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Help! Preceptor conflict.....

Has 23 years experience.

I am in my 3rd clinical of 5 from graduation of Family Nurse Practitioner. I was dismissed from my clinical site. I DO NOT KNOW WHY!!! Notified by email by my instructor. The contract says I can only be dismissed if break office or clinical procedure or guidelines. I did not do that. I was not given a copy of any guidelines. My preceptor is flat out mental. Happy the sad or mad, hot and cold, and gets very offended when asked for any rationale!! She also made multiple threatening and demeaning comments.

Waiting on my school's response. I am beyond devastated, mad, hopeless, and on the verge of a breakdown. What do I do?? I was never unprofessional and they say I was because I lost my name tag 1 day out of 20, but found it. They say I did not follow dress code. Had lab coat, professional dress, hair done, make up, closed toed shoes, the whole thing!! Said I used a computer to document clinical hours. It was my computer and I was told ok. Said I was on FB. I am in a clinical discussion group and told my preceptor about a topic. WE RESEARCHED it because they poster was wrong. She printed out an article for me. And I would not adhere to clinic hours. My husband has a medical issue (NEW) that he had to have test for (NEVER BEEN SICK) so I was late, but told her and she said ok, but then told I had to do 8-5 period. So I did 8-5 and if not, I didn't schedule that day.

So now I am 80,000 in debt due to student loans and screwed!!! What can I do?? This is not right!! Oh and midterm eval was ok. 2nd preceptor eval ok. Previous clinical site preceptor evals good!! I am soooo mad......please help or comment if experienced anything like this......

Well friend I have never experienced anything like this but I am so sorry to hear it. I'm just hear to wish you the best and hope it works out.

pwNPstudent

Has 23 years experience.

UPDATE: Now I have been told I am being dismissed due to an issue with the nursing board. The issue occurred in 2009, was fully disclosed to my school and the background check company, was due to failing to report being arrested in 1999. Was never suspended or on probation. Ordered to take a class and pay a fine but of course my board of nursing has it online! The arrest can't even be pulled up because it was sealed and 15 years ago. Still think this is absurd to do to a student in the middle of a rotation.

BostonFNP, APRN

Has 9 years experience. Specializes in Adult Internal Medicine.

I am in my 3rd clinical of 5 from graduation of Family Nurse Practitioner. I was dismissed from my clinical site.

First of all, I am sorry you are going through this.

I DO NOT KNOW WHY!!! Notified by email by my instructor. The contract says I can only be dismissed if break office or clinical procedure or guidelines. I did not do that. I was not given a copy of any guidelines. My preceptor is flat out mental. Happy the sad or mad, hot and cold, and gets very offended when asked for any rationale!! She also made multiple threatening and demeaning comments.

Approaching the issue this way is not going to help your case. It is one thing to acknowledge that you don't have a great rapport with your preceptor (which is an issue on many levels), but when you are working on this, avoid calling your preceptor "mental" and making accusations about threats unless you have strong evidence. The first response of the committee reviewing this for you will be "why are we just hearing about this now". Plus it paints you in a very unprofessional light.

Waiting on my school's response. I am beyond devastated, mad, hopeless, and on the verge of a breakdown. What do I do?? I was never unprofessional and they say I was because I lost my name tag 1 day out of 20, but found it. They say I did not follow dress code. Had lab coat, professional dress, hair done, make up, closed toed shoes, the whole thing!! Said I used a computer to document clinical hours. It was my computer and I was told ok. Said I was on FB. I am in a clinical discussion group and told my preceptor about a topic. WE RESEARCHED it because they poster was wrong. She printed out an article for me. And I would not adhere to clinic hours. My husband has a medical issue (NEW) that he had to have test for (NEVER BEEN SICK) so I was late, but told her and she said ok, but then told I had to do 8-5 period. So I did 8-5 and if not, I didn't schedule that day.

It sounds like there were a number of issues. I could see any of those issues being grounds for dismissal from a clinical site. Were any of these issues discussed with you previously? Were any adjustments made?

So now I am 80,000 in debt due to student loans and screwed!!! What can I do?? This is not right!! Oh and midterm eval was ok. 2nd preceptor eval ok. Previous clinical site preceptor evals good!! I am soooo mad......please help or comment if experienced anything like this......

You are not screwed. Most programs will only dismiss a student from the NP program if they were unsafe in practice. I would be surprised if you were dismissed form your program for this. You may have to hold back a semester/year, but that is not the end of the world, it happens even to good people. You can recover.

I would urge you to be professional about it and assist in working towards a solution rather than trying to fight back, unless you were truly harassed/threatened.

Good luck.

BostonFNP, APRN

Has 9 years experience. Specializes in Adult Internal Medicine.

UPDATE: Now I have been told I am being dismissed due to an issue with the nursing board. The issue occurred in 2009, was fully disclosed to my school and the background check company, was due to failing to report being arrested in 1999. Was never suspended or on probation. Ordered to take a class and pay a fine but of course my board of nursing has it online! The arrest can't even be pulled up because it was sealed and 15 years ago. Still think this is absurd to do to a student in the middle of a rotation.

Is this related somehow to your clinical dismissal? I am not sure how the BON, if they licensed you as and RN, could report that to your NP program?

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