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Possibly. Maybe the attitude was a cover-up? I doubt it. I think some people may just have "strong" personalities. Very odd for a student though. No offense to anyone but I think the STANDARDS (or lack of) of some nursing schools have also significantly decreased during the pandemic. This wasn't the first student we've seen who seems to have just gotten by by taking online tests and never going to class, reading their books, and interacting with anyone. Maybe having their school-aged children write their papers for them. I remember having a lot of essays to write during school and it's surprising to see people who can barely type or organize their notes, make it to their last semesters ?

This student has contacted their coordinator regarding taking the semester off. That answered a lot of the questions. Is anyone else not able to edit or delete their posts?

Any tips? I've been assigned a last-semester clinical student who is a mature student. She's great with patients care because she has been a CNA/PSW for many years. However, she has some issues with organization, professionalism, and ATTITUDE. 1. In terms of organization, she often misplaces her sheets, needs to borrow a pen, or doesn't have the proper paper work ready for me such as her hours sheet that she's supposed to hand in every week. 2. In terms of professionalism, she's been late a couple of times with no communication. She just shows up in the middle of report or often several minutes late. Never early. (Although most nurses on my unit unfortunately show up late, I think she's picked up on it and is proudly doing the same). She's also picked up several personal calls on her cellphone while she's charting. 3. Her attitude is the worse... the way she talks, it's as if she's the boss of me or something. She would say things like "Open this" or "Read this for me" or "Come with me to this room" literally without a please or thanks or even phrasing it as a question. She's literally just making demands. I tried to give her the benefit of the doubt as I figured communication is not her best suit but she is also very relaxed and chatty and loves to say things like "yeah, I know I know" since she's been a CNA for many years. She's also made it clear that she doesn't want to be a nurse but yet she's here, spending her time on clinical with a chip on her shoulder it seems, doing the bare minimum. She's voiced that she's mostly just here to learn to give medication as she seems to know everything's else. Has anyone else experienced students like this?

Good for you for making the decision to resigns. You need to take care of your overall health before you can provide the best care for your patients. I wish you all the best!

I work with some strong amazing PSWs who make all the difference during a shift and know the residents better than me, in some ways, since they've been working with them for over a decade. I also work with a couple who seem to have a chip on their shoulders (or just plain lazy) and think nurses "Don't do anything." They seem to question all that you do and expect you to attend to every little call they need (and they seem to need a lot). Maybe some people just get frustrated with their work and think the different roles in the healthcare setting are unfair. I also know nurses who expect managers and doctors to "Do more" and even bring up their salaries. People don't understand that unless you get the qualifications to have certain titles then you should know your role and just do a good job without expecting those in different roles to do your work for you.

I agree that LTC is way more stressful. It's pretty much psych without resources and staff. Good luck.

Depending on your facility, night shifts in LTCs can be very demanding. You will probably be in charge of 60 (if you're lucky) to 80 residents who are cognitively impaired and do not sleep at night. Your interventions will be to "redirect" although it is not physically possible to be with multiple patients at once. LTCs are very political about their prescription of sedatives and antipsychotics so get ready to have no pharmacological support as an intervention. Your health care aids/PSWs will probably be understaffed and overwhelmed as well so you will have to do bedside care for several patients while doing scheduled meds, wound dressings, feeds, assessments, orders, falls, etc. Since nurses in the LTC do not physically work together, there is usually poor teamwork and may often lead to hostility and frustration in the form of daily b!tching, complaining, and "You should have done this..." etc. etc. That is the reality of LTC nursing. Try to get into the hospital.

I've worked in both LTC and hospital and LTCs are a joke.