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Hi. I'm new to this website. I wanted to know if anyone out there could please take the time to give me some advice as to what I could do about the situation I am having with my nursing department.
I am a first semester nursing student. I have clinicals once a week at a local hospital. I am currenly in my 9th week. The first six weeks of clinicals were pretty harsh. Our nursing instructor was new to teaching and she would yell at us about everything. She ended up resigning the sixth week, because everyone in my group, including myself, complained about her verbally abusive behavior.
During our short time with our instructor, she didn't let us ask the other nurses on the floor questions because she was worried about us recieving the "wrong" information and we were under her license. She wouldn't let us do anything. Last week, I finally learned how to clear an IV machine for I and O's, which everyone else in clins learned how to do that during their first few weeks at the hospital.
There is so much more that I could go on about, but the point is is that she ended up resigning. She was a very, very smart lady, but her stress tolerance for teaching was very low. She always forgot that we were first semester nursing students. Not only that, but she went as far as yelling at us in our patients rooms. I especially had a problem with her. She was really mean too me. She acted like she didn't like me and made me feel really stupid. She literally made me feel like I didn't want to go on anymore. Her words were very harsh.
The same week that she resigned, my niece ended up passing away (R.I.P. Mya--I love u). The following week--I ended up missing my 3 hour lab, mandatory practice, my lecture, and my clinical. I ended up having to call everyone to let them know that I was taking care of my nieces funeral arrangments and that I wasn't going to be in class. Contacting my clinical instructor was a little different, because I ended up leaving her a voicemail on her telephone--letting her know that I wasn't going to be at clinical that day because my nieces funeral was the morning of my clinical.
I ended up leaving the old clinical instructor (the one who resigned) the message. I wasn't aware that she had resigned. My nieces funeral was between Wed and Thurs the week that she died, because we were unsure if we were going to come up with the money any sooner. We ended up having her funeral on that Thurs, so I contacted my instructor that morning.
I guess my new clinical instructor sent me an email Wednesday night (night before the funeral) informing me of my old instructor resignation. The last thing on my mind was to check my email. My sister just lost her baby and i a niece, checking my email wasn't an option. I actually didn't end up checking my email until Saturday and realized that I probably did a no-no, because my clinical instructor probably thought that I did a no-call, no-show. I wasn't worried about it though, because all of my other teachers new my situation because I talked to everyone, so I'm sure she new what was going on.
Well, the following Monday, I get a call from the Assist chair of the nursing dept. asking me why I didn't contact my clinical instructor sooner. I told him that I wasn't aware of the other instructors resignation until that weekend and that I apologize about the inconvience. He told me that I will be getting a write up and that I need to come and see him for a "counseling session"...I agreed and told him that I will come see him. All the while, my new clinical instructor was in the back ground.
Just to give everyone a little insight as to what I was doing about the classes I missed. I ended up making up everything and passed all of my competencies to date with all most perfect scores. On my physical assessment comp., I got a 46/50..and on my med. administration I got a 48/50...
So, sorry to get sidetracked. So, the assistant chair called me on a Monday. I went the whole week making things up and putting in lab time. It was a pain, but I got through it. So that Friday I went to clinical. My new clinical instructor gave me the write up and told me I need to go see the assistant chair. I told her Ok...
That whole night started off kinda funky. She told me that I couldn't pass meds, because she doesn't know how I work. I was totally fine with that. I understood where she was coming from. She ended up assigning me with one of her original students that has been with her the whole semester. She basically told the girl to watch over me and answer any questions I might have.
Well, I ended up getting offended by this girl the nurse signed me up with. I didn't come out and say anything, but this girl literally stood over the whole time I was doing my patients vital signs. I know how to do vitals. If there is one thing I know how to do--it's take vital signs and I know all the normal ranges for them. That whole night, I tried asking my clinical instructor questions, but she would blow me off and tell me that she has other students to help, yet I dont' think I spoke with her but 10 minutes that whole entire night. I felt like I was getting the silent treatment, like she was just blowing me off.
I was just happy for the night to be over with.
