Failed for Clinical-but no proof

Nursing Students General Students

Published

Hello,

i would like some opinions on my experience. I am filing a grievance with my school because I am being failed for clinical. This was my first semester of nursing for an associates degree. I passed all written test with a B and the final skills again however I was failed for clinical.

I had a feeling right from the beginning that my instructor did not like me for some reason. The way she talked to me. On our first day of clinical my instructor failed to explain certain rules such as where to use our phones if we receive an important call she said to take them “off the floor”. She said that what”happens in clinical stays in clinical “ whatever that means and sent an email to our group stating this. I was having an issue with doing an assignment and my instructor was not around the second week of my semester and I asked another instructor for help. The instructor told me that my instructor was not doing the assignment correctly and she asked to speak with the instructor when she came in. I am not sure if I got my instructor in trouble or not. That was not my intention. She later sent out an email that night stating that what happens in clinical stays in clinical . I felt like this might have started the getting off on the wrong foot type of thing. I was using my phone one day and my instructor told me that I was using it in the wrong area and was very upset with me. I apologized and told her I thought I was off the floor and I didn’t know where I should be using it. My instructor pulled me aside the next day and told me I was failing clinical. When I asked what for she told me that it was for using my phone in the wrong area , for being late once (I was), and also because I seemed “disinterested” . I thought that was a very subjective reason to fail me so I asked her is there anything I did wrong to make her feel that way. She told me she saw me sitting down in lab one day for a few minutes. I explained to her that I have a chronic illness and my legs hurt from time to time and we had been standing that day for five hours without a break. She said “ok well we all have our problems I just need to see more interest from you”. I felt we response was harsh and not very understanding and I just got a bad feeling and thought she was treating me this way in relation to the assignment I might have gotten her into trouble for so I asked to meet with the nursing director.

I met with the director and told her about what was going on . I told her I didn’t like the way my instructor spoke to me condescendingly and also how when I told her about my issue with my legs she didn’t respond very compassionately. The director told me to make sure I am on time in the future and to maybe explain in more detail to my instructor what is going on with my health and she would also talk to my instructor about her treatment towards me. I thought that it was none of my isntructors business about my health , I had already given her enough information and I did not want to make it seem like I was throwing a pity party. But I did get an accommodation from my school, even though we aren’t required to stand in lab, that said I would need frequent breaks for my legs. I never heard back from the director about her meeting with my instructor but I was told about two weeks later that I was getting a clinical warning. I showed up to the meeting and was given a warning for :

1) being late once

2) being on my phone in wrong area

3) sitting down in lab and it says I was on my phone (I don’t remember exactly what I was doing but I know I was taking a break) apparently we can’t have phones in lab I did not know this

4) a patient I had was found with “her pants around her ankles and I could not be found anywhere “

i said that I accepted the other three things but this was the first I was hearing about this patient. I asked if there was a call light left with the patient and if it was verified if the patient pulled her pants down herself. The director looked at my instructor and asked her this and my instructor shook her head no and threw her hands up like she didn’t know. I then said well why should I be given a warning for something not verified? The director then said that I need to still take responsibility for my patients even if I did not pull her pants down. I thought this was ridiculous. She also said perhaps I should tell someone where I’m going if im going to be away from the patient for a long time. I told her that I was never told this and patients are left alone for sometimes half an hour and I was gone 10-15 mins at most . Nothing was said and I was still given this warning.

I was given a second warning because a patient complained about me and a cna having an innapropriate conversation. The cna was talking to me about her boyfriend getting a vasectomy in front of a patient and I did not know what to do or say so I kept changing the subject. I did not report this because I did not want it to come back on to me from the cna and receive any kind of retaliation from the CNA. My instructor went to speak with the patient I believe and then notified the director of this. I explained that I was not told what I should do in this type of situation and it wasn’t until later in the semester that we were told to report these things to our instructor . I was told it was common sense to have reported this or told the cna she was behaving innapropriately. I disagreed.

