Is it my imagination or do the nurses at clinicals hate us students?

Nursing Students General Students

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Hi:

I'm new here but I thought I would ask this question since so many of the nurses on this site are so helpful and encouraging to students.

I'm in the 3rd semester of a 5 semester program. We have six clinicals per semester. Of them, I've had (I'm serious) 5 clinicals where my patient's primary RN would talk to me. We're supposed to find them (all but impossible when they don't wear name tags) and introduce ourself. When we do, I usually don't get a smile. Lately, actually, I hope for something as nice as this: :stone

I know these are busy floor nurses. At the same time, we students often feel like we're thrown in with little guidance as to what our roles/boundaries are and do little but stand in the way. One clinical, I had an excellent nurse who took me by the arm into every patient's room she entered, and explained what she was doing and why. She did this all day. It was the best clinical I've had, hands down.

Most of the time, though, IV fluid bags are hung, meds are pushed/administered/hung, procedures performed on my patient while I'm off finding clean linens or tracking down the PCA to give her the patient's last vitals (because I'm essentially doing her job: bathing the patient, taking vitals and I&O). I don't mind doing these things of course, and I know I'm low on the totem poll, but being halfway through the program now, it's terribly demoralizing to stand around all day doing nothing, ignored (at best) by the staff--one complained that I had the chart when I'd made clear to the unit secretary where I had it and that I'd happily hand if over if needed. I just had to copy some labs (which, as every nursing student knows, you need to know). Our role on the floor is very unclear. I'm typically a hands-on type of person, but I can't push IV meds, give injections, or even give PO meds without my instructor present, nor do a procedure as simple as d/c'ing an IV. And I don't want to make matters worse with the staff by overstepping my bounds.

Our clinical instructors are pretty good, but mine always seem occupied with another student in my group of 6 or 7. And unfortunately they seem to be under the impression that we're working with great nurses who are student-friendly. I don't know if there's a communication breakdown, if I've been especially unlucky (my classmates have similar stories, though), or if it's just a fact of life that floor nurses cringe when they see a cloud of white student nurse uniforms approaching and therefore refuse to share skills or information. I'm not the crying type, but I want to cry after each clinical because I essentially feel I've wasted 6 hours standing around while real work goes on around me and fear I'll graduate with no experience. :crying2:

Any information or encouragement would be appreciated (I'm not normally so whiny, honest :)).

Specializes in Critical Care.

Every hospital I've worked in has had a policy that any discussion, personal or professional, in all professional areas must take place in English. That applies equally to the use of Tagalog and Spanish.

This would have been a violation of policy and a major offense at my hospital. Teamwork doesn't brook exclusive tactics/actions by coworkers.

If you are a nurse in America, you are obligated to know at least enough English to master the NCLEX and you must be proficient if you come from an International locale.

~faith,

Timothy.

Hello,

I am getting ready to start a BSN program in January and I cant tell you how sad it has made to see that so many nursing students are having a tough time with RN's during clinical.

While I aware that RN's are stessed, overworked, not paid for teaching, etc. I find it awful that some feel students are just in their way, a pain in the neck, etc. I really hope I get lucky when my clinical starts as all these stories have really left me with a bad feeling about the RN/student relationship.

Maureen

Specializes in telemetry, cardiopulmonary stepdown, LTC. Hospice.

:eek: I said "That's strange. I'm surprised that her bed alarm didn't go off when you got her out of bed." She told me that the bed alarm was "broken." I told her that she needed to tell me or her instructor. Turns out the bed alarm was "off", not broken. Interesting! That patient could have been on the floor unconscious for 45 min and nobody would have known. Now we have Student C. I have Student C check her patient's colostomy pouch with me and it needs changed. She tells me that she has not done one. I told her to check with her instructor and she can to it with her or the student and I can change it together. I showed her where the box was with the new pouches. An hour later I ran into the instructor and she told me that Student C changed pt's pouch. Student C reports off and goes to post conference a little later. I check pt about an hour and a half after she leaves and stool is on his bed,his leg, and abdomen. There was no clamp on the bag and the patient is apologizing to me!:eek: WTF! The poor man is apologizing to me! It's not his fault at all! I understand that the student has never done one before. However . . . when she saw that the bag had a hole in the bottom, she should have asked her instructor or me to take a look at it. She had to realize that if there's a hole at the bottom of a bag that is suppossed to catch feces, something is not right.

Here's the kicker . . . . .

STUDENT'S B AND C GRADUATE IN TEN WEEKS!!!!!!!!!!:eek:

So, needless to say, I have mixed feelings about working with students.

I just don't understand. I'm entering week 6 of my nursing school and my fellow classmates are wigging out because people are failing the TPR skills test due to wiping the thermometer at the wrong time. And yet students like THESE are just moving merrily along???

sigh,

Cara

Specializes in Neuro/Med-Surg/Oncology.

I hear you. I don't think I would have been so upset, but these students graduate in a little over two months and will have patients of their own someday. Those incidents would have been more understandable if those students had been in their first semester.