Not only was she acting like I was "unimportant", but she told me that I wasn't going to getting a midterm evaluation because she said taht I haven't been with her long enough. I didn't come out and say anything to her then, but when I came home I was a little upset that I wasn't going to be getting a mid term eval. How am I supposed to know wht I need to work on to improve my skills as a nurse?
Well, that very next day after my first clin with her I get this very long--insulting email. Her is her exact email...Not one thing in it is positive...Not only that, but I didn't work with her the whole entire night. She claims that I dont' know how to drain a foley cath, but I've known how to do that since my first two weeks of clinicals. I can 100% drain a foley cath. What makes me mad about her email is that she's literally saying things that are absolutely and 100% false. Not only that, but she is passing judgement on me. Here is the email...
I deleted the names for privacy.
I have been thinking about your performance on Friday. I do understand about your insecurity with a new instructor, but there are certain items I would expect a student to know by mid-term.
1. You were not comfortable with taking vitals and doing a physical assessment on your patient. You were very attentive to your patient, but did not complete the physical assessment by the end of the evening. Physical assessments are completed as soon as possible since you never know what is going to happen with the patient later on and you need to know the patient's physical baseline to pick up on suttle changes.
2. You had a difficult time charting, even with vitals. This was week #7 and I would have expected you to have this skill down.
3. When I asked if you have ever read a Kardex before, you looked at me like the Kardex was a foreign item. It seemed like you have never learned how to organize your time and develop your patient's plan of care.
4. You did not know what "HS care" was. I have to question what your clinical group was doing to get these patient's ready for bed. It is standard to do HS care by washing their face and brushing their teeth before bedtime. You were unsure what to do. Also, turning a patient every two hours with Monica's patient seemed to be difficult for you (such as, having no idea what to do).
5. You were also very weak with doing routine I and Os. You did not know how to empty a foley catheter or clear an IV pump. This should have been part of your nightly routine at the end of your shift.
6. I am also concerned with your thought process with the sulfa allergy and clonidine for the person's blood pressure. You were very anxious and it appeared as though there was an emergency with your patient's blood pressure. After reviewing your patient's blood pressure, it was not even close to the paramaters. I do have to say good job with looking up the medication and seeing that there is a potential effect with sulfa allergies.
7. You seem very very anxious. Unfortunately, people can sense this. You need to feel a little bit more comfortable in the clinical setting and present a aire of calmness and professionalism. Also, please do not interrupt when other people are talking. This was another issue. Everyone has something important to say/ask, and I am only one person. Please be kind to your other classmates.
The reason for this email is to give you an evaluation of your performance from last week. I would expect you to be much farther along. I expect alot of my clinical group, but give them all the opportunities to learn and get them ready for next semester. If you would like to talk about these items, I would be more than happy to talk with you before Friday's clinical. I will be expecting you to be able to perform these basic skills without difficulty this coming Friday (10-10-08).
She didn't work with me the whole night. And she is saying this. I understand that I may not be the most outgoing person in the world, but I am not a mean person at all. if anything, I let people walk over me..which is why I am coming to allnurses for some help.
So, I get this email.
I ended up taking this to the assistant chair alogn with the write up they tried to give me. I say try because I explained to him that it was not my fault that I didn't knwo about the resignation of my old instructor until one night before clinical. He ended up agreeing with me and pitched the write up. My family was telling me that I should've made a copy of the write up ,because under the situation I was in, they should've understood enough NOT to even think of writing me up.
sorry if I am writing un clear or mispellign words..I'm just trying to get this all out.
Well...I also showed the assistant chari the email ^ the very same one that I showed u all and he told me not to worry about it and to see how the next clinical goes. I told him that her email sounds very condescending and that she was being kinda mean to me. He just said that he would have a talk with her because they have a very good relationship. He also told me that if need be they would come up with some kind of plan for me to get me through the "things" that I need to work on....??? What things is he talking about?? Of course I could always learn more and expand my knowledge, but I am at the same level as all of my peers, so I didn't fully understand what he meant by that? I was happy to hear that he was willing to work with me--and not just give up on me, but I really didn't quite understand what he meant???