Another patient complained that I “didn’t know what I was doing” and didn’t want me back. The previous day I had been caring for this patient heavily medicated on narcotics and she was in a very bad mood. She wanted me to leave her alone most of the time, would not let me assess her completely, kept asking for pain medication when it wasn’t due, and became upset when a bandage she had been getting from a cna was not given to her by me. I couldn’t give it to her because the bandage needed an order and the cna was giving it without one. I spoke to the nurse on duty and she said the bandage was innapropriate for her foot which just had dry skin on it. I told her this and she became upset. I told my instructor how can a patient claim to know that I don’t know what I’m doing if their not a doctor or nurse? I told her her complaint was vague and that she just wanted something I couldn’t give her. My instructor said well I will get more information. She came back and told me well the patient said that you didn’t assess her fully and really if your patient was in a bad mood like you said you should have came to me. I said “well you never told me to report on a patients mood this is the first I’m hearing of this so why should I be written up for this?” And she told me she had to report it anyways. It was true that the patient would only let me listen to her lungs to a certain extent because she was in a bad mood . I documented this on my clinical sheet but I did not report it to my instructor.

I met with the director again and told her that I was having issues communicating with my instructor still. I told her that she had become so rude that I didn’t feel comfortable speaking to her at all Especially when she was rude in front of my peers to me. I told her that I am being failed for things that were not communicated to me. She said well you are being given another clinical warning but you still have a week left of class and if you meet the objectives you may still pass. She didn’t say anything about how my instructor was acting and said she had a meeting to go to. I was given another warning. This time I brought a support person who was there for support but also really to be a witness to this all. He was from the school in a different department. He told me it seemed like they were failing me for petty reasons and for things that were not communicated to me.

I was walking in school one day and someone told me that I was not supposed to have mace on my key ring. A security guard came and took it away. I apologized and said I didn’t know because it was legal everywhere else. This week was the last week of clinical and my instructor said I did very well and met all the objectives. She told me I would pass clinical. I went for my clinical evelauation however and the director told me I failed! She said she had given it thought and decided that overall looking at the semester as a whole I had not met the objectives. They also brought up the mace. I said well I did not bring it to clinical and it was an honest mistake and I was also told that if I met these objectives by a certain date I would pass! I was told sorry but the decision has been made.

I filed a grievance with the school and I also went to my clinical location. I asked to see the complaints against me. I was told by the director there that she only deals with the school because of HIPA and also that the complaints are verbal and that nothing was written down. I think that I shouldn’t be failed based on basically hearsay then if that’s the truth! My aunt who is a nurse said that the director there could have been telling me the truth because incident reports are only written over serious things but she also said maybe you should go back and have a witness to hear her say that they don’t write things down on patients complaints. I still have the other things against me which I don’t know if that’s enough to fail me over but am I right to think that they can’t fail me if these things weren’t written down? I know that the way it happened with the complaints is that a nurse passed a message on to staff for the following day about the complaint. The staff that day then told my instructor about it . Then I believe my instructor spoke to the patient . Then my instructor called the director or texted her about it. There could possibly be a text about what my instructor heard from the patient that was sent to the director but that’s it! Unless this director of the clinical is lying to me and it is written down somewhere . What do you think?

Specializes in Med-Surg.
On 1/26/2019 at 11:35 PM, tonyl1234 said:

But like I said, the student does not work for the hospital. The student is not the person responsible for the patient's care. If they're on their phone, they're hurting themselves. They're going to fail, they're not going to become a nurse, problem solved. Plus, how do you know that they're not looking up details of a diagnosis that the patient has, or looking up something that they noticed? In some places, computers are very limited. That phone can be a great resource.

As for finding them, they shouldn't be constantly off the unit, but they also shouldn't be functioning as a full time aide either. Again, they're not there to work, they're there to learn. They should help, but it should also be expected that there's going to be a lot of time spent in researching, and studying... Because if they can't connect what they learn in the classroom to their patient, I wouldn't want them taking care of me.

Clinical is about learning to work as a nurse and function as part of a team. Part of that is letting your team know that you are off the floor or not available for patients. I understand what you are saying, yes the aide and nurse are still responsible for the patients, but if i do all the tasks and the aide does theirs how does the student learn? It can't be both ways either they need to at least let me know that they are off the floor or otherwise not available for the patients or I can't leave things for them to do and then they will learn nothing.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
9 hours ago, Misscruella said:

