mimi225

that document is a graded evaluation not a paper or any kind of extra work. that graded evaluation is not a requirement for that course. She made it up. we are not allowed to have extra work to boost our grade up. n

exactly, the document is part of my grade and no one in the class has that kind of document but me. I have a midterm evaluation however,some part of the midterm evaluation is not met then a remediation should be provided.so then she made up an evaluation document but it is not stated in the syllabus. I knew it was not part of the course because some classmates told me they dont have that kind of graded document.

I wrote a comprehensive document in response to the instructor's criticism. I also stated that providing a graded document as part of my evaluation is not required in the course. thank you for your input.

I was the only one got this document because the instructor failed to do an evaluation during the course and she was just doing it now because of the appeal.

I appealed for my grade and the instructor enclosed a graded evaluation document that I did not know or aware of the existence of such document. besides it is not a requirement in the course. when an instructor violates the stated grading policy, is that considered discriminatory practice?

request to have some ER rotation. Most IVs are started in ER. floor nurses do not get the chance to start IV's that often.

thanks..

very emotional

there is a Right AV shunt on the right Arm. and L mastectomy 5 yrs post op. Neither arm are appropriate for BP so leg is the last option but with hx of DVT/ hardening of arteries and legs are 10% to 20 % higher reading in systolic. also with 350 lbs weight.

I repeated this clinical because I failed my theory (got 82%) the passing grade is 84%. they both go hand and hand. I passed this clinical before with an A. If I fail one and pass the other I still have to retake both.... thanks and It is a great lesson for me. next time i will validate it with my instructor rather than the primary care nurse.

there wasnt any confusion. The R arm has an AV shunt so I can't take BP on that side. So the left was the safer side to take BP compared to the R. the other option was take it on the leg but the concern was how accurate the reading is? the patient is obese and no cuff size that fit.

thank you

incident as a student nurse, I was assigned to a confuse pt and started pulling, pressing and biting the call light. the family was at the bedside and asked to unplugged the call light bec. she may get electrocuted so I did after I talked to the primary care nurse about the situation and she was find w/ the idea. Also,r instructed family to notify the staff when they leave. then the next issue was, I had a 350 lbs pt w/ R AV shunt and L Mastectomy 5 yrs ago. she has a Left anterior chest wall perma cath and Left IV inserted in the hand. phebotomist was drawing blood on the L arm as well. there was a note posted on the wall " Do not take BP on the R arm". So the staffs had been taking BP on the Left and so I did too since no signs of edema on that arm..then the instructor deemed me unsafe for taking the BP on the L bec. of the risk of lymphedema. the instructor said I should be taking BP on the leg the pt was on anti-hypertensive meds. with Hx of DVT and Clot and hypertension is leg the best place to get an accurate BP prior to medicating? So........... I was deemed clinically unsafe.... thats my :twocents:story Evaluation/comment by the instructor "This information is based on the Fundamental level of nursing and information that you should know. My concern at this time is that you have forgotten basic nursing knowledge that affects patient safety. This is information that I am not truly responsible for teaching a 5th term student. Your knowledge base regarding the basics concerns me and I am responsible for the safety of the patients as well as myself.You should ask yourself, How would I feel if a nurse disconnected my husband's call light and left the room?How would you feel if your mother had a mastectomy and the nurse decided that she could take her blood pressure on that arm when she should have known not to? At this time it is unfortunate but you made these decisions. These decisions were detrimental within the profession of nursing and could cost the patient as well as myself. Your decisions are not based on my approval. I am unable to confidently say that you are able to provide safe and competent care as a Registered Nurse. This lack of knowledge will require your understanding of the Fundamentals of nursing."

"this information is based on the fundamental level of nursing and information that you should know. my concern at this time is that you have forgotten basic nursing knowledge that affects patient safety. this is information that i am not truly responsible for teaching a 5th term student. your knowledge base regarding the basics concerns me and i am responsible for the safety of the patients as well as myself.you should ask yourself, how would i feel if a nurse disconnected my husband's call light and left the room?how would you feel if your mother had a mastectomy and the nurse decided that she could take her blood pressure on that arm when she should have known not to? at this time it is unfortunate but you made these decisions. these decisions were detrimental within the profession of nursing and could cost the patient as well as myself. your decisions are not based on my approval. i am unable to confidently say that you are able to provide safe and competent care as a registered nurse. this lack of knowledge will require your understanding of the fundamentals of nursing." word for word comments/evaluation of my instructor

I achieved A's and A-'s on my previous clinicals. This is a re-take clinical and this time, I failed it because she deemed me unsafe with the BP and call light incident.