Not only that, but he told me that my previous clinical instructor siad that I wasn't "safe" with patients....Because the last patient I had with her used the bathroom and I didin't catch it in time and by the time I did catch it, our instructor was walking around checking on our patients and she got really mad at me for not changing him sooner. That was when my old instructor literally yelled at me and was snatching things from me and it made me run out of the room balling...She did it to other students too..which was why she ended up resigning. I felt horrible. but the other students were telling me that I am learning and that she over reacted...i tell u what, I learned from that experience. I will always check on my patient and make sure they are not soiled...I am very attentive to my patients. that's not the point though. the point is is that the old instructor said some things about me. I know for a fact that she said or wrote those things becasue she probably new I was one of the people who complained about her. I wasn't the only one though--almost everyon in my group did.
So anyway...sorry to get off track. I was talking to the assist chair and he told me to just go through the next clinical and he'll see where I am...
I did...My new clinical instructor ended up not being their last week because seh was sick. There was someone new. This new person gave me an attitude right away...she acted like she didn't want to help and it made me feel like crap. even though she didn't help me, i still asked the other nurses questions and i thought I did really good last clinical. My patient ended up being mobile. I don't want to get into the specifics, but I was really attentive to my patient. I charted very well too. I charted everything I did for my patient. My charting skills are really good now, becuse I worked on them last week. Charting wasn't something that we really did with my old instructor. I thought I did great..In fact, I know that I did great. yeah, there are things that I am learning still and will constantly be learning....working as a nurse is a never ending book. U will always learn something..whether it be something technical or just something about yourself or someone else. u will always learn something new everyday.
Well, at the end of the night we all went home. My patient that night ended up being someone who needed little assistance. I haven't had a total care patient yet.
well...I ended up going to see my clinical instructor today in her office. I told her that i was going to slide my physical assessment under her door so that I could get it back on Friday to see what I need to work on and if I'm wording things correctly.
we're not charting our p.e.'s but we are still doing them...
So anyways, when I went to go see her I asked her what the substitute clinical instructor said about me las tweek. She told me that she siad I acted like i was confused????? WHAT?? What is giong on??? I don't understand what she means by me acting confused??
I asked her if she was going to watch me so that she could see what I do, but she just replied with a "I'll be around". To me, that sounds like she is blowing me off. Not only that, but she siad that I need to work on skin care, so she is going to give me a really hard patient this friday. She told me that she doesn't want me "killing" anyone though.. What kind of thing is that?
That is just insane for her to even say anything like that. OMG...I'm really starting to feel confused because of how I'm getting treated.
i know that I did a very good job last week of takign care of my patient. They are really making me feel like crap. I don't get it?? What am I doing wrong?? they are not telling me what I am diong wrong?? THye are telling me very short undescriptive things that I am "acting" like....I am really hurt by this. because when I am in clinical--I am being brused off, like I don't matter..I am not getting the hel that I need as a nursing student to actually suceed in this program. I am getitng the run around and am being judged and treated unfairly.
my instructor told me that she was going to give me someone
Whta do u think I should do?
I'm thinking about goign to the chair for answers, but I don't want to stir anything up. All I want is for ANYONE to show that they care about me and my future. I care about my future, but when the people who are helping andtrying to get you through nursing school act like they don't give a crap--it's kind of hard to keep the motivation to want to suceed.