To cari1030, you instructor seems pretty understanding of your health issues. I as well didn’t want to look like I was asking for special treatment. I didn’t know what kind of program it was and I didn’t want to be targeted either. Unfortunately I became targeted for a different reason, because I complained about my instructor. I also didn’t want the possibility of someone saying to me “well how can you be a nurse if you need to sit down and take breaks?” Here’s what happened after it was brought to my instructors attention that I had a health issue: I was told that because I didn’t have an official accommodation allowing me to sit down and take breaks that they had to treat me as everyone else. Meaning I could not take breaks ! They basically made it difficult for me throughout the program. And to the other posters, damn right I’m going to report my clinical instructor if she is treating me differently and telling me I’m failing for a subjective reason such as “appearing disinterested”. Are you kidding? We were allowed to use phones and I had to take an emergency phone call about my dog who has health issues. I just took the phone call in the wrong area. It was a simple mistake. Anyone could have made it. It has no bearing on whether I would make a good nurse and I also shouldn’t be barred from attending another nursing school but my instructor is pretty much making that a reality for me because I am being failed for unsafe/unprofessional conduct and many schools will not let you in with this on your record.

Kbrn2002, I can see you commented on my thread without reading it all. A poster was saying that I should not be doing what a CNA does all day. I was explaining to that poster what our student nurses do in our first semester, I was not complaining. If you had read my thread you would see that I agree that someone should be notified when I am leaving a patient but this was not communicated to me. I should not be responsible for something if it is not communicated to me, I am not a mind reader. I brought up the fact about how other students were being treated because instructors are supposed to treat all students fairly and equally. If you had read the post I described that my instructor allowed other students to show up late and make mistakes but I received a clinical warning. That is not fair and shows bias.

Sadly, you still don't get it.

Your health issues are not an excuse unless either they are just happening (ie, you are bleeding profusely or have suffered a CVA while qualifying for CPR) or you have gone through the proper channels to request an accommodation and it has been granted. Numerous people have explained this to you.

You were late, you used your phone in the wrong area, and you are still making excuses about both of those things. It doesn't matter what other students did or didn't do. This is about you. You don't seem to understand that.

Your instructor is human; and as a human there will be people she likes and people she doesn't like. She doesn't like you. I get that that seems terribly unfair to you, but I am beginning to understand why that would be the case. (Hint, going above her head to complain about her might have something to do with it. That's going to make other instructors -- and maybe the director -- dislike you, too.)

You left the unit and your patient without notifying the nurse or the CNA caring for the patient. That is an unsafe practice. You do not seem to understand that that is the case or why it should be the case.

You are failing to take responsibility for your mistakes and are instead coming up with one excuse after another. A nurse or a nursing student who fails to take accountability for her errors is not just "unsafe" but is out and out dangerous. THAT is why you are being failed and a rip for unsafe practice attached to your record. Not because you made mistakes -- we all make mistakes. But because you refuse to take responsibility and you don't learn from your mistakes.

Let me restate this -- a nurse or a student or a PERSON who fails to take responsibility and refuses to learn from mistakes is dangerous. Not just unsafe. Dangerous.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
10 hours ago, Misscruella said:

Here’s what happened after it was brought to my instructors attention that I had a health issue: I was told that because I didn’t have an official accommodation allowing me to sit down and take breaks that they had to treat me as everyone else. Meaning I could not take breaks !

Wait, but in your initial post you wrote:

Quote

But I did get an accommodation from my school, even though we aren’t required to stand in lab, that said I would need frequent breaks for my legs

Did you get the accommodation after the incident, or before? Sorry, your timeline is a little confusing.

Specializes in Adult Primary Care.
8 hours ago, Ruby Vee said:

Sadly, you still don't get it.

Your health issues are not an excuse unless either they are just happening (ie, you are bleeding profusely or have suffered a CVA while qualifying for CPR) or you have gone through the proper channels to request an accommodation and it has been granted. Numerous people have explained this to you.

You were late, you used your phone in the wrong area, and you are still making excuses about both of those things. It doesn't matter what other students did or didn't do. This is about you. You don't seem to understand that.

Your instructor is human; and as a human there will be people she likes and people she doesn't like. She doesn't like you. I get that that seems terribly unfair to you, but I am beginning to understand why that would be the case. (Hint, going above her head to complain about her might have something to do with it. That's going to make other instructors -- and maybe the director -- dislike you, too.)

You left the unit and your patient without notifying the nurse or the CNA caring for the patient. That is an unsafe practice. You do not seem to understand that that is the case or why it should be the case.

