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Discussion

Bad nursing instructor

Ok a quick rant....

I'm in med surg 1. I have a B average and in nursing school I'm very happy about that. However one teacher is constantly putting us down treating us and talking to us like we are stupid. She is always saying new nurses are so dumb and that she's always having to fix their mistakes. When anyone goes to her for help she tells them maybe they shouldn't be a nurse. All of that is terrible but I can handle it. I have tough skin and I beverage to be a nurse you need tough skin. What I can't handle is that she will teach us something, it would be clarified in the book and on our powerpoints given to us by the program( word for word instructions on nursing care drugs etc). But then on the exams she will ask questions and give the right answer but mark us wrong. And then won't give a rationale for why it was a different answer then the k e she taught us. For example...

A patien admitted to the ER comes in presenting left sided heart failure and 2+ pitting edema. As the nurse what should you do FIRST.

a. Assesment respiratory status

B. Take temperature

C. Take weight

D. Call the physician

Ok so left sided heart failure can lead to pulmonary edema...so does acute decompensator heart failure..actually ADHF primarily presents as pulmonary edema. So that means a lot of trouble breathing. That is what we were taught and .ales the most sense. We all put A. Assess respiratory status. That is priority. She said it would be take there weight. I said why. She said bc you just assume they are breathing. She said if they are breathing they are fine otherwise they are dead. WHAT. No i assess respiratory bc of the pulmonary edema. And yes weight is important because if they gain X amount in a certain amount of time. But seriously? As a nurse I will never ever ever just assume bc they rnt dead yet that they are breathing fine.

That is just one examplr. There are ALOT of questions like that. I need advice bc she won't listen to our rationales. She says that's the answer bc it just is. I went to the director who told me to r all to her again but that is pointless. The teacher is stubborn and obviously HATE new nurses and thinks we all are dumb and can't do anything. Where do I go from here? All the students have lost between 5-15% PER EXAM. This is a big deal when u can fail by .01% .

I always wonder if the nursing shortage isn't just about unmotivated students, lack of funding, or lack of teachers, but also about terrible teachers that can't put together valid exams that actually test our knowledge on a subject. End rant.

Featured Replies

First of all, "bc", "u" and "r" are not real words.

On a more serious note, if you don't get an adequate response, move up the chain of command.

  • Author

First of all this isn't an English class. It's an ONLINE forum. IT IS INFORMAL. AND if I choose to use bc, u, b4, or w/e else ina FORUM or TXT than that's MY CHOICE. So take your comments that R not r/t my issue somewere else. Now if u have something constructive to say about a real issue that is happening in my program please chime in. Otherwise go troll another forum. Your really not heloping anyone.

First of all this isn't an English class. It's an ONLINE forum. IT IS INFORMAL. AND if I choose to use bc, u, b4, or w/e else ina FORUM or TXT than that's MY CHOICE. So take your comments that R not r/t my issue somewere else. Now if u have something constructive to say about a real issue that is happening in my program please chime in. Otherwise go troll another forum. Your really not heloping anyone.

I would agree that the example question you posed was strange.

I do want to point out that when you signed up for All Nurses you agree to the Terms of Service that include not using textspeak.

First of all this isn't an English class. It's an ONLINE forum. IT IS INFORMAL. AND if I choose to use bc, u, b4, or w/e else ina FORUM or TXT than that's MY CHOICE. So take your comments that R not r/t my issue somewere else. Now if u have something constructive to say about a real issue that is happening in my program please chime in. Otherwise go troll another forum. Your really not heloping anyone.

Wow. I hope you don't talk to your instructor this way! And actually, when you signed up for this website, you agreed not to use text speak. So really, it's not your choice.

My goodness I was all ready to talk theory vs reality, rationalles, support for you until I read your response. Totally juvenille, disrespectful and just-- mean.

  • Author

Then let allnurses.Com correct me. This is suppose to be a place for nurses and nursing students to come for help, advice, and support. When I respond to others problems I do just that. Respond to their problems. I don't troll. It is not the other users jobs to go around correcting people. Let allnurses.Com take care of that. If they are so offended by how I txt then they can tell me and I'll stop bc I enjoy getting on this network and supporting each other. Its not my job to go around finding things to correct about others, i get to give my opinion on their issue. I dont troll forums looking for things to start arguments. That was not contructive critism, obviously i k ow how to spell because, you, and are. The point is...that's not the point. So again, if you don't have something productive to say about the issue then do not post on this forum.