Mzattitude,
I'm sorry this is happening to you. I can only imagine the stress you are going through on top of the stress of trying to do your best during clinical. Friday is your day to shine and that's what you must focus on. You say that you are proficient in all that the instructor says that you are not so focus on showing her that you have what it takes to advance to the next level. Do not dwell on yesterday, deal with today and make a plan for tomorrow. Set up a plan of care that takes you through the day, or night in your case. Think about all that will be required of you and plan your day knowing that things could change at any part of your day but with a plan of action, you'll be more prepared. Come in with a pleasant attitude and then:
Get your patient's information, wash your hands, immediately take vitals and then do a thorough H2T assessment. When you do the assessment, note what position the patient is in and turn and reposition and make sure to remember to do so in another 2 hours. Look at IV fluids running checking for the correct fluids and dosages as well as correct meds. If the patient is on O2, check to ensure that the cannula or mask is on correctly and that the O2 levels are correct. Look at the IV site and make sure there is no infiltration and that the site is CDI (clean, dry and intact). Also, note if there are any skin issues (sores, ecchymosis, color changes, pressure ulcers, etc). After assessment, if your patient is able to talk to you, ask about pain, if they can't talk, look at the facial expressions, blood pressure and pulse to see if the two are elevated signaling that the patient may be in pain. If the patient needs their brief changed or a new pad underneath, make sure to do so before leaving the room. Also make sure that the patient is not too low in the bed, have another student help you to pull the patient up in bed, fix the covers and pillows and make sure the side rails are up, the bed is in the lowest position and the call bell is within reach. Wash your hands before leaving the room. Immediately document your finding being very specific and thorough. Don't skip any system. Once you've finished, look at the med administration time and prepare and administer your meds. Go in, wash your handss and make sure to check the patient's name against their arm band or if they can talk, ask them to tell you their name and birthdate. Know that with any cardiac meds, you want to check the BP and HR before administering. Document after giving the meds. Check the orders for the patient especially after the doctor has left the patients room. Also, if you see a doctor go into that patient's room, hurry up and get in there because you will hear pertinent info about your patient's progress. After you assess and pass meds, do hygiene care. Check to see if two hours have passed and reposition your patient. Check to see how often I/O charting is done and make sure this is completed. If you have any dressings changes, wound care, suctioning, trach care, etc, then take care of that. Look up the procedure for doing these and make sure to have your instructor present before doing this or med administration. Glove up when cleaning patient and doing any procedures and wash your hands after removing gloves. Always make sure the patient is comfortable and that the call bell is within reach and the bed is in the lowest position Keep tabs on all that you have done on a separate piece of paper, noting the times that you did things. During break, ask to briefly speak to the instructor to update her on what you have been doing. Make a list of all of the things above and check them off as you go along to ensure that you are completing them.
You know you have what it takes to do what is required of you so go in there with confidence and a smile showing that you are not only competent but professional as well.
MzAttitude,
I read your post, and all I can say is, "Wow." This sounds terrible. My clinical instructors are similar. They call it "weeding out the weak." They said too many of us did too well on our last test, so they need to make things more difficult. We started out with 40 people, and we're already almost down to 30. AND we've not even started our first clinical day yet. We have been in "campus lab" learning each and every skill on different fake patients, haha. This Wednesday is the first day, and they put me with the most difficult instructor of all. Let me tell you what I've learned: BE FIERCE. Go in there with that head held high, know your crap, and just do it. Show them who's boss and that you CAN do this. In my program, they always tell us to "ask questions. Of course questions are always welcomed!" Yeah right.... I thought they were being literal when they said this. So, I asked a question about locating one of the landmarks for doing an IM injection. I basically got a new one ripped, haha. I never asked another question again, and now my instructor (who seems bipolar) likes me for the time being. I learned to never ask her a question and definitely never whine. What I am trying to say is: be competent and confident. If you know your stuff as well as you say you do, and you obviously have the grades to prove it, kick butt! Seriously.
It is much easier to blame others or to think that others are out to get you. Im not saying 100% that they arent however I do think you need to look at why they are saying you seem confused or insecure. I find it hard to believe it is related to the fact that you think you helped get the first instructor gone because sounds like she knew she wasnt cut out for teaching.
I am wondering though since you've had the original instructor and your current instructor along with the temp instructor say the same things to you if it isnt a problem with your performance that you arent willing to admit. I dont think the email sounded rude or harsh...it sounded to me to be matter of fact with the offer to discuss with you the reasons she felt the way she felt. I am sure you think you are doing wonderful and you very well might be however step back and listen to the suggestions the instructor is making afterall it is her job to teach you how to be a good nurse and to correct things that you are not doing as well as you should.....it is also her job to "weed out" the students that she feels will not be able to make it thru the program and pass boards. Wouldnt you rather know now what the issues are and work on them instead of finding out in your last semester that your current instructor didnt say anything to attempt to correct you because she was afraid you'd think she was "picking on you" because by then you will be past the basic nursing skills and expected to know alot more than how to take/record vitals, empty foleys and clear IV pumps.
