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
Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
Oh dear me, don't get me started on the dreaded "Magnet Status" thing...... and those being the "better hospitals".......eeehhhhh No, no, SBE (me), don't do it.....
Unfortunately I simply replied to a couple of posts from many days ago without reading the updated comments. Although I definetely shouldn't have.
I just thank God I work at a teaching hospital where nurses take pride in not only educating the patient, but also the many students and volunteers who come to the floor as well. Guess its extra steps like that which have afforded us Magnet Status.
This back and forth bickering really has no end and is pointless, so I will end it here. At the end of the day, nurses who 'hate' teaching will still be placed with a student, and students in nursing programs will still be placed with a nurse... so I guess nothing changes in the end.
Good day to all of you =)
What....?
"This back and forth bickering" was all you.
I am so confused as to why you went ballistic for no reason and rehashed the same stuff that a dozen other people have said.
I have never been paid extra to teach students or orient a new employee. We find this out when we arrive on the floor to work. I actually enjoy teaching....if that was my only responsibility. Believe me, you will not understand until your actually a nurse. I worked as a tech for 7 years prior to being a nurse and never fully understood until I was the nurse.
-Reduced CI:student ratio. When you have 1 CI to 10 students, and the CI must be there for nursing tasks (med passes, Foleys, etc.), you're obviously not going to get an adequate amount of time to do all of those things.
Probably the most relevant nursing experience you have had is right there. Unrealistic ratios and not enough time to do those things.
Specializes in Med/Surg, OR, Peds, Patient Education.
Probably the most relevant nursing experience you have had is right there. Unrealistic ratios and not enough time to do those things.
Welcome to nursing.
There are several issue that I observed over and over on the, way too many posts.
Anger and frustration on the part of students because they are not gaining the clinical skills that will be needed upon passing their boards, and being hired as functional BSNs.
Anger and frustration on the part of experienced RNs. They are working in units that are staffed at dangerously, inadequate levels. They, quite frankly, barely have time to competently, compassionately care for high number the acutely ill patients assigned to them.
To whom should all this frustration be addressed? It is not either the fault of the students nor is it the fault of the over worked, RNs, who despite conditions at most hospitals, return each day to face the same problems. Too many patients for whom to care, and too few competent coworkers.
Prior to my retirement, ten years ago, I noted that most new graduates from BSN programs lacked the clinical skills necessary to work independently, if they had not previously worked as an ADN, Diploma RN, or LPN, prior to entering the BSN program, as now required by many hospitals.
I see that the issue lies at the feet of the college/university. It is either the number of the CIs, which seems to be inadequate, from many of the posts that I have read. Yes, "welcome to nursing," but that does not solve the issue of the inadequate clinical preparations of the students. Another question arises, are the CIs keeping up with the many changes in the clinical setting, or have they been CIs with little or no clinical expertise?
What clinical skills are colleges and universities teaching? Should a year of internship, be required, with an adequate number of competent CIs as instructors teaching the needed clinical skills. This should not be the job of the beleaguered RNs on the unit. As the situation is now, the newly hired BSN are expected to be able to work independently, and from what I saw ten years ago, and from what I hear from my former coworkers, this is not the case.
There are several issue that I observed over and over on the, way too many posts.
Anger and frustration on the part of students because they are not gaining the clinical skills that will be needed upon passing their boards, and being hired as functional BSNs.
Anger and frustration on the part of experienced RNs. They are working in units that are staffed at dangerously, inadequate levels. They, quite frankly, barely have time to competently, compassionately care for high number the acutely ill patients assigned to them.
To whom should all this frustration be addressed? It is not either the fault of the students nor is it the fault of the over worked, RNs, who despite conditions at most hospitals, return each day to face the same problems. Too many patients for whom to care, and too few competent coworkers.
Prior to my retirement, ten years ago, I noted that most new graduates from BSN programs lacked the clinical skills necessary to work independently, if they had not previously worked as an ADN, Diploma RN, or LPN, prior to entering the BSN program, as now required by many hospitals.
I see that the issue lies at the feet of the college/university. It is either the number of the CIs, which seems to be inadequate, from many of the posts that I have read. Yes, "welcome to nursing," but that does not solve the issue of the inadequate clinical preparations of the students. Another question arises, are the CIs keeping up with the many changes in the clinical setting, or have they been CIs with little or no clinical expertise?
What clinical skills are colleges and universities teaching? Should a year of internship, be required, with an adequate number of competent CIs as instructors teaching the needed clinical skills. This should not be the job of the beleaguered RNs on the unit. As the situation is now, the newly hired BSN are expected to be able to work independently, and from what I saw ten years ago, and from what I hear from my former coworkers, this is not the case.
