HELP! I got dismissed from my nursing school

Nursing Students General Students

Published

The school is a private school and this is what happened.

It was my last day of clinical (and last 6 months) and I was supposed to shadow a nurse in the emergency fast track (basically a department dedicated for non emergency care). When I was put there, there were no patients around because the department just opened. So what we did was just talk and after a while she started working on her paper work. This lasted for a good 20 minutes until our first patient arrived.

Unfortunately at this point, I was very tired and I came inside with the patient. Everything was fine, I told the patient I was very tired because I stayed up the night before working on a paper and that today was my last clinical. After that was done, the nurse again started working on her paper work. Again, I just sat there for like almost 10min.

Finally she got up, ready to give a shot to the patient, and I immediately followed her but she told me to stay. After this, she came back and that was the end.

We sat for another half hour doing absolutely nothing. I even went to every patient room to look busy and went to the bathroom to clean it but still I had a great deal of free time. I sat on my chair again, and again started looking very tired. After the shift finally ended my nursing instructor came down to relieve me.

Unfortunately, the nurse told my clinical instructor what happened. My clinical instructor was furious, and a long story short she than told the dean. And then during my clinical evaluation they failed me.

I still don't understand why. I was tired, that was all. They forced the nurse to write a report about what happened, and by force I mean the dean calling that nurse several times for nearly 2 weeks until the nurse finally wrote the report.

Under why I failed it stated because of inconsistencies in performance, and paper work. However, all my paperwork was fine. I passed with everything with at least B's. The same applied to performance. I argued and argued but no avail.

Last week the V.P. of academic affairs gave me my final appeal decision which was that the nursing committee decision stands. Her final decision is "had the POTENTIAL to put patients as risk".

This doesn't make sense. If I wanted to, I could have just told the nurse I am feeling very fatigued and I need to leave. We as nursing students have every right to do that if it may endanger a patient. But obviously that was not the case because I chose to observe that day rather than having a patient assignment, as did others because it was the last day.

I am furious. I want to sue under breach of contract, (nothing states I cannot come to clinical being tired) and being arbitrary and capricious in their decision.

Any advice?

What do I need to prove to win?

Please help.

Additional details

  • All charges against me have been false. From paperwork to performance (have weekly clinical evaluation forms that state I was performing well. I passed all paperwork as wel.
  • I was in the ICU earlier that morning, without incident. Under the watch of many medical personal. No one complained.
  • The nurse report stated "his eyes were closing, nodding off, and jerking himself side to side to stay awake". It does not say I fell asleep. Allegations which the department said I did.
  • I have other nursing students who wrote for me stating that they observed others being extremely tired to clinical. And displayed similar behavior themselves. But no consequences, because obviously it was a onetime thing. (Just like my incident).
  • I was never warned, it was out of nowhere. Previous landmark decisions in court have stated that students are entitled to be told of their inferior performance, in order to improve. I was not told this. And again documentation states I was progressing well.
  • Nothing is objective. Nobody say me physically sleeping. It's one nurse assumption that I was very tired. The school is interpretating the incident as me putting a patient in danger. Impossible seeing that I had no patient assignment.
  • I was merely an observer.

OK so what I'm getting from everyone is that i made a great error in telling the patient I was tired. I should have not done that because as a patient, she probably got worried (most patients would)

I keep hearing, that you could have harmed the patient if I was nurse, but thats also assuming I was a nurse in a hospital, and assuming I took a morning position and assuming I came to work extremely tired with nothing to do.

Lastly, let me make this clear...

I DID NOT FALL ASLEEP. If I did, why would I be arguing?

By the way...my clinical instructor asked who wanted to take patient assignments.

I've read through every post up to yours, yet my reading concluded nothing along the lines of a verbal error. Telling a patient you're tired did not found your dismissal. You WERE tired. Whether you actually caused injury is irrelevent. I suggest reading through your state board disciplinary hearings.

Secondly, what exactly did you consider yourself to be doing at clinicals? We operate and are insured as a student nurse. We are held to the same standards. No one else is accountable aside from us. YOU OPERATE UNDER YOUR OWN LICENSE AND SHOULD CONSIDER HOSPITAL ROTATIONS A PRIVLEGE.

There is no way to justify showing up in a less then optimal state. You put your grade on the paper before your patient's safety and this is the issue. If you couldn't keep yourself together that day, you should have informed your instructor and left.