Sometimes we need to step back and realize that it is our perception of things that are off and people are really not out to get us but are only trying to make us better at what we do by being honest instead of just telling us how wonderful we are and letting us fail because they didnt want to be considered rude.
Since she made an offer to meet with her why don't you and see what the problem is. If three people are saying the same thing then you need to know exactly what to do so you can pass your clinical. I think she spelled it out for you. When you have your next clinical make sure she is around while you do your assessment, pass meds, bathing etc. Everything she pointed out in the email when you go to do these things again make sure she sees you doing it.
Or if it is that bad and you have talked to her and talked to the dean etc then maybe you need to transfer to another school.
I had an instructor for my very first clinical that expected us to know more than what we did. She expected us to know how to do a head to toe assessment that first day!!! We hadn't even started our health assessment class yet! (I was in a weekend/eve program and the clinical was before the health assessment class). Anyway we told her what we were covering in class and she would not budge. And at the time I was did not have direct patient care experience so I had no clue how to listen to lungs or heart sounds because I had never seen it done before.
So you know what I did? I read ahead and learned how to do an assessment, neuro checks, wound care etc. So when the next clinical came around two weeks later I was prepared and I passed even though we still had not covered half that stuff in class. And I did great on my check off's because I read the material before it was covered in class. And I only had one instructor yell at me (the same one the first day) and I kindly told her that I did not appreciate her talking to me like that and if she could talk to me in a normal tone like I was speaking to her. And you know what she never yelled at anyone of us again. She said in the end that this was her first time teaching at this school and she was not used to our program. But she still expected us to know everything yada yada.
Do what you have to do to pass. I would not let them stop me that is why you need to go and talk to her and the dean of the school.
First, I am sorry to hear about your loss. I have to say, as an instructor, when i see any student going through a family crisis, it inevitably affects their performance, either in theory or clinical. We understand this, as we are human beings too (believe it or not), and have lives outside of nursing school, that sometimes affect our jobs (teaching you).
Having said that, if your account is accurate, your first instructor may have had no idea what she was getting into. It is an extremely difficult and frustrating job at first, being a clinical instructor. Many times, we forget how much students do not know, and we take for granted all of our years of experience. We think 'everyone should know what we know'. She did the right thing by resigning, it seems.
I do agree that your current instructor handled the situation the wrong way, by chickening out witrh an e-mail. My boss would have my head if I did that. However, she did do the right thing by citing more than one instance to support her case about your performance.
BUT: as others mentioned, it raises a red flag to me that all three clinical instructors saw some osrt of problem with your performance. I cannot imagine that all three are conspiring to 'get you'. Yes, many instructors are percievied as harsh and mean, but do you really think they want nothing to do with you? They are obligated to teach you, not just brush you off. And I have to wonder, is there any sort of vibe you are giving off in clinical? You do not have to answer that, but just think about the following (and consider this your advice for getting through this):
-do you arrive on time? Prepared? Do you look up things you are told to (diagnoses, meds, labs, whatever you are aksed to)? Do you go back to the instructor with your finding?
- do you complete your assignments (assessments, AM care, charting) without making excuses (can't find linen, chart, pt doesn't want to get washed, is sleeping, etc)? These are things that do happen, but when they happen consitantly with the same students, they become excuses). As a nurse, you are supposed to problem solve 9what shoudl i do if I can't find something, how can I get it done anyway?)
-do you hand in your assignments on time?
-do you volunteer to speak in conference? Are you awake during confeneces (you wouldn't believe the heavy eyes I end up talking to)
-do you stand around the nurses station when you are finished with your tasks? Or maybe even when you are not finished? Are you in other students rooms b/c their pateint is more interesting than yours, when you have not completed your tasks for your patient?
-do you asks questions about things you do not understand, or do you just hope that your professor won't question you about it?
You are a first semester nursing student, and are not expected to know everything. It is very difficult for many students to accept criticism without taking it personally.
However, the things I mentioned aboive are within your control.