You are failing to take responsibility for your mistakes and are instead coming up with one excuse after another. A nurse or a nursing student who fails to take accountability for her errors is not just "unsafe" but is out and out dangerous. THAT is why you are being failed and a rip for unsafe practice attached to your record. Not because you made mistakes -- we all make mistakes. But because you refuse to take responsibility and you don't learn from your mistakes.

Let me restate this -- a nurse or a student or a PERSON who fails to take responsibility and refuses to learn from mistakes is dangerous. Not just unsafe. Dangerous.

This!

Specializes in Mental Health.

I've had clinicals where you could fail just for bringing your phone onto the floor at all. Hospitals do not want nursing students to have their phones for patient privacy reasons and schools are very strict about it because they don't want to lose their ability to hold a clinical there. So even if your teacher doesn't tell you to leave your phone in the car - leave your damn phone in the car when you're a student.

Also, we have all seen students who think their clinical instructor is out to get them. I just had one in my last clinical. EVERY day on the way back to the parking structure we had to hear about how the instructor (the nicest instructor I've ever had btw) was out to get this girl. She wasn't, she just wasn't very good and she couldn't handle being criticized for her mistakes.

I had a clinical instructor ride me HARD one day and I was starting to get really upset. But instead of letting it get to me, I thought about what she was riding me about, made changes, and she never gave me a hard time about that again.

Nurses have some extremely serious responsibilities. If a nursing student can't handle simple rules like showing up on time and not talking on the phone during clinical... I mean... sorry but it's you not her. You aren't ready to be a nurse if you can't do those things, and yes, you will be weeded out if you can't handle basic responsibilities. As I said, the responsibilities a nurse has are far greater than those two things. I recommend figuring that out before you fail something else or worse yet fail out of the program.

13 hours ago, Rionoir said:

So even if your teacher doesn't tell you to leave your phone in the car - leave your damn phone in the car when you're a student.

Phones are way too expensive to do that. That can cause serious damage to your battery and other internal components of your phone, thanks to the sun turning your car into an oven when it's closer to the summer months. Leaving your phone in your car on a hot day can literally turn it into a paperweight. Just keep it out of sight.

I understand that you are not supposed to use your phone on the floor. I used it in the wrong area. It happened once. Other people in my group also made mistakes similar to my mistakes and passed. I took responsibility for my mistakes . Talking about how other people were treated differently , how I admit to my mistakes but I don’t think I should be failed for them, I don’t think that is making excuses. Other people made far worse mistakes and were passed because my instructor liked them. I didn’t really know how strenuous the nursing program was until I was doing it. I didn’t know if I needed an accommodation or not. I was told by the office for disabilities to see if I needed an accommodation before I asked for one because I might not need one. Rubyvee, you seem to think I should be having a life threatening emergency however before I can ask for an accommodation. I simply followed the directions given to me by the school. I tried to explain this to the faculty and instead of being decent human beings and allowing me to take breaks until I received an accommodation they told me they could not allow it until I got the accommodation which I eventually got. I don’t know how many times I have to say this, but I am not a mind reader and it needs to be communicated to me that I am expected to let a certain person know if I am away from my patient . A student should not be failed if something was not communicated, but this keeps being brought up.

Am I seriously being criticized for going to the director when my instructor told me I am being failed for appearing “disinterested”? I told multiple people about this and they all said they would have gone to the director at that point too because you can’t be failed for something that is subjective. You need to be failed for good reason, not your instructors opinion of whether she thinks you are interested or not. I made mistakes, I owned up to them and apologized and my instructor would not let them go. She singled me out and treated me differently than other students , allowing other people to show up late and not giving them warnings but I was given one. She knew all of the struggles I was dealing with too, my dog that was sick, the fact that I had gotten sick recently with Lyme disease and was awaiting the accommodation, and she didn’t show an ounce of understanding or compassion. However, on the first day of clinical she asked everyone to be understanding of her if she ever had issues with her memory or she is not feeling well that day because she had her thyroid removed and she also had a back injury. There were times where she needed to sit down and rest and could not help students with attending to patients. Yet when I sat down for five minutes because my legs were killing me, all of a sudden I must be disinterested and I’m questioned about my ability to be a nurse , and told I need to get an accommodation before I can do that (which i was told by the Disability office is not true at all, that if I needed to rest during a time where I was not required to be on my feet then I’m doing nothing wrong. I sat down during a time where people were just standing around listening to a teacher lecturing and waiting in line) . It is clear that I was given a hard time and targeted. An instructor like this should not be teaching, period.

