Quote from caroladybelle
Why are you "picking" your clinical patients? Your instructor should be doing that.
...Not all nurses are good with students. As such the assignments should be made by the Instructor or nurse manager, to avoid overburdening the new nurses, orienting nurses and to insure that the student is placed with a nurse that is receptive to students and teaching, and knows ahead of time that s/he will have a student with them.
By allowing students to pick their assignments regardless of which nurses will be associated with/oversee that assignment is a recipe for problems.
We also pick our own patients, although many of us ask the charge nurse for recommendations (for various reasons but in large part b/c we don't want someone who is going home). Our instructor doesn't even go to the hospital the day before, just us. Knock on wood I've never been with a nurse who seemed put out by me, though some have been more "teachy" than others. We seem to have a pretty good bit of liberty as to how close or far we stay with our patients' nurses though (obviously we have to keep them posted on the patient, but you know what I mean). The staff where we are right now is awesome!!
On our patient worksheets we have to write why we picked our patient. Our instructor told us some things to look for at the beginning of the semester (for example, our hospital is the only one in the area that does kidney transplants so she told us it would be a good experience to get one of them if possible).
Sometimes I get one because the charge nurse recommends it, sometimes she asks what I'm looking for, like one day I wanted to go to the heart cath lab & she gave me someone who was going. They always know the scoop on everything so it is helpful (probably for everyone, as caroladybelle mentioned).
Last week I got a post-CABG (bypass) because we just studied that and it corrolated well & I got to practice what we learned.
I try not to get a bunch of the same thing, keep getting something different so you are always learning - clinical time is so short.
Then again, you could just find the person with the fewest drugs to write up. Just kidding!!