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Need advice about clinical

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studentnursemon86 has 8+ years experience and specializes in ER/Emergency Behavioral Health....

4,045 Profile Views; 245 Posts

So I am most likely going to miss my clinical.

I have been feeling sick the last few today's and today the poop hit the fan.

I have posted before about my latent TB diagnosis and being on INH.

My BP is 140/110 and my heart rate is 136 with a beta blocker on board.

Also my temp is 101.8 and because of the INH I cannot take Tylenol.

I'm taking ibuprofen but it isn't doing much. I don't have aspirin in the house.

My husband may take me to the ER since I am pushing fluids and still no change.

My question is; do you think my clinical instructor will understand?

I have missed two lectures. I went to lab and lecture today, but that was before all these symptoms.

I know I shouldn't go with a fever because I will be a risk to my patients.

Anyone have some advice?

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vintagemother specializes in Med-Surg, Psych, Geri, LTC,.

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I think they might understand. However, at least at my school, it wasn't just about understanding. There had to be a way to schedule in make up hrs if you missed.

The problems at my school were that 1) clinical sites can only accept a certain number of students, so if you try to do make ups with another group, the teacher might be over her limits.

2) make ups were hard to fit in because our regular schedule was 8 hrs days x 5 days per week. The only way to make up was by doing 12 hrs days- 8 at your regular site and 4 at the otter. Well, after we did this our dean said it violates employment law. Same thing that she said when clinical instructors offered to work their lunch for us to do make ups (we'd bring them coffee or lunch when they did this)

3) it's the board of nursing that specifies the number of clinical hours reqd and some schools (mine) only scheduled us for 1 day per qtr of clinical time over the minimum required. The reason doesn't matter-excused or I excused.

I do think you have a good reason to miss school and I hope you get better soon!

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82 Posts; 3,217 Profile Views

With that temp and diagnosis in my student nurse opinion I would go to the doc now so that way you could possibly still make clinic tomorrow. Also have you informed your program about your issue? Most of the time they just hate being surprised after the fact, I would shoot someone an email to keep them informed

Ps hope you feel better soon

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studentnursemon86 has 8+ years experience and specializes in ER/Emergency Behavioral Health....

245 Posts; 4,045 Profile Views

Thanks. They do a paper form of clinical for make up. We do 8 hour clinicals once a week for 12 weeks.

I am concerned about making it up. I am short of breath and my heart is racing. The temp is 101.1 after the ibuprofen and I can't take more for another 3 hours.

So I know that if I go she will most likely send me home since I look ill. I'm pale and diaphoretic, febrile and so on... It wouldn't be safe to exposed patients to whatever I have.

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82 Posts; 3,217 Profile Views

I've always had the motto of go in sick so they know you're not lying but I know in health care it's not realistic I would just keep them informed as much as possible.

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studentnursemon86 has 8+ years experience and specializes in ER/Emergency Behavioral Health....

245 Posts; 4,045 Profile Views

If my husband gets home and my heart rate and blood pressure are still as high as they are, then I will be going to the ER anyway.

I'm sure they will give me a note as proof( plus my professor is my instructor and she saw me today). She knows about the INH and the side effects.

I just don't want to get dropped from the program.

Despite all of this my grades are up (I have a high B).

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82 Posts; 3,217 Profile Views

I would just follow all the guidelines in your nursing handbook and hopefully you don't fall too far behind. The handbook should also have some guidelines on readmission to the program should you need it

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studentnursemon86 has 8+ years experience and specializes in ER/Emergency Behavioral Health....

245 Posts; 4,045 Profile Views

Thanks.

Yeah the guidelines say specifically not to come if you are ill with a fever.

This is my first (and hopefully only) missed clinical, so I think it will be ok.

I will do whatever I can to make it up.

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82 Posts; 3,217 Profile Views

That's good that you are putting school as a priority but don't forget to take care of yourself too!

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studentnursemon86 has 8+ years experience and specializes in ER/Emergency Behavioral Health....

245 Posts; 4,045 Profile Views

Update: turned out it was strep and I can't take Tylenol for the fevers because of meds I'm on for being exposed for TB. I was out of commission for the whole weekend.

My instructor was so nice! She gave me some work to do and I did it as soon as I could. All caught up and hopefully will never miss a clinical day again.

Thanks everyone for the advice and support :)

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classicdame is a MSN, EdD and specializes in Hospital Education Coordinator.

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it really does not matter if the instructor understands, as they have to abide by school policy. The important thing is to stabilize your health, then worry about school later. It will be ok if you have to withdraw for a term. Stressing out over school will not help you heal faster. I hope you are better soon!

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4 Followers; 37,661 Posts; 102,863 Profile Views

I was rattled one morning when on the way to clinical I almost met my Maker when another driver on the highway thought that his car should be in my lane instead of my car at 80 miles an hour. By the time I got to my destination I was almost ready for a trip to the ER myself. My clinical instructor gave me hell and sent me to the floor. I do not think she understood that 20 minutes to compose myself might have been helpful to both myself and my assigned patients. You sound too sick to work from my standpoint, but I see you running into a problem with being able to continue in clinical if you don't turn into "bright, chipper, and 100% healthy" overnight. Maybe missing one day will be enough, maybe it will lead to your downfall. You have to call the shots on this one and be prepared for the results. Good luck.

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