My role in student nurse clinicals

Nurses General Nursing

Published

Instructor, where art thou?

I've looked high and low

Your student nurse is looking lost and

is not sure where to go.

I'm really very busy with the job

I'm paid to do

Instructor, dear instructor,

I can't do your job too.

Back in the day, during my clinicals, I was assigned to one or two patients and was responsible for vs, bathing, toileting and meds. I had to have the patients' meds written out on index cards and had to know how these meds were related to their diagnosis or PMH and why they were taking them. I was literally ignored by the regular staff and, if I needed help, was told to find my instructor.

I know it's a different world from my days in nursing school, but the nursing students that we get on my unit are assigned to a nurse, not a patient, and are told to "shadow" that nurse for their clinical time. The SN can do assessments and give meds "with me". Most times, I end up explaining the med and coaching the student through the administration process. How did this happen?

I'm not saying nursing students should be ignored like when I was in school and I don't mind answering questions or sharing information about the patient with the student, but it completely throws me off my day to have to stop and explain everything I'm doing to the student. There must be a middle ground somewhere. I feel like student supervision should ultimately be the instructor's responsibility, not mine.

Can anyone else relate to this?

Our school cherishes the relationships they have with our clinical sites and have basically told all of us students, "Don't mess this up!" Our instructor is always there and we are not allowed to pass meds without him/her. Usually (but not always) our first day at a new site we are assigned a nurse to shadow. The nurse doesn't volunteer for this--it's thrust upon him/her when they show up for their shift, but they've been welcoming so far. I will say I've had some excellent teaching from staff nurses and I always appreciate it and let them know.

Our school contracts with 12-15 hospitals (not including for preceptorships) and is competing with lots of other schools for those rotations, so they really do care about the impact that student nurses have on staff nurses. Our clinical instructors are very gracious to the staff as well.

We had clinicals like you did. The exception was one or two "observation" days. Then we were assigned to a nurse, a nurse lead, or a department. Those days we were free to assist, but we were NEVER permitted to touch meds. It was our job on those days to observe, help out where we could, and stay out of the way when we couldn't help.

It did just occur to me that we do get a lot of paramedic and EMT students dumped on us with no clinical instructor. They are not assigned to a specific nurse though. Generally we like them, enjoy teaching them, and they are helpful. I've never had a rude one. I went to the same college for nursing though and I can't imagine what one of my instructors would have done if someone complained of our behavior at a clinical site.

The thing is no one is making us take them. They usually make themselves useful and often my patients learn more of why we do what we do then if I didn't have a student.

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