I hate to say this, but you are not getting a disservice by instructors being hard on you and your classmates. I went to another branch of the college where those students are from and none of those actions would have flown. My alma mater has a reputation for being too tough and splitting hairs on a lot of things. Their campus has a reputation for the professors being "nice" and the program being "easy." Many of the students that did not pass where I was transferred there.

Hang in there! It will be worth it. You will wind up with a good education.

Specializes in Oncology/Haemetology/HIV.
Hello,

While I aware that RN's are stessed, overworked, not paid for teaching, etc. I find it awful that some feel students are just in their way, a pain in the neck, etc. I really hope I get lucky when my clinical starts as all these stories have really left me with a bad feeling about the RN/student relationship.

This has more to do with poor instructors than rude nurses.

Too many instructors pick the "interesting" case and ignore the skills of the nurse that will be shepherding the students around. Nurses wouldn't feel "dumped" on, unless the instructor does indeed "dump" on them, by giving them students without any warning.

We wouldn't assign a group of law students to take cases to Court without orienting the lawyers overseeing them to what their duties are and wouldn't drop them on them without any notice. We wouldn't drop a boat load of brand new med students on veteran MDs, with no notice whatsoever, and expect the MDs to allow them to take over some cases and expect them to teach without assessing the MDs teaching skills, forming a plan, or at least giving them warning.

But Nursing Instructors, unit managers, etal. do this all the time to the floor staff. And then get upset when things do not work out.

If the staff is upset when finding that they have a student, it means generally that they were not given any notice and/or giving the option to refuse. Both of these options indicate a PROBLEM WITH THE SCHOOL/INSTRUCTOR/FLOOR MANAGER...and not with the staff. You should be directing your comments to them in many cases.

Specializes in NICU.

Like playing chess on the computer at the clinical site

S/he did WHAT???? I think I'm going to pass out...

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
Too many instructors pick the "interesting" case and ignore the skills of the nurse that will be shepherding the students around.

I can agree with this. Our clinical instructors did this a lot. I was glad when we got a few days to "pick" our pts. What i used to do on those days is approach a nurse and ask if they minded if i worked with a couple of their pts. (to try and avoid the "surprise!! you got a student!"). I made sure i gave "mini-reports" the whole time. If i did something with or for the pt., i would let the nurse know what i was going to do before i did it, and then when i was done, i told the nurse that it was done, and the results. If i told the nurse every little thing that happened with the pt., it made clinicals go much smoother. Communication is key.

Specializes in Operating Room.

Ok, here's a "nurstoon" from nurstoon.com. Hopefully this is not really how things are in clincals. :)

http://www.nurstoon.com/Images/comicstrip35.GIF

comicstrip35.GIF

Specializes in Cardiac.
Ok, here's a "nurstoon" from nurstoon.com. Hopefully this is not really how things are in clincals. :)

http://www.nurstoon.com/Images/comicstrip35.GIF

comicstrip35.GIF

:rotfl: I love it! Unfortunately, more true than not.

Specializes in NICU.
Ok, here's a "nurstoon" from nurstoon.com. Hopefully this is not really how things are in clincals. :)

http://www.nurstoon.com/Images/comicstrip35.GIF

comicstrip35.GIF

when we started our instructors told us: if you really need to ask/tell the RN something, don't be stymied if she won't look up at you. lack of eye contact is a way to avoid distraction...

Ok....new grad perspective here...which means I can totally recall being that nursing student in clinical AND I can also understand now how overstretched one can be as a nurse! That said, there are good nursing students--conscientious, caring, smart, thorough--and bad ones. Same with nurses--some love to teach, others would rather have a hot poker put through their eye....

I have just this week had my first experience of having students work with me. Of my five patients, three of them had students assigned to them. Yes, it slowed me down a bit and occasionally I would rather have just gone about my business. But at the same time, I remembered how some nurses really took me under their wing and showed me stuff! I remember being excited to flush a med lock, hang a piggyback, give sq lovenox or insulin. So every time I went in to assess one of my patients, I had the student come with me and do their own assessment...and when we were done, we'd leave the room and I'd ask them to give me a "report" of their assessment. I had them flush the med locks and do dressing changes, while I "assisted". I guess I just try to treat them like I'd want to be treated...

In general, my experience in clinical as a student was, if you got either a new grad who remembered what it was like being a student, or the one rn on the floor who loved to teach, you had a great day and felt like a member of the team. If you had the RN who would rather get that poker in the eye, you felt in the way and largely incompetent. Both of these experiences can be valuable, but of course the former feels much better.

And yes, nurses like treats :) But that's an extra....you shouldn't have to bring food to be treated like a person. Students are people too...or they were, last time I checked :)

Andrea

Specializes in Operating Room.
if you got either a new grad who remembered what it was like being a student, or the one rn on the floor who loved to teach, you had a great day and felt like a member of the team.

Andrea

I hope I get, and I hope I am the RN who likes to teach. lol

As for treats....what's the best? Apple for teachers, ? for nurses? :chuckle

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