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Does anybody ever fail clinical because of time management? ethical question


Specializes in mental health. Has 3 years experience.

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Specializes in Long term care; med-surg; critical care. Has 9 years experience.

I certainly am sorry that you're feeling badly about your experience. I hope that you can find a positive in the attitude that your clinical instructor has taken. As she said- your safety isn't an issue, but speed apparently is. If you were a total mess, you wouldn't be passing no matter what, so you're good there, to an extent. However, if she said that you're not where a third semester student should be, there is a possibility that you will have to repeat the semester. I'm sure that would sound like an awful outcome at this point in your career, however, maybe another semester to gain more experience would be very helpful for increasing your speed and comfort. Otherwise, the suggestion to get some work as an aide or PCT would also probably get you some very good experience. You're obviously very conscientious about your patient care, and that's admirable. However, by the time students finish nursing school, they do need to be prepared to administer safe, competent care to four or more patients, and complete that care in the course of a shift. I hope that you find a good system, and you need to make sure that you're confident in your own abilities- then maybe some of the questions won't cause you a time issue. Best of luck.

I hear you OP. Some programs do not accomodate those of us who may need more clinical time to "get up to speed" than some others. And the reality is that many work places also expect newbies to "get up to speed" pretty darn quickly.

I don't believe that just because a student or nurse may take a bit longer to comfortably learn to speed up routine care that that means that they just don't have what it takes and should do something else.

But many programs and employers do not allow much time for a steep learning curve, so for the 'slower' student/nurse to succeed, they need to find ways to support their learning style - such as carefully choosing a nursing program and positions with strong clinical training and supervision (as opposed to programs and positions that more or less just give you the opportunity to sink or swim).

Getting a lot of related experience can also help this type of learner so that they aren't trying to master everything all at once. Experience as a nursing assistant can help nail down basic care. Experience as a unit clerk can help to learn common orders and improve interdisciplinary communication. Experience as a EMT may offer opportunities to hone assessment skills and reinforce how to handle emergent issue (which felt incredibly glossed over in my nursing program).

If you do end up needing to re-take this course, it could be a blessing if it allows you the opportunity to build your skills. Then the next time you go through clinicals, you'd be able to learn that much more because you'd have freed up a lot of your learning energies.