I write this at the near end of a 35+ year nursing career. From my beginnings in Education in 2007 until now, I have watched and waited and hoped that more nurses would enter the field of education. While this may have happened to some degree, the number of students and number of educators leaving has outpaced the incoming instructors. Now we have many more adjunct instructors (clinical) than full time faculty, due largely to the serious pay cut from a bedside nurse to a fulltime educator. Covid has smacked us in the face with that reality. So here's the problem, much like that patient with paroxysmal SVT who needs an ablation to correct his/her dysrhythmia, the nature of clinical nursing is at that point. So, a clinical instructor has 10 students on a med/surg/pcu floor and maybe they have a total of 30 students in one week. The first couple weeks of clinical you must identify the high performers, the in betweens and the ones that you will need to spend more time with because they are Covid era students. Now 10 students who are all prepared the same, with backgrounds in health care, possibly an LPN and otherwise familiar with the hospital setting would be wonderful. But that is not the reality...two of the ten are not in health care, three of them are repeaters from last semester, five of them have accommodations for exams and maybe three are already doing an RN's job as an LPN.
Thankfully some facilities are allowing students back into observation areas which takes away some of the pressure of having ten students to watch (but remember, you must ensure their objectives are met and maybe go see them during observation). So, now, five years down the road, managers are seeing that the needed skills for orientation are not there, I.e. giving adequate patient handoffs, understanding charting, never speaking with doctors or even becoming comfortable around them, etc., so we stop observations again to help ensure that those skills are focused on again. And we are back in the same boat or messed up conduction system!
I would have loved to have gotten $100 an hour in an ICU where I worked for 21 years and I do not begrudge those nurses who have stepped up and exposed and sacrificed their lives for patients. But I'm wondering what sort of event will ever make teaching nurses more attractive so that these conduction problems can be avoided? Anyway, that's an old man's damn opinion, and I still love my job, but it needs an ablation!
I write this at the near end of a 35+ year nursing career. From my beginnings in Education in 2007 until now, I have watched and waited and hoped that more nurses would enter the field of education. While this may have happened to some degree, the number of students and number of educators leaving has outpaced the incoming instructors. Now we have many more adjunct instructors (clinical) than full time faculty, due largely to the serious pay cut from a bedside nurse to a fulltime educator. Covid has smacked us in the face with that reality. So here's the problem, much like that patient with paroxysmal SVT who needs an ablation to correct his/her dysrhythmia, the nature of clinical nursing is at that point. So, a clinical instructor has 10 students on a med/surg/pcu floor and maybe they have a total of 30 students in one week. The first couple weeks of clinical you must identify the high performers, the in betweens and the ones that you will need to spend more time with because they are Covid era students. Now 10 students who are all prepared the same, with backgrounds in health care, possibly an LPN and otherwise familiar with the hospital setting would be wonderful. But that is not the reality...two of the ten are not in health care, three of them are repeaters from last semester, five of them have accommodations for exams and maybe three are already doing an RN's job as an LPN.
Thankfully some facilities are allowing students back into observation areas which takes away some of the pressure of having ten students to watch (but remember, you must ensure their objectives are met and maybe go see them during observation). So, now, five years down the road, managers are seeing that the needed skills for orientation are not there, I.e. giving adequate patient handoffs, understanding charting, never speaking with doctors or even becoming comfortable around them, etc., so we stop observations again to help ensure that those skills are focused on again. And we are back in the same boat or messed up conduction system!
I would have loved to have gotten $100 an hour in an ICU where I worked for 21 years and I do not begrudge those nurses who have stepped up and exposed and sacrificed their lives for patients. But I'm wondering what sort of event will ever make teaching nurses more attractive so that these conduction problems can be avoided? Anyway, that's an old man's damn opinion, and I still love my job, but it needs an ablation!