Failed for Clinical-but no proof

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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?

The only advice that I could offer to move forward would be -- try to learn from this experience and then put it behind you.. Try to find another program that will accept you at this point... Be aware that may be a challenge as many programs do have policies to not accept students that have already failed one nursing program. This means that you need to cast your net far and wide and include all colleges and community colleges that you could realistically attend.. Even if it means trying for either a for-profit college that takes just about anyone with a bank account..

Also, you could consider attempting an LPN program and then bridging to the RN role.... I have known several nurses that have done this due to failing their first attempt at a RN program and did in fact continue on to achieve their goal of becoming a RN.

Best of luck.

Specializes in Mental Health.

At the end of the day, you need to take responsibility for your actions. Nursing school is full of people who have had setbacks, pushed through, and succeeded. I've also seen plenty of students who write 10 paragraphs about why it isn't their fault and how their instructors are out to get them, and fail again or just quit outright. You can choose to be either of these people, but being the second type isn't going to make you an RN.

I think that your concentration and energy should be on finding a new program, if indeed, you have processed what has happened and are ready to show a change in yourself. But even in just skimming your post, it seems that you still are looking to point responsibility away from yourself. As long as you don't take responsibility for your part in this, you will never be successful in this endeavor.

BTW, should you decide to go the LPN route, pages long books of excuses don't cut it there either. There really is no pleasant way to get this fact across to you.

Nursing is a tough profession, and you need to have tough skin. If your instructor truly was giving you a hard time and singled you out, then that is simply not okay. However, it has happened, and now it is up to you to decide how you respond. You have gotten some good advice. If you are positive you want to continue with nursing, apply to every nursing school that you can reasonably drive to and attend. What do you have to lose? If you get an interview or they ask about you failing out, be honest- but don't blame the school and your instructors. If you make a bunch of excuses, that will not go over well with the new school. Explain to them that your first semester was challenging and it obviously didn't go the way you had hoped, but you have learned from all of this and are ready to try again and have a plan for success. But at some point you need to take some ownership. Just because the advice is not what you wanted to hear, doesn't mean it isn't good advice.

Specializes in Med/Surg.
11 hours ago, Rionoir said:

At the end of the day, you need to take responsibility for your actions.

It basically comes down to this. Remember, when you point a finger at someone else, three of your fingers are pointing back to yourself.

Specializes in Dialysis.

I read the whole post, but come back to the beginning. You say that you have an illness that makes you tired and sleepy/oversleep? You may not physically be able to do nursing. Not everyone can be a nurse just because they want to. I'd ask the MD managing my illness if it is a realistic plan. Good luck, but you need to work on you to move forward...

Specializes in Education, FP, LNC, Forensics, ED, OB.

Duplicate topics merged for continuity.

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