I am not sure if it is true or not, but I heard that RNs get a little extra pay when they work on a day where nursing students are present. If the charge RN assigned a student to an RN, then they get the extra pay.
I am talking about college nursing students not training a new employee.
It just came on top of my head because I have been assigned to lousy RNs during my clinical rotations and it feels like they should be more engaged with students
And a deserved ouch at that. Not from your posts, but from realizing my own hypocrisy... of sorts. I went back and looked at the post where I was talking about the mom who refused students... then I went and looked at post #160, also mine.
I gave the advice to those coming through after me to forget getting checked off and instead focus on the pt: That's who we're there for, not ourselves. Pardon me while I wipe the egg off my face that I just put there.
Admittedly, the OB/Peds experience I had helped shape part of that advice, but this line of posts shows me I still have to chew on this one for a bit before I get sick of it, spit it out and leave it behind me.
A good "sounding board" is good not because it echoes what you do, but because it lets you hear what something really sounds like. Thank you for being a good (and reasonably gentle) sounding board for me, both of you. Likes are inbound.
Specializes in Oncology; medical specialty website.
In my experience as a RN, I've observed that when patients deny permission for nursing students to be involved in their care, it's less about their gender and more about their perception that the student doesn't have the required competence level. That's probably why we just didn't have many students in our ICUs. Patients and their families weren't shy about asking about the experience level of the nurses either. As critical as many of these patients are, families don't want someone they view as lacking in skill or experience taking care of the patient. I think all of the technology present contributes to that, even though the RNs would of course not send a student in to do something tricky without being present. I could see the same thing happening in a pedi unit or L & D, where the stakes are so high and the families are vigilant about advocating for the patient.
I've started denying students because I have so many doctors' appointments that it just gets tiresome to go through my entire medical history with a new PA student every time I go to my family doctor, then whatever students I have at the various specialists I see. Enough is enough.
Yes, I was a student once, and yes, I had patients refuse to have me care for them. Fine, because it wasn't about me, and I certainly got enough patient care hours to satisfy the BON.
Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
I've started denying students because I have so many doctors' appointments that it just gets tiresome to go through my entire medical history with a new PA student every time I go to my family doctor, then whatever students I have at the various specialists I see. Enough is enough.
Yes, I was a student once, and yes, I had patients refuse to have me care for them. Fine, because it wasn't about me, and I certainly got enough patient care hours to satisfy the BON.
And I refuse interns and residents. It's difficult enough to get some of them to listen to you even if they haven't seen you naked! (And our insurance pretty much mandates that we get care where we work.)
And I refuse interns and residents. It's difficult enough to get some of them to listen to you even if they haven't seen you naked! (And our insurance pretty much mandates that we get care where we work.)
It boggles my mind that a CI would actually leave students alone on the floor. In my state, students are working under the CI's license, not the RN. No way on heck I'd leave them unsupervised if it were me!
Way back (ok, 2 years ago), my CIs were ever present on the same floor, could be contacted by phone if we couldn't locate them in another patient room, answered and asked questions, and would seek out procedures and gather us for them. They were also there for every med pass, procedure, etc. We were absolutely not allowed to do it without them. In addition, they stressed we were guests in the facility and we acted as such. Our school had a good reputation for being well behaved, unlike a certain 4 year program which often had students who did not like to do "CNA work". I had RNs who liked to teach and others whom I barely saw. That was OK - I had my CI to teach me.
Another clinical group in my cohort had a disappearing CI. She would stay in the room they used for conference and didn't circulate to let students do meds or procedures. The group complained and she was sacked immediately. We were all shocked that she had done this, and that group felt rightly cheated out of their experience.
The only time we were assigned directly to an RN was ED, OR/PACU rotations, and our preceptorship and those RN volunteered to suffer through teaching us My ED RN spent the whole time trying to talk me out of nursing, but my ICU preceptor was fantastic. In any case, I didn't begrudge my ED RN, he was pretty entertaining!
I have 11 weeks left of being a formal student. (I stress the word "formal")
After that, I have these visions of me sitting in the corner, sucking my thumb and crying because BSN looms large and I am but small and burned out over the whole "going to class" thing.
(Hey, I didn't say they were realistic visions, I just said I had them!)
As for where I will go for those... As soon as I can use the PM system on here, I'd be interested to know where you are in the world. Who knows? Stranger things have happened.
I am now jazzed, BTW, so again, thank you for the votes of confidence. :)
Bill, thank you for your humble and teachable attitude! I admit my earlier response was colored by previous conversations on AN (one of which devolved into getting sent a PM calling me an intelligence-insulting name. Mature, I know. )
I also happen to be one of those modest types who would be fine with a male student in almost any situation...but not when I'm so completely exposed as during delivery. So when I see comments expressing displeasure at patients in those situations, I take it somewhat personally.
For most of my deliveries I did choose CNM groups so that I'd be guaranteed a female provider (no male CNMs in my whole metro area, at least not as of my last pregnancy). For one I did choose an OB-GYN group which was about 50-50, and the last couple of weeks I literally prayed that a woman would be on call.
On that note, the male MD might not have been a sign of a double standard. In a group practice, the providers rotate between clinic and hospital, and have on-call schedules after hours. Your pt may not have had a choice in that matter.
Personally if I'd had a male RN I probably would have dealt, because I know how staffing goes. However students are not essential personnel.
And yes, I know male students, RNs, providers are professional. I know it's nothing pervy--any more than it is for me to place a catheter or give a bed bath to a male pt. (Not that intra-partum lady partss are attractive anyway!) And no, I would have zero issues with a gay female RN/student (I say that because the question has been asked as a challenge in these conversations.) It has absolutely nothing to do with the professional in question, and everything to do with my comfort level.
My issues aside, as another poster said some women want the bare minimal amount of people in the room. I don't have stats on this, but I've noticed in life and on Mommy internet forums that women who want unmedicated births will request this to keep the room as quiet and distraction-free as possible.
So for what all that is worth, there's some perspective on the delivery room issue.
And add me to the you-can-come-work-with-me-any-time list! :) I really do like your willingness to consider other perspectives and provide pt-focused care. :)
I could be mistaken, and I'm sure I'll be corrected (which I welcome) if I am,but I think this is a government pay tier... government employee, tier 5.
(Actually, on looking, that's GS-5, but I'll leave this in case that was a typo.)
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My ED RN spent the whole time trying to talk me out of nursing, but my ICU preceptor was fantastic. In any case, I didn't begrudge my ED RN, he was pretty entertaining!
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chabi766
3 Posts
We make 2.50 more an hour when we have a student or staff member orient with us