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Discussion

Clinicals and walking boot

I am in my last semester of nursing school and I am fairly certain I have a stress fracture in my ankle. I previously broke the same ankle two years ago and wore a walking boot at the time. The walking boot relieves my pain from the current injury but my school told me that I am not allowed to wear this at clinicals because (supposedly) the hospital won't let me. Is there any recourse I have to be allowed to wear the boot? I can suffer through without it but that's only worsening the condition, putting me in more pain (making me more of a liability) and prolonging the time it will take to heal.

Thanks

Featured Replies

It's a liability since you are already injured. Did you self treat or did you see a physician? Did the physician clear you to work without restriction while wearing a boot? If you s kg diagnosed that could be part of the issue. Most facilities won't permit employees nonetheless volunteer guests/clinical students to work with a boot, splint or other similar equipment unless it's workers comp related.

I honestly don't think there's anything you can do... The same happened at my school except for the person had to have a cast and it wasn't removable so they had to withdraw from clinical for the semester. If you can "fake it 'til you make it" I'd definitely recommend it since its your last semester. It's necessarily a school rule, most facilities will not allow that at the bedside, it's an infection control and patient safety issue. It definitely sucks though! Good luck!

  • Admin

Thread moved to Student forum.

I wore a walking boot for several weeks when I was a student as well as a CNA at a local children's hospital. No issues!

"supposedly" Are you implying the "school" is lying to you? That is a pretty serious charge.

They gave you the answer. Why are you on here? If you have evidence the "school" LIED to you then you need to go to the head of the department with the EVIDENCE that they lied to you. If you start accusing people of lying you better have your ducks in a row when you start laying claims. You start accusing people of lying with no evidence in the real world you will be fired. That is very very serious claim you are making.

If you have no evidence of this then you need to do what the school tells you to do. Or quit or fail. It is up to you.

Fairly certain you have a stress fracture? Did you self diagnose? Even if accommodations could be made they would not even consider someone who self diagnosed and self treats

My schools policy is no on this one too. Too much of a liability.

  • Author

The reason I say supposedly is because they say that the hospital won't allow it. But my thing is, is that what if I were injured while employed as a nurse? Can the hospital make me stop working? It just seems fishy to me that's all.

  • Author

But aren't I more of a liability while I'm in pain (not in the boot) then wearing the boot? That's what I don't understand. I fully intend to make it through but it's an increased liability to have me do that because I am more at risk of falling or further injuring myself without a boot that I am with it.

  • Author

No of course not. It just didn't show up on xray (which they sometimes don't) but that's what the Dr. thinks it is. And he recommended wearing the boot since that relieves the pain and pressure.

Apparently, whether or not you are able to attend clinical in the boot varies by program. As one PP explained, they were allowed to continue, whereas one of my peers in my program was not. It was not just a matter of removing the boot for clinicals... once she appeared in class with the boot and subsequently informed the school of her injury, they removed her from her clinical rotations and she was not allowed to return until medically cleared. Of course you would be more of a liability with an injury requiring a boot if you were to remove the boot for clinical - that's why any responsible program will remove you from a clinical rotation until your healthcare provider has deemed it safe for you to go bootless.

The reason I say supposedly is because they say that the hospital won't allow it. But my thing is, is that what if I were injured while employed as a nurse? Can the hospital make me stop working? It just seems fishy to me that's all.

Unless an on the job injury, yes the hospital would make the nurse stop working and send him/her home. You are a liability and at risk for further injury. The facility would have you use sick/disability or be unpaid until can function without a walking boot. Not fishy. It's reality. The only potential exception is an on the job injury covered by workers compensation and the nurse would be likely pulled from the floor for secretarial or chart audit duties perhaps outpatient follow up calls but not doing patient care on the floor with a walking boot. Risk management would never approve the facility accepting such a risky liability.

I had a friend with a non-work related fracture cleared for a walking boot, she was not permitted to return until fully healed/cleared by her physician and then occupational health that she could work 100% full duty and without a boot or splint. She collected temporary disability until fully cleared medically.

Again not fishy, it's reality of healthcare work environments

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