Lazy Student Nurse Preceptors!

Nurses General Nursing

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I am furious over my most recent clinical experience. I'm in my last semester of school and graduating in May. Our school waits until 4th semester to learn IV's. Well, the "goals" for this semester is to get as much IV experience, practice on all other procedures/shots, and shadow a real RN. Well, my first clinical night with a new preceptor was a disaster. I was assigned a travel/agency RN from NY. This was her 2nd night in a new hospital and a new state. She is given specific instructions to let me do all IV's, meds, procedures etc on this patient. She happily agrees, but doesnt listen. Next thing I know, she's hanging IV's, giving heparin shots, and changing tubing. All these things were supposed to be done by me and checked by her. When asked, she kept saying, "Oh, I'm sorry, I forgot". It was as if she resented me being there and just wanted to get the job done without taking time to teach me. Next thing I know, she is volunteering me to give this hemiparetic, 250+ comatose man a bed bath and mouth care. Not that I think this is not a nursing role by no means, however, this is not something I need to learn again. How is it she forgets to teach me IV's, but suddenly remembers I can do a bed bath? I was furious. I learned how to do bed bath's 1st semester and certainly did not need the practice now. So, I essentially spent the whole evening doing "tech" stuff and learned nothing about IVs or the nursing role. Again, I'm not saying bed bath and oral care are not important, however, I need to be practicing procedures and IVs not bed baths. So, I guess my point was why are some RN's so reluctant to teach students and others so great? I felt she was using me to do the jobs she didnt want to do. The other students were doing caths, NG's, etc and I got stuck with a bed bath and oral care. Just wanted to get some input from the veteran RN's out there.

Flo;I have read your impressions,now here is mine. I believe that Sunnygirl was referring directly to you and with good cause. You state you speak from a students persective. Please understand that all nursing student s do not share your infinate wisdom nor do they benifit from your obvious years of life experience.You state that you have focused on Mattsmom and her dislike/intolorance of new nurses?Well, Your posts also have a scent of theme. No one is out to get you,no one is being rude to you.Nursing school is a preview of real life. If you think that nurses who don't want to precept you are rude,wait until you run into an irritated Doc or a patient who dosnt want a "new" nurse. You havnt seen rude yet. These are all parts of nursing. Just get through school and quit taking yourself so seriously.Im speaking from THIS students perspective. Thank you.

Specializes in Surgical.

I think the underlying theme here is that nursing schools need some serious changes. I cant remember who mentioned it but I think that bachelor degree nurses should be allowed to teach. I have worked with wonderful nurses in the hospital who seem to be born to teach and I always thank them for their time and tell them they should teach and 9 times out of 10 they say I dont wanna go for my Master's or I am an ADN. In our school we have Masters level and a couple doctorate level nurses who dont know diddly about the real world of nursing because they have had their nose in the books so many years. Thank god we have clinical instructors who actually work in the real world...our instructor with a doctorate degree can't figure out an IV pump to save her life!

and btw...

"The views of some student nurses do not portray the beliefs of others....DONT speak on the behalf of student nurses":(

Specializes in NICU.

I'm perceiving more than one person engaging in playground antics.

Specializes in NICU.

And now my response to the topic.

I remember being in school and having the instructors tell you that you have to find your own learning experiences, be assertive, ask to do things, tell what you DO need experience with, etc etc. You end up in a bad place when your instructor wants you to get experience with X skill and the staff nurses only let you do Y. But yet your instructor wants assertiveness and pro-action. It gets hard when it's your instructor that ultimately gives you your grade. And I agree, the situation described by the original poster was definitely complicated by the preceptor being a traveller. Which students can't relate to.

WOOT!!!

Go Natalie!!!

That said, I agree. Don't speak for me. I am able to speak for myself....quite well I might add.

Kristy (aka brain surgeon nurse....as I am a non-smoker and obviously have gained brain cells back)

Gotta say from my heart the old diploma schools handled clinical experiences the best way...and we can thank the NLN and the ANA for sending them the way of the dinosaurs. We had a true teaching hospital mentality and the hospital was invested in our school. We don't see this very often anymore and it makes it hard on students and staff alike.

A student with a chip on her shoulder makes a new nurse with a chip on her shoulder. I predict a 'chippee' will not be well received and will need to learn a few hard life lessons before /if she learns. If this is an anti new nurse statement so be it. We float our own boats.

Some start out with the victim mentality early and blame others for every perceived slight. I am an outspoken Yankee and may rub ya'll wrong sometimes, but I'm glad 'most' of you know I am NOT against students or new nurses. I'm a tough old bird but with a soft heart. ;)

Yes, some nurses may be unhappy, (we're human) or just be having a bad day and are cranky. To let one person control your day is ridiculous. Most nurses are pretty darn nice folks or we wouldn't be in this line of work and I operate off this perspective. I do agency now and am not disappointed: I run into great folks everyday...in real life and on this BB. If we go out there looking for trouble we will likely find it quickly.

Flo you (and many other students and young new nurses) need to mature a little to understand how to deal with people. I walked into a new ICU the other night for orientation and immediately got an "Oh NO' from the staff. It didn't take me long to see why...they were swamped, a patient coding, another needing intubation, and they were short a nurse. Instead of getting a chip on my shoulder, I jumped in and HELPED them through it. I didn't take their comment personal cuz I knew it wasn't 'all about me'.

