Thank you. The problem is that I really didn't get any direction. I received comments such as, "I need senior level work" or, "elaborate more". Even speaking to the teachers face to face didn't help. Now I have to admit that on the last care plan I made a huge mistake, which they stated showed that I did not know the nursing process. The first care plan for that week I had Impaired skin integrity ( I don't remember the R/T) the AEB was the two surgical procedures the patient had and I also don't remember the other two AEB. The last clinical instructer stated that she feels that I got an unsatisfactory from the other teacher because my interventions and rationales leaned more toward the infection diagnosis. Her exact words was, "I would write Infection secondary to inpaired skin integrity R/T the surgical procedures, abcess, and temperature off 100.4". Well, there is no nursing diagnosis for Infection, because that is a medical diagnosis, so I used Risk for Infection (although my patient had an infection) and everything else my teacher said. Well, I dinged on that one too because I listed a "slew of AEB" (her exact words), which is not appropriate for a Risk diagnosis. I believe that I was so frustrated over the whole ordeal that I really did not think of what the teacher was sayiing when she gave the advice. And since I am always told to write more, I just listed everything I could think of about the patient, to make the care plan satisfactory. What made me more furiious was that the other instructor said that the first care plan (Impaired Skin integrity) was fine. Sorry if this is too long.