Me too....I'm all about "heloping" people, Nanik. ;)

Then let allnurses.Com correct me. This is suppose to be a place for nurses and nursing students to come for help, advice, and support. When I respond to others problems I do just that. Respond to their problems. I don't troll. It is not the other users jobs to go around correcting people. Let allnurses.Com take care of that. If they are so offended by how I txt then they can tell me and I'll stop bc I enjoy getting on this network and supporting each other. Its not my job to go around finding things to correct about others, i get to give my opinion on their issue. I dont troll forums looking for things to start arguments. That was not contructive critism, obviously i k ow how to spell because, you, and are. The point is...that's not the point. So again, if you don't have something productive to say about the issue then do not post on this forum.

Actually, you should have already read the terms of service before posting, so they have corrected you. Coming in here disregarding the established rules is an easy way to have yourself disregarded entirely.

I do believe that I said something constructive in my post by saying that you should follow chain of command.

Also, if you want to be treated like a professional, then act like one. I was not trying to start an argument.

  • Admin

Stepping in for clarification TOS:

English Only:

While ALLNURSES.COM, INC hosts visitors from around the world, it is based in the United States and much of our membership is English speaking. Due to our inability to moderate threads in other languages, we ask that interactions be in English for the enjoyment of as many posters as possible.

Please do not type entirely in capitals as it is considered shouting on the Internet. Staff reserves the right to address any issues of length, paragraphing, font size, or any other characteristic that makes a post difficult to read.

Desiring to maintain professionalism, text speak (also known as chatspeak, txtspk, texting language or txt talk) is discouraged. Along with using proper English spelling and punctuation, this shows respect for the owner, other bulletin board members, guests, and makes it easier to read your message.

We do allow abbreviations that are utilized by Nurses and Nursing Students in the Medical Record.

Thank you.

  • Admin

Please stay on topic. Do not make this a personal back and forth.

Thank you.

Justine, yes, you always assess respiratory status in HF patients, especially when they are showing signs of fluid overload. Lung sounds can signal impending respiratory failure due to pulmonary edema.

We had a patient on my unit with significant pulmonary hypertension and when he went into fluid overload, he had flash pulmonary edema. His nurse's assessment earlier in the night had diminished lung sounds, but basically clear. Later in the night, he was gasping for breath. Nurse listened and heard basically junk everywhere. Called a code, got RT and MD in the room. RT just wrote it off as anxiety. Absolutely refused to agree there was an acute cardiopulmonary issue going on. Literally, they were arguing back and forth right there in the room. Finally one of the nurses grabbed the attention of the MD, who was just caught up in the drama of the nurses and RT wondering what in the world was happening. The nurse said, "this patient is being transferred to the unit."

That's when the ICU CN showed up, and started another argument about lack of staffing for another ICU patient. It was the worst display of professionalism I have ever witnessed. Sounds like your professor would have sided with RT. Honestly, I couldn't imagine sitting there and getting a weight on that guy.

Anyway, the next time I saw that patient, he was being bagged on a stretcher, getting on an elevator to be choppered out to someplace with the ability to do open cardiothoracic procedures. That was probably 30 minutes later.

So to your professor, I counter with this - no point in getting a weight on the patient if they're drowning and you didn't bother to assess their lungs. They'll be dead anyway. And nowhere in CAB or ABC is there, "weigh the patient". Daily weights are great to assess fluid volume changes. They're important in your dialysis patients for the same reason. So yes, weight relates to "C" for circulation, but it is not an acute intervention in the scenario you gave.

Now, all that aside, this is a professional message board where grammar and spelling do matter. As anonymous as this place is, I guarantee you have future instructors, coworkers and bosses here. If any of them do happen to realize your identity, the way you represent yourself publicly amongst other colleagues matters. You may not see that now, but when you have that nursing license in your hands, the license you spent years and thousands of dollars for, it would be a huge shame to have something like your command of the written word damage your credibility and ability to get hired and stay hired. I know you may think it's crazy now, but people do take it that seriously. Represent yourself well - better than textspeak and many misspelled words.

I do hope you take the exam questions that you disagree with above your professor's head, if you don't receive a good answer from her.

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