Flo my comments you perceive as 'anti student' are probably snippets from experiences I have had that you are taking too much to heart. But one needn't make insulting statements as you do. You seem to enjoy making ugly comments and stirring the shyt pot...so on with the ignore feature from now on. :)

As I look at the title of this thread we may have all been sucked into an argument intended to happen, sadly.

Originally posted by mattsmom81

As I look at the title of this thread we may have all been sucked into an argument intended to happen, sadly.

Oh my. I may get kicked outta here for calling B-I-N-G-O so many times!!!!

Heather

Originally posted by OBNURSEHEATHER

Oh my. I may get kicked outta here for calling B-I-N-G-O so many times!!!!

Heather

Yup you called it right...I'm a little slow on the uptake sometimes...LOL! :roll

Hey JF, I feel for you. But don't take it to heart. I have been a preceptor in the past, to nursing students and new grads and each time it is different.

I don't think it was fair for you to be paired with a Travel Nurse at all. Especially one that had only been on the unit 2 days. They are having a tough time too learning each hospitals individual protocols and routines. It was not fair for either one of you.

Sometimes you will just need to speak with your instructor to tell him/her that you are not getting your needs met. Another thing is to go to the charge nurse and ask which patients might be best for you to take. I used to work at a large teaching hospital and if we wanted practice doing blood draws we got to spend a day with phlebotomy. We did not have and IV team but got to spend a day or two in the GI lab doing prep on all the outpatients coming in for procedures. Lots and lots of IV's to be started there. A lot depends on the type of hopital you are in.

I think I only started 2 IV's before I graduated from nursing school and no blood draws. As a preceptor I would go over my orientees check off list and tell the other nurses that if they had a specific task that a new nurse needed to get checked off on, to come get us. If I could work with her I would. But if not, the other nurse would stay with her during the procedure.

Some nurses simply don't like to precept. Some precept for the money...or so they can slack off. Recently in an ICU internship I had a preceptor of mine sleep most of the night. Or have me take an assignment and then I couldn't find her most of the night. Then if something didn't get done she would get very angry and defensive with me. Then if there was something I wasn't comfortable doing or wanted her to at least watch me do it I'd get..."you've been a nurse 14 years," or "you really don't have a clue, do you?" Nice huh? It was very demoralizing for me and I quit the internship, something I've never done. It was an eye opening experience for me though. And I will remember never to say anything like that to anyone. Don't get discouraged. Be open, tell people what your goals or learning needs are, and if you are not happy or comfortable with a preceptor speak up immediately. Don't wait like I did.

I tend to agree with Matts Mom, I am a veteran nurse of 15 years and I see alot of entitlement in SOME of the new nurses. But some of the old nurses (managers) foster that attitude by giving in and agreeing to anything and everything to get nurses.

Your nursing instructor is whose license you work under, not the staff nurses and certainly not a travelers. A traveler should never have been assigned to precept you. And by the way did you do a thorough assessment on the patient you bathed? Did you listen to anterior and posterior breath sounds when you turned them for their bath, did you assess them for skin breakdown? Did you shampoo their head and assess for lice and skin breakdown on the back of their head? You can learn alot about a patient by bathing them and frankly it was one of my favorite ways to assess a patient. If you did none of these things then you did not take advantage of an opportunity to learn.

As far as expecting a traveler who has never seen you and does not know the reputation of your school to just let you do your thing and choose what you wanted to learn, well lets just say don't come to my unit and demand these things.

The hospital I work at has set up a precepter program for new GRADS and I am one of the preceptors and I do enjoy it and it is marvelous to see the enthusiasm the new grads bring to nursing, but it also makes you more aware of what they are lacking as for as skills go when they graduate. The purpose of the program is to give them a jump start on the floor when they go there to begin orientation. As a preceptor I have to co-sign and oversee everything they do. And would have it no other way, most of them are NIP's and it is my license they work under. I wish you the best in your career, but hope that you understand the difference between assertiveness and agression as agression will get you "eaten", and the old timer will be justified. You are the child in nursing and we are the oldtimer who has been around and lasted and love a profession and prove it by the years we have stayed in it, you have proved nothing yet.

I have never had difficulty both as a Staff Nurse working in Critical Care or as a student. I know that as a Grad Student, I view how the processes work a bit differently, but I still see the information a staff nurse can pass along to a student is invaluable. The time management techniques I learned as a student was beneficial to me as a RN. The common sense that is present in most of the nurses who still work on the floor or in the units helps to save time. Little things like checking pulses. (Start at the Pedals and work your way up until you get a pulse. If you get a pedal, then the rest of them are there.)

It is unfortunate that any student is placed with a nurse who is too new to a system to be effective in their position. In my current unit, there are a set core of nurses who are able to precept nursing students. We don't have their instructors with them all the time, but they are treated as peers, and are checking with us before they perform any procedures or give any medications.

We have the opportunity to pay forward the skills and compassion that was shown to us when we were wondering to ourselves why we ever went into Nursing. (By the way, I still love it!)

Oh yes...the eat your young thing...If you want to be a victim the rest of your life, that is fine. Nursing needs to build a thicker skin and get in line with the rest of the Healthcare professionals!

D.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
Originally posted by Broederboy

Oh yes...the eat your young thing...If you want to be a victim the rest of your life, that is fine. Nursing needs to build a thicker skin and get in line with the rest of the Healthcare professionals!

D.

OMG i have to borrow Heather's word here:

B-I-N-G-O!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!;)

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