30 minutes ago, Misscruella said:

I don’t know how many times I have to say this, but I am not a mind reader and it needs to be communicated to me that I am expected to let a certain person know if I am away from my patient . A student should not be failed if something was not communicated, but this keeps being brought up.

You don't need to be a mind reader...it is common sense to let someone know you will stepping off the floor or be away from your patient. Leaving without telling anyone is negligent. Period.

Also, RubyVee's point is likely that you continue to bring up the faults of others, but that is not the focus of your original post. The clinical instructor didn't like you...okay...so that was all the more reason you should have made sure your butt was covered and you were the best possible student you could be.

I wasn’t stepping off the floor. I was away from my patient for ten minutes and I knew that there were CNAs and the nurse coming to check on the patient periodically. How is it common sense that I am supposed to notify someone if I’m away for ten minutes? Maybe someone who is already a nurse and knows proper procedure and time frame of when you are supposed to notify someone when leaving a patient would consider this common sense but to other people it probably isn’t. I understand what I did wrong but ruby vee is failing to see how the instructor acted innapropriately as well is all that I am saying. I made mistakes that could fail me from the program and I understand that, but even after apologizing I am not allowed to repeat the program and it is unlikely that I can enter other programs. The fact that I owned up for my mistakes, yet the instructor was never disciplined for her treatment towards me and now I cannot enter another nursing program is what I am really upset about.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
1 hour ago, Misscruella said:

I wasn’t stepping off the floor. I was away from my patient for ten minutes and I knew that there were CNAs and the nurse coming to check on the patient periodically. How is it common sense that I am supposed to notify someone if I’m away for ten minutes? Maybe someone who is already a nurse and knows proper procedure and time frame of when you are supposed to notify someone when leaving a patient would consider this common sense but to other people it probably isn’t. I understand what I did wrong but ruby vee is failing to see how the instructor acted innapropriately as well is all that I am saying. I made mistakes that could fail me from the program and I understand that, but even after apologizing I am not allowed to repeat the program and it is unlikely that I can enter other programs. The fact that I owned up for my mistakes, yet the instructor was never disciplined for her treatment towards me and now I cannot enter another nursing program is what I am really upset about.

Ruby Vee doesn't believe you've owned up to your "mistakes" or taken accountability for them. It appears you're still making excuses. You still don't get it. I'm very sorry for you, but the failure seems appropriate, even given that the only side of the story I've heard is yours.

Ok well I obviously can’t get my instructor to come on here and comment on my thread. So I don’t know what to tell you about that. I don’t know what you think I have to gain to lie about this situation or mislead anyone. I don’t really care if you think I’ve owned up to my mistakes or not, but I can tell you that I did apologize to my instructor and the faculty and I have said that I apologized for using my phone in the wrong area and being late on this thread . However those were not the reasons I was failed. The main reasons were based on patient complaints which I explained earlier were not even documented. I also explained that my instructor wanted to fail me for “appearing disinterested”. These reasons and failing me to the point that I cannot continue with a nursing career in the future is a little harsh if you ask me, which is what I’m upset about. Thanks for your feedback on this post, but you keep commenting that I am making excuses or not owning up to my mistakes when I have in my previous posts.

13 hours ago, Misscruella said:

I wasn’t stepping off the floor. I was away from my patient for ten minutes and I knew that there were CNAs and the nurse coming to check on the patient periodically. How is it common sense that I am supposed to notify someone if I’m away for ten minutes?

I have never been a nurse. I thought it was common sense to notify both the CNA, nurse, and my clinical instructor if I was stepping away from the patient for ANY reason. If I was stepping into the bathroom, my patient's nurse and my instructor knew about it. If I was running back to the conference room to put Chapstick on, my instructor and the nurse knew. The CNAs and nurses view you as a student that is there to care for that patient for the day. You should not be relying on them to "check in" on a patient you are responsible for. If you leave your patient unattended (and as a nursing student, that becomes your patient for the time you're on site), then that is neglect and/or abandonment. It doesn't matter if it was 10 seconds or 10 minutes...it IS common sense to tell someone you will be away from your patient.

I don't think it's necessary for your clinical instructor or your program to outline every single solitary expectation...there are just certain behaviors that comprise being a professional in health care. Whether you have experience in patient care or not (which I did not up until my first clinical), if you're away from your patient, you let someone know.

+ Add a Comment