I am a second semester ADN nursing student and today I really feel like quitting. Last semester I had a really great clinical instructor that was very helpful and easy to communicate with however this semester our clincal groups changed and I was assigned to a new instructor. Last week, I received 3 unsatifactory's (one for forgetting my penlight in my purse, one for not telling the clinical instructor the five P's when I was assessing restraints and another because I was having a problem with the thermometer) on the first
clinical day. The patient that I had was extremely difficult to deal with. I had to check his pulse but he had tremors and I couldn't get the pulse right and when I went to check his blood pressure, the dial would get stuck in the middle of turning it and I would have to pull it harder and it would deflate too fast for me to read. When I said that I was having problems reading the pulse my instructor just told me to hold his hands down and when I said that the blood pressure cuff was getting stuck she just sort of shook her head like I was just making excuses. I decided to just chalk it up to having a bad day and decided that I would make today better (I even took my own blood pressure cuff).
Well, today almost the exact same thing happened. First off, at 6:45 am after hearing report my instructor tells me that she needs to talk to me and she asks me, "Where were you Wednesday? I was waiting at my office for you." I had no idea what she was talking about so she says that last Monday she told me to come to her office Wednesday so that she could give me my yellow Unsatisfactory papers. I don't recall her saying anything to me about meeting her at her office and I'm actually pretty sure that she didn't tell me to meet her in her office but we've been told not to disagree with our clinical instructors so I just said that I'd forgotten. So, she gives me last week's Unsatisfactory papers which was totally the wrong way to start off the clinical day.
I tried not to let it get to me and I went to go do my head to toe checkoff which did not go well at all. I greeted the patient but I didn't check her armband. I went through the entire head to toe assessment and then afterwards we went to the staff lounge. My clinical instructor asked me how I felt like I'd done and I thought that I had done better with the exception of the armband but she began ticking off all of these things that I did wrong. The patient had gotten an infection in her breast where she had a biopsy done and the instructor said that I should have asked her about when she'd gotten the biopsy done and the patient complained of pain in her upper left arm and although I looked at her arm, the instructor said that I should have assessed
the arm. She said that I didn't tell the patient what I was doing and although I verbally went through each step outloud but my instructor said that I didn't tell the patient I was doing a head to toe assessment. She said that I should have been asking the patient questions about her diagnosis, and N/V and intake. She said that the head to toe assessment wasn't just what was on the form and I should have talked to the patient so that I knew what was going on. Then she proceeded to tell me that I didn't know what I was doing and if I don't get a satisfactory check off on the head to toe in the lab, Wednesday, then I won't be allowed to go back to the hospital. I worked just as hard as anyone else to get to this point and I feel ridiculed. I feel like I'm stupid.
I was really upset although I tried not to let it show but that pretty much screwed up the rest of the day for me. I fumbled through my Accuchek and she shook her head at me and told me that I would be getting 3 more unsatisfactory's today.
The thing is that during my last semester, my clinical instructor laid out her expectations for us and we knew what we were expected to do. We asked questions about our patient's condition during our first look and when we did out head to toe assessment we just did that without asking too many questions. The new instructor that I have doesn't make her expectations known. I don't know how she want us to do our assessments or what questions she wants us to ask the patients. She just sits there, watching and when I ask a question, she says that I'm the nurse. I asked her about a med and she started asking me questions about it instead of just answering the question. I mean, if I knew I wouldn't have asked the question in the first place. At the end of the day she asked me what I 'd learned and I said that I didn't feel like I'd learned anything today because all I did was make mistakes. Then she says, well you learn from your mistakes. I mean, you give someone 3 unsatisfactory's, tell them that they don't know what they're doing and that you're going to give them 3 more unsatisfactory's and expect that person to have a great day.
This is only my second semester and I am still a first year student. I feel like everything I do is subpar. It's to the point where I am afraid of asking of question and I feel like I can't do anything right. I'm second guessing everything and I have zero confidence. Someone please give me some advice on how to deal with this because at this point I feel like I should just call it quits.
Jan 29, '07
What are the 5 Ps of restraint assessment?
Last edit by GardenDove on Jan 29, '07