I had been told by my professor: "WE WILL NOT TRICK YOU: THE MAR AND THE PHYSICIAN'S ORDER DRUG DOSAGE WILL MATCH UP", we were also given handouts to practice by where the MAR and Dr.'s orders drug dosage match up, corresponding w/ what the teacher said.
I take the test today and am told everything is perfect except that at the bottom of the Dr.'s orders he/she changed the amount. I am in my first semester and it's only 4 weeks into class. Is it wrong for me to be ****** that I was told by my instructor that everything would match up / and am given handouts to practice w/ to that effect, and that there would be no tricks? Also, I had never met the teacher who checked me off.
I feel that MY teacher should have been the one to check me off and she should either have not said anything at all, or should have pointed out that there may be 2 Dr.'s orders ,and that you should pay attention to the final one.
I may be ripped apart in your responses, but why set someone up to expect that the conclusion will add up, when in fact it does not?
Cheers All Smiles 225. I am going to ask my teacher if I would have stated, "at this point I would find the doctor to assure the correct dosage", if I would have passed. Even if I didn't I learned a valuable lesson. LOOK AT THE BOTTOM OF THE GOSH - DARN ORDER! I just think it's a high price to pay b/c if I don't get it right the 2nd time, nursing school is over after only a few weeks.
Remember that nurses have must be self directed in their profession. If you are unsure of an order or are even uncomfortable with an order YOU HAVE THE RIGHT TO QUESTION IT. If I was being observed I would have stated "I am uncomfortable administering this medication until I get the order clarified by the physician." That way you save yourself from looking as though you were about to make a medication error. Also you can check the facility policy but for the most part everywhere I have seen, the most recent physicians order cancels out the one before. So for example if the MD orders Heparin 5000 U subq at HS on 3/2 and comes in on 3/3 and orders to decrease Heparin to 2500 U this order cancels out the previous. You really have to be careful and double, triple check all of your orders. Always remember that student nurses are held to the same standards as nursing professionals. You are expected to know the basics to protect yourself and your patients. Today you learned the number one rule in nursing: Cover your butt..
Too many tricks. The best way to learn is through positive feedback and truth! Regardless of what anyone says its not a good learning environment when you have to constantly question if you are being tricked(because you are) or lied too. If they want you to learn, they should show all examples and made you aware of all the possibilities and do it in a positive way.
Yeah, it sucks that they sort of mislead you like that, but it really will help you in the long run. Now you will always check and re-check, and I bet you won't ever fail another lab due to something like this.
I feel that it is valuable to learn a lesson like that, but not at the risk of failing out after only a few weeks. When I asked the teacher why we only get 2 chances she said: "that's the way it's always been".
Um ok.
Here's my response: Nursing practices decided a while ago not to judge the person who made the mistake but the system that failed. I also found out that almost half the class of 120 failed. I think it's time to rethink your teaching and testing strategies.
The teacher also said ppl in adult were failing b/c they didn't know how to give injections. Well, no wonder, when you are only give one shot in your first semester and you are randomly tested on one injection (or two if you fail the first). Insulin and IM injections involve many different steps. I told her that I knew it would be more time consuming, but why not grade students on giving all 4 types of injections and grading them on each one instead of the 2 time pass/fail testing currently in place. Wow. The students might actually learn something.
I also just learned the definition of "fidelity". Little good it will do me if I don't pass on Monday. I will certainly remember to have it if I pass, unlike my teachers, when I deal with clients.
AllSmiles225
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