Failed clinical because...

Nursing Students General Students

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My very good friend got pulled out of clinical yesterday and now has to wait a year to get back into the program (we're third year doing the BSN) because she tied a nephrostomy tube to the bed railing and when she put down the bedrailing, she forgot she tied it there in the first place; well it popped out of the patient. It was a big deal in our ward with everyone including patient care coordinator, family, rn, drs yelling at the instructor and student...It was a very ugly scene...

Do you guys agree with the fail she got? We are nursing students and we are there to learn are we not? I believe this is her first incident report.

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Specializes in Maternal - Child Health.

Why in the world would anyone tie a nephrostomy tube to a bedrail?

I certainly don't know all of the details of the situation, including her past record or the level of supervision she was receiving by her instructor or staff RN, but this just screams bad judgement.

The patient undoubtedly experienced significant pain, had to undergo re-placement of the tube at great time and expense and may be detained longer in the hospital because of it.

Yes, this certainly warrants significant review, and possibly failure of the course.

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Specializes in SICU.

She would have automatically failed from the program that I went to. She would not be allowed to return either for that lack of judgment. There is NO reason for tying a nephrostomy tube to a bedrail.

Your both third year students and should know better. In your OP you make it sound like you don't understand what the big deal is with what your friend did. So apart from the pain caused to the pt, the increased hospital stay it will also be a law suit. Your friend has no license to loose and probably should not get one, however, your clinical instructor has one which is now in jeopardy.

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wowwww thats crazy.......... i feel bad for her but that was a dumb move she could have injured the patient i know that was a accident i feel bad for her but she could have cause alot of complications

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Specializes in Tele, Renal, ICU, CIU, ER, Home Health..

WOW!!

I'm sorry your friend is having a hard time. Yes nursing school and clinical are learning experiences, but some things have to be common sense. If a student is lacking in at least common sense, they have to be failed for the safety of the patient, hospital, and nursing program. There are probably a million obvious things that should not be done that common sense would stop you from doing. Should this student continue because it was her first mistake or nobody told her not to do it? Sorry, I agree she should fail.

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what i'm wondering is why she tied the tube on the bedrailing in the first place? i totally agree with jolie, ukstudent and nservice... sorry.

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She would have automatically failed from the program that I went to. She would not be allowed to return either for that lack of judgment. There is NO reason for tying a nephrostomy tube to a bedrail.

Your both third year students and should know better. In your OP you make it sound like you don't understand what the big deal is with what your friend did. So apart from the pain caused to the pt, the increased hospital stay it will also be a law suit. Your friend has no license to loose and probably should not get one, however, your clinical instructor has one which is now in jeopardy.

I understand why it is a big deal but I think that as a student mistakes/accidents are to be expected and as one makes mistakes, one learns from it. I just think being automatically failed and having to wait a year to get back into the program is quite a harsh penalty. Anyway she tied a nephrostomy tube to a bedrail because apparently she saw the RN do the same thing.

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Specializes in Cardiac Care.

I am not at the clinical stage yet as I am still in the pre-nursing classes but worked I as a CNA for over 5 years and I can tell you that back in school they tell you NEVER tie any anything to the bedrail except perhaps the call light.

In light of that I can see a fail in clinical but that is a long time to have to wait.

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Specializes in ob/gyn med /surg.

she tied a nephrosotomy tube to a bed rail?? and it popped out of the patient? that must of hurt... ouch... why did she do that?? i'm sure they didn't teach her to do that in nursing school... she needed to be failed out of clinical... the infection that could cause the pain , the waste of the surgeons time putting it in the first time... big scary mistake... what did the RN say to her that she saw do it in the first place? i bet she denied it... i'm a RN and have never done that... hopefully she will move on from this and reapply to another program you live and learn..

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You never tie anything on a pt to any part of the bed that moves....common sense.:crying2:

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Wow. I guess those of us just starting this endeavor learned something important from your friend's mistake.

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In my program she would not even be allowed a second chance. I feel sorry for her, but it was very poor judgment.

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