What I am basically saying is that you are expected to give this 100% of a comitment to learning. I am sure you are tired, you may be working, and you have a family. And I do understand that things in your life are emotionally draining right now. As I tell many of my students that are going through crises, maybe you need to take a break. maybe this isn't the time for you to be doing this. Honestly, if you feel you can't get your way out of this, it would look better for you if you withdrew, rather than having a failing grade on your transcript.
Hi, I am brand new to this, but your story just floored me. Instead of going to the chair of nursing, you need to call your instructor out face to face. I am the last person to want confrontation, but you are an adult in nursing school, not a child in junior high....you need to step up. We all know nursing school is not cheap and the reason you are in clinicals is to be TAUGHT by your instructor and guided on the right track to become a confident nurse. Did you ever think that she ignores or treats you crappy because she is envious of your knowledge. She might not have been a fast learner, or clearly she just has issues...Anyway, good luck & stand up for yourself!!:wink2:
I see a simple explanation. Dont give them a reason to dismiss you, if someone is watching you do vitals big whoop. Maybe you can teach THEM a thing or two. But dont do that for now LOL. Humble yourself, work hard, take everything as constructive criticism. Did you know what HS care was? Did you know what a kardex is? You seem like a smart girl, just show them what youre made of. Continue to do good on exams, try and manage your time in clinical better. Hopefully next time you could show them maybe you were having an off day.
I'm old(41) and in my first semester too. I'm sorry for your loss, it has to be a really hard time for you and your family. Does your school have a policy on deaths in the family? Do they have a policy about being absent from clinical?
I always email everything to both my clinical and lead instructor. That way everyone knows what's going on with me. (My husband had a motorcycle accident two weeks ago the night before a test, I wasn't sure if I'd make it so I emailed everyone, but I did make it to my test, because Nursing school comes first-that has been made clear in orientation, I relayed this to everyone in my family when I started.)
According to what we were taught is that our clinical instructor and the hospital is responsible for everything we do. I believe that is where the "working under my (her) license" is coming from.
There is a chain of complaint in my nursing school, and it does not start with the director or dean. I would have to work my way up to that point. Critique from a clinical instructor is part of their job. They are to tell you where you are weak and what you need to work on.
In your post you said that the first instructor didn't teach you much or let you do anything much. Of course you will be weak in those areas and need to work on them outside of class/clinical/lab to catch up.
Nursing School is a whole different world than other majors. We are expected to follow the rules to letter. Live's depend on nurses to show up for work. Live's depend on us to be able to put our family stressors out of our minds and focus on patient care.
Lastly, would you leave a boss a voice mail that you wouldn't be showing up for three days (it looked like you were out Wednesday, Thursday, and Friday) and not double check to see if they had gotten the message?
As for your current instructor, do you think she may have heard about your groups complaints about your previous instructor?? Could that be affecting the way she sees you?? Could the stress of your family responsibilities be affecting the way you're seeing her??
I a soooo sorry for your loss, which makes it hard to even post this but....
I'm sorry to have to be the person who post a negative reply... but my motto is... "If everyone else seems to be the problem, then you need to reassess yourself, because you are almost positively the problem."
Not sure if you understand but for example if I go to school and the instructor is rude, and the student sitting next to me is rude, and then I go to the grocery store and the clerk is rude, it CAN'T be ALL OF THEM.... IT MUST BE ME.
Sorry, plus you know nurses stick together (your old clinical instructor, the dean, your new clinical instructor, and the substitute instructor) so you've pretty much made your self an outcast. I hope you know how to make it all up by kissing BUT, tell 'em to bend over.
Truly good luck, I hope you get throug this somehow.
goodstudentnowRN
1,007 Posts
This sounds like a situation I was in three years ago. I would remain quiet and do the best I can during clinical. These teachers like to boast about how many students they fail, be very careful. Please do not allow a simple human being to crush your dream, I would find another school. This is ridiculous. That teacher seems to be telling everyone about you which is wrong. She is trying her best to get to you. Do not speak to her unless it is necessary and try your best to be on top of everything. Strive to do an excellent job. Remember, God will see you through. Girl please go on your knees and pray, everything will be okay.