Well said! Currently, we have one CI with students on our unit who is also a working nurse on our unit. Now she is always with the students, seeks out opportunities for them and stays with them while they "practice" their skills. If only we could clone her !
Specializes in Med-Surg; Infectious Diseases; Research.
Several nursing organizations and boards of nursing discourage compensation for preceptors. While the preceptor may not be paid directly for time spent with the student, functioning in the role of a preceptor is above and beyond standard performance expectations. So the preceptor could discuss the number of student he/she precepts during his/her annual evaluation with the nurse manager. Precepting a nursing student plus other performance indicators (attendance, relationship with co-workers, taking advantage of leadership opportunities on the unit, etc) could result in a raise in salary and/or performance bonus and/or promotion. So no, you cannot be compensated directly but it would not hurt to mention precepting during your annual evaluation.
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
I can understand your thinking you had some "lousy" nurses as I was a nursing student just 3 years ago, and I remember how it felt. So eager to learn, not understanding why some nurses seemed so grumpy.
But, while I'm still relatively new, I'm experienced enough to totally "get it" now. While I feel pretty competent in my role, I'm nowhere near being able to not only care for all my patients, but teach as well. And I actually LOVE teaching. LOVE it. But if I were assigned a student at work, I would politely turn them away. For me, it has nothing to do with not wanting to teach. (Which is your clinical instructor's job, by the way. Literally.)
I simply can't do both.
It's a, "It's not you. It's me," thing.
Now, IF a nurse has a choice I don't understand why nurses are actually downright grumpy. If you as a nurse think you may be grumpy, don't take it out on the student. If you feel yourself getting behind or irritated, talk to the instructor and tell them you can't handle a student right now. Don't take it out on the student.
But if I were forced to have a student, be prepared for me to be too busy for chit chat and questions that you as a student can easily look up or discuss with your instructor. That does not make me "lousy." That makes me an employee doing her job. Your clinical instructor should be doing his/hers.
Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
I am not a STUDENT so please quit with the assumptions. I am on the other side of the stick and I am a registered nurse, who is working at a teaching hospital. I however remember quite well how it felt to be a student. Well, that's my two cents.
It almost baffles me how some of you nurses now try to blame my behavior on why a nurse couldn't teach me, when you guys are CLEARLY saying teaching is not a priority for you, admitting that you could care less to teach. Let's relax here. I still passed my classes and work at a very prestegious hospital. I feel for the students is all.
We COULD care less about teaching. Most of us would love to teach -- if we had the time. I don't think anyone said they COULD NOT care less about teaching. The thing is, our job is to take care of the patients. That comes first. Then their families, ancillary services, the medical team, etc. Teaching students is the lowest priority in our job descriptions. So although we would like to teach, there just isn't enough time for it. Usually.
I'm sure you're a wonderful nurse at a very prestigious teaching hospital. But your communication skills lack a bit of something.
Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
I WAS a student and was forced to follow a nurse. A nurse who chooses to avoid me for concern of their own patients I suppose is in no way my fault, nor will I feel guilty as such. However, I understand where some nurses come from in terms of being very busy, but there is still a way to convey that to a student without being harsh and rash.
Now, since you want to make assumptions, I am a Registered Nurse and I do work at a great hospital. I'm not saying it is easy, all I am saying is you guys seem to be taking your anger out on the wrong people [students] instead of perhaps the school, supervisor, etc. Students are just there to learn and complete their classes.
I also worry for the future of nursing if students are so hard to teach [since most nurses like you guys clearly want no hand at teaching them]. Again, I UNDERSTAND it is not your responsibility to teach them, but the students are expected to learn from nurses, even if it just means shadowing them for the day. I get your frustration, but I also get that a student has no say so in it either. So it just seems this whole venting of frustration to a student who asked just a simple question is pointless.
I think the thread was started by a student taking out her anger on the wrong person (the school, or the clinical instructor would be appropriate; not the staff nurse.) Students are there to learn -- from their clinical instructor. If you've read all 292 posts before yours, you'd understand that we've tried to explain it to the students -- who don't get it. But I shouldn't be surprised at that because you don't seem to get it either, for all that you're a registered nurse at a prestigious teaching hospital.
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SmilingBluEyes
20,964 Posts
Oh dear me, don't get me started on the dreaded "Magnet Status" thing...... and those being the "better hospitals".......eeehhhhh No, no, SBE (me), don't do it.....
noooo noooo. Must. resist.
Say goodnight, Gracie. It's gettin' late.