And since when are students given the OPTION to observe for clinicals? How the hell are you going to learn to be a nurse without reinforcing the skills you learn PRIOR TO THE DAY OF YOUR CLINICAL?

And have you not learned what it means to be self-directed? How could you possiblely find NOTHING to do during the time? Why didn't you notify your instructor that you needed a different nurse? Why didn't you seek learning experiences from other nurses or help one of your fellow students? Why didn't you sit next to your nurse and perfect your documentation? What about assessing the safety of the enviroment..eliminate potential fall risks? Walk around and report patient needs to the designated nurse?

The outcome of your situation is severe. However, you should have taken accountability from the beginning. Plus, you probably embarrassed the hell of your school!

Thanks for the responses people! I'm getting a really good picture of the situation and how the school is thinking as well. But just one more thing...

OK so what I'm getting from everyone is that i made a great error in telling the patient I was tired. I should have not done that because as a patient, she probably got worried (most patients would), and told the nurse how she felt. However, I forgot to mention that when I told the patient I was tired, I specifically told her I was not taking care of her. We even laughed about it, after stating that. She knew I was just there to observe. So she did not say anything to the nurse because I was there the entire time in conversation with her, talking about nursing school and finals and such. Nothing was said that would make the nurse feel uncomfortable following me to see the patient again but the nurse just felt like doing it b/c she "thought" I was too tired.

Another point of contention is the area of me putting a patient in danger. Again can someone on this board answer how exactly, (as an observer) could have harmed this SPECIFIC patient in this SPECIFIC incident. I keep hearing, that you could have harmed the patient if I was nurse, but thats also assuming I was a nurse in a hospital, and assuming I took a morning position and assuming I came to work extremely tired with nothing to do. There seems to be a great deal of assumptions and hypotheticals at work here. Lets concentrate on the specific incident and on that specific patient.

Let assume I came late after lunch, the teacher can than fail me because she states "you could have had a patient waiting for your services and you put that patient in danger" and I fail. I say logic, reasoning and objectivity should be placed on my dismissal. Remember, I can't go back. And going to another nursing school is going to take significant time and money.

Lastly, let me make this clear...

I DID NOT FALL ASLEEP. If I did, why would I be arguing? Because I did not. The nurse herself herself didn't claim I fell asleep. You can assume I did, but at the same time, I can argue I didn't. No one saw me physically sleeping, and I followed her immediately when she got up. That alone states I wasn't asleep.

By the way...my clinical instructor asked who wanted to take patient assignments. I said no, on the basis that I could learn more as an observer that day. In addition to feeling fatigued, I felt that I could take the observer position as a better learning experience. I could have easily taken a patient assignment but felt that an observer assignment would benefit me better. There is nothing wrong with that, nor does it say anything about it in the syllabus or student handbook (I looked) coming clinical tired is not recommended. On the last day everyone was tired, and we all verbally expressed that. But no one was barely able to walk or talk or comprehend directions (same goes for me) but put us in a room with nothing to do or watch, you would naturally be able to see fatigue. Again I see nothing wrong with this, as long as you can take care of your patient.

thanks to everyone again for their input. I do appreciate this.

Hi, Re: being "tired" and able to fuction and able to care for patients--as a student--a new nurse--I don't think so. The current annual report from the NY state board of nursing -Research has shown that in many professions including pilots, truck drivers, medical interns--that competencies of individuals who worked beyond 12 hours may mimic persons with alcohol intoxication. There is a positive relationship between number of hours worked and med errors. This is why NY board of nursing has taken the stand that voluntary overtime beyond 16 hours/24h time period may be considered willfull disregard for patient safety.(Zittel,B. 2008 Annual Report from the NYS Board of Nursing http://www.nysna.org)

Second point: boundaries--keep boundaries between you and the patients--before you share info ask "why am I sharing?" If it's meeting your needs the don't share.

Be careful what you share with those that are in control of your destiny--instructor, nurses in clinical area etc. while in school.

You have to remember that you have to accept some of the blame. When I have a student and it's quiet I may send them to the library with an assignment. There is always something interesting to look up on the computer. If he/she is tired it's time to go home with no reprecussions--then comes the lecture and make sure you come in well rested the next time.

I'm sorry this had to happen to you in your last semester. Is there any way that you could repeat this last clinical? If not get a good attorney but remember many nurses have been fired when they appear to be nodding off and sharing too much with patients.

