to help out, but I was too scared to do much.

Then I worked at the hospital this summer, and I am a proud, confident worker. The circumstances shifted, and I hope that I will be the student who is taking full advantage of clinicals next spring.