Regards,

Ida

Basid has not posted since Nov. 13, and has not been on the site since Nov. 16. I hope that when he visits again, he gets a chance to read all the posts that his thought provoking thread has encouraged. Meanwhile, Happy Thanksgiving to all and to Basid too!

OK sorry I been away for such a long time. I took the advice from this board and I actually found a school! They are in the process of seeing if my classes will transfer, which I am praying it will and they said I can very well start this January! So thanks everyone!

I actually did find some interesting posts. It seems there are several common themes in this thread in support for my dismissal.

1) "You shouldn't have told the patient you were tired".

This argument is horrible. Does anyone even know the circumstances as to how the conversation played out? No. Did I just walk in and say "hello my name is Basid and I am very tired". No, I did not. Rather, we had a long conversation, she stated she was tired. I stated that "Yah, I can relate with you on that because I am a nursing student" and from there we talked about several things. Now you can argue that I should have not said that, but I thought that was a good way to start a convo. And it worked, and we actually had a nice chat. You people seem to forget I am a student! So maybe I should have not said that. Whats so difficult about a clinical instructor saying "dont do that" and than explain it. Because I never read anything about it, and I am here to learn. Key word: LEARN. Also keep in mind, me telling the patient that info was not once mentioned by the nurse who wrote the report or cited for the reason for my dismissal from my school. It's irrrelevant, that is not a reason to get kicked out of a nursing program. And anyone that thinks that needs to realize that people make mistakes and are not perfect.

I learned not to do that next time...why did I have to get expelled. Did I have to fail to learn that? That logic doesn't make no sense. It's just subjective nothing else.

2) "You had or may have showed inconsistent behvior prior to this incident".

The only prior incident to this was my mid term evaluation. I was told "watch tardies" and it was IMMEDIATLY FIXED. Why should a previous issue that is addressed and fixed return to haunt me? That makes no sense. We had students in mid term stating "work on medication admin" or "careful to work on the 5 rights of a patient". But, as long as the issue is resolved, that should be the main focus. We are students, were learning. We make mistakes, and we are told to correct them and how. If we dont follow through, that is our mistake. So other than that, there was nothing about my performance that was an issue. Basically, second half of the semester was perfect, no issues at all.

3) "You were tired, shouldn't have been there".

What a thoughtless remark. Seriously, the some of the people in this board have a VERY narrow sense of logic. "DONT COME IF YOU ARE TIRED", that makes no sense. What does it matter if you are tired, if you can fufill your duties? Keep in mind the hospital I work at has beds and a break room for nurses, WITH BEDS! Why? Because they know they come to work tired at times. I dont care who you are...as a nurse you will come tired and you will be tired when your 12/13 hour shift ends. So what if your tired?! Can you do your job very professionaly? If the answer is yes than everything should be fine. And in my case it was fine, I could have easily took care of that patient. I sat on a chair on my A** for nearly 15minutes and started to looked tired. That suddenly jumps to "You put the patient in danger", sorry but I cant accept that.

4. "You fell asleep".

For the last time...I DID NOT FALL ASLEEP. I repeat I DID NOT FALL ASLEEP. I followed the nurse immediatly the instant she got up to see that patient the second time. So if you are going to put that in your post don't bother, I was there. You were not. Dont speak for me.

Ps. Why dont I just admit I made an error and move on? I have moved on. I am taking 24 credits currently and about to gradutate in May with a health science degree (asssuming I dont transfer in Jan). But im sorry, I will never admit that I deserved to get kicked out of nursing. The punishment does not fit the crime in ANY WAY. I do admit, I should have not said that I can relate to the patient, and it would have been better to just walk out from the unit but I didnt. That was my mistake.

Thanks again guys! And I will let everyone know what happens with my reults from the nursing school.

Specializes in telemetry, med-surg, home health, psych.

I re-read your OP to see just what happened to get you dismissed...

you stated in the nurses report she said "your eyes were closing and you were nodding".....to me, that is "falling asleep"...so I think that is where the problem is....as you stated, you did nothing else....what else could it be??? either that, or you really got under the skin of an instructor....you know, the instructor can make or break you...I have seen that, too...so keep this in mind when you start again....

Good Luck in the future.....remember where the cold water faucet is...and the caffeine....

thanks for the update basid. i'm really glad to hear that you will be able to transfer some of your credits to another school and i am hoping that you will graduate in may.

i, for one, am pleased to see that you are going to get a 'happy ending' in all of this.

take care!:)

Yea, it sounds like you were asleep. And that would certainly endanger patients. As an RN on the job, most hospitals will fire you if you fall asleep at work. This is really no different. What is the school's policy for dismissing a student? Did the school follow that policy? Hopefully you can learn from this and reapply next semester. Be sure you know the proper procedure, so that you don't get caught in a formality. good luck!

Yah, thanks! I just hope it transfers, because I really don't want to start all over from scratch. Otherwise I am going to graduate hopefully in May and than find an accelerated school for 12 months for fall 09. And graduate summer 2010. I guess it's going to be a long road but hey no point in giving up right!?

PS. I love how you guys ASSUME I fell asleep. I even called the hospital after the incident to get a tape of that day because I know the tape will show I DID NOT FALL ASLEEP. I followed her the second she got up, IMPOSSIBLE if I was sleeping. And let me state this again...the nurse report is not 100% accurate. She wrote that 2 weeks after the incident happened. So there are certain elements that are not accurate. Now obviously, you may think this is going to be a he said vs. she said thing :argue: but unfortunately thats the case.

But I'm just glad there is light at the end of the tunnel....:nuke:

Glad you are moving forward, it the future try to give the impression you are awake. Good luck.

3) "You were tired, shouldn't have been there".

What a thoughtless remark. Seriously, the some of the people in this board have a VERY narrow sense of logic. "DONT COME IF YOU ARE TIRED", that makes no sense. What does it matter if you are tired, if you can fufill your duties? Keep in mind the hospital I work at has beds and a break room for nurses, WITH BEDS! Why? Because they know they come to work tired at times. I dont care who you are...as a nurse you will come tired and you will be tired when your 12/13 hour shift ends. So what if your tired?! Can you do your job very professionaly? If the answer is yes than everything should be fine. And in my case it was fine, I could have easily took care of that patient. I sat on a chair on my A** for nearly 15minutes and started to looked tired. That suddenly jumps to "You put the patient in danger", sorry but I cant accept that.

quote]

"look" is a SUBJECTIVE finding. If you haven't learned, as nurses, we base decisions on OBJECTIVE behaviors. Your nurse gave a very detailed OBJECTIVE description if your behaviors. The conclusion, "tired," arises from the behaviors you demostrated and is therefore NOT an opinion.

Oh, and I'm pretty sure those beds aren't there for nurses to COME TO WORK TIRED. There are there for safety precautions for the time AFTER THE SHIFT.

Acting "professionally" is NOT the bottomline for SAFE nursing care. In fact, read a text on logic and then tell me if your reasoning even resembles systematic thinking (OR THE NURSES PRACTICE ACT).

Good luck maintaining your license, if you EARN one.

My advice to you, is to step back from the issue, and look inward. Nobody is perfect, not you, and not your teachers, but you can't change anyone but yourself. Look at this issue, stop finding blame elsewhere, and just ask yourself what YOU could have done better, and what YOU could do differently this time to achieve a more positive outcome.

Teachers dont randomly fail you out of the blue for no reason. There was a sign. There was SOMETHING that you missed, some cue, something. Be observant, compliant, non-argumentative, and put a positive spin on interactions. Smile and be helpful. Those things go so much further than arguing your point. I have seen my teachers bend over backwards for those in class that have done just that, and I've seen teachers turn stonefaced towards those who insist they were wronged, picked on, failed because of someone else's doing.

Many people passed and you did not, which says that they were doing something that you should have done.

I think sleeping is grounds for dismissal, and completely support that. If you were someone they had seen could be trusted and who was a rolemodel within your class, and it was between your word and that of another, they would have taken your word. Somehow, you gave them the wrong impression and a reason to doubt your word. THAT is what you need to think on and fix.

good luck. I hope you do great in your new program. We all need to learn from our mistakes, sometimes unfortunately, we need the harder learned lessons. Find the learning experience in yours and grow from it.

Specializes in Acute Mental Health.

I'm glad to hear you are persistant! I wish you the best. Honestly, it seemed like perhaps your instructor wanted to fail you. Moving onward and upwards is your best defense. Please keep us posted and as far as you sleeping, you would think if the nurse noticed you nodding off, she would have made sure you had plenty to do to keep you busy. Watching the nurse do paperwork and not involve you was wrong and would have had me doing the same thing. I hate not being busy!

When I finally graduate and if I ever have a student following me, I'll make sure to include him/her in everything because I know it stinks to feel like your sitting on the side lines.

Good luck!

+ Add a Comment