jennaroo

I apologize about the paragraphs....I was on the unit with 3 fellow classmates

I am so grateful, for all the advice and different perspectives.

Thank you, I love this advice! And you are right, she really is an amazing instructor even though she upset me. I have most definitely brainstormed on how I can do better moving forward. Like I said before, I really am trying to use this as a learning experience and turn it into something positive.

Thanks for the support and advice guys, the different perspectives are very helpful. I am feeling much better about the whole thing and doing my very best to turn it into a positive experience and just move on.

Thanks for all your support, I feel a bit better after reflecting throughout the day......tomorrow is a new day and what happened in clinical does not define me. I will continue to strive for the best and to do what is in my patients.

I had the worst clinical experience of my life yesterday, and my only hope is that when I graduate and begin my career as an RN that I can one day look back on this experience and laugh it off or at least brush it off?? I was completely humiliated during my OB rotation yesterday for being an 'overachiever'.... My clinical instructor used to work on this unit and will return to work there again at the end of this semester, so needless to say this unit is her baby. My humiliation began when my clinical instructor picked up my care plan I was working on at the nurses station as there was only one laboring patient and that was what I was supposed to be doing for the time being....anyway she picked it up and asked is this one nursing dx? I said yes....so she turned around showing my paper to the other staff nurses and said 'this is freaking ridiculous'...she continued to tell me that it was unacceptable and not how we write nursing dx's and we'd have to have a little conversation. Being that I'm a second yr student, I was super embarrassed. She apparently went to a dif part of the unit announcing why she needed an empty room before she came back and said we needed to have that talk. So upon entering the room, I felt she berated and belittled me for just over 20 min when a simple this is excessive would have sufficed. What I had done was a risk for post-partum hemorrhage based on the following risk factors and I bulleted the risk factors that applied. Now I realized that care plans need to be patient centered and typically you'd only want to add what applied, but this mom was laboring beautifully and there was really no problem other than the normal risks that could apply, so I added them all to be thorough. I can't even begin to tell you how badly my instructor talked to me, I felt less than an inch while trying to fight tears so hard that I could hardly catch my breath. I'm an A student and not accustomed to this, so it was quite a shock. To add insult to injury, one of the biggest reasons I was crying is that even though this particular instructor has a reputation for being tough, I thought she was a great teacher and I really respected and looked up to her. I guess I could have understood the way she handled the situation if I had done something unethical, illegal, unprofessional, or unsafe……but I didn't….I simply made my nursing dx too long. The punishment hardly fit the crime. To make matters worse, my instructor had zero sensitivity and/or sympathy or empathy for me or my tears, instead she said tell me you are not crying about this....are you crying about this, why are you crying right now? Then I felt like I had failed some sort of test of strength and character for crying. While I understand that becoming a nurse is a huge responsibility as people will depend on me and many lives will be in my hands and it is the instructors job to ensure my readiness for this responsibility, I felt like my instructor's actions were uncalled for. I say this because once I entered the room she explained that she had not wanted to embarrass me at the nurse's station, which was too late at that point......and it was also a lie as once I was dismissed I asked if I could be excused to the restroom to gather my composure and while I was in there she apparently told the nurses 'if my student is crying it's because she got in trouble'……this coming from my nurse. As if that weren't bad enough, I walk into the break room 20 minutes later to inform her I was leaving the floor for lunch and she was in there talking about me and my care plan and how ridiculous it was and would have been painful to read, while laughing about it with nursing staff. Before end of my shift, it felt like the whole unit knew and while I tried to be professional and put it behind me I continued to cry throughout the day due to multiple staff members and fellow students asking me if I was ok or telling me they were sorry. I am not so naïve that I do not realize that as a nurse I will occasionally put up with poor or unprofessional behavior by fellow staff or providers, however, when lines are crossed there are procedures to follow. As a student, I am not sure if it would be beneficial or more detrimental to report my instructor. I am still so hurt by the whole thing as I pride myself on striving for excellence and I felt I was ridiculed for it, and the worst part is this was at a small hospital on the very unit I wanted to apply to more than anything, which my instructor knew. I have a post clinical mtg with my instructor Monday and to be honest I'm super nervous as I'm not sure I can handle more negativity. I'm also scared I will fail professionally in my clinical for crying. This experience has made me question if my skin is even tough enough for nursing, I'd like to think so as this was an isolated incident, but I feel maybe it hurt me more than I should have let it? I guess what I'm looking for is different perspectives……and advice on how to move on. The whole thing was just so humiliating that I'd have almost rather eaten broken glass than to return to that unit after lunch yesterday knowing that I was the laughing stock…..let alone apply to my dream job.

Meanmaryjean, thank you so much, that is also a great suggestion.

Thank you WKShadowRN, BSN I will do that. I appreciate your help.

Hi guys, I am in my third semester of nursing school and currently putting together my very first community teaching project, which I will be doing for an elementary school. I am super excited! However, I am stuck, I have all these creative demonstrations and visuals for my teaching one of which includes a poster using a mnemonic with the word GERM, since my topic is preventing the spread of germs. My problem is I used a thesaurus and came up with a bunch of relevant words for each letter, however the ONLY mnemonic I could come up with using these words seems like it might not be age appropriate for the younger kiddos in the school. My mnemonic is: G=germs E=enter our bodies, R=reproduce and M=make us S=sick I was hoping you awesome allnurses ladies could help me create a more age appropriate mnemonic using this words, to help kids remember what they do or how to prevent them, ect. FYI....I give credit where it is due, and will give credit in my report, as to where/how I came up with the mnemonic, as I did for all of my research for this presentation.

Hi there, first off I am sorry that you feel so embarrassed. Secondly I want to share with you that you are NOT the only person that faces such anxiety's....we had to do the same last semester and there was a girl in our class with bad tooth decay, whom obviously was embarrassed to have fellow classmates looking around in her mouth. Your instructor is most likely putting your class in the vulnerable position of being assessed by one another, not only to have you practice assessments on a real human being.....but also to put you in your patients shoes. When you are in clinicals as well as a nurse one day, you will see your patients with much worse embarrassments than nail fungus. Many are completely exposed in ways they would rather not be....try pooping in front of someone.....anyhow, it is very important that you understand how the patient must feel....when you think of it that way, nail fungus will seem like small fries. Don't miss the opportunity in lab, just do what the previous poster said and keep your socks on....you can tell your classmates you don't like your bare feet touched....no one will think a thing of it.

well you seem to already have 1 nursing diagnosis (at risk for impaired skin integrity)....the next step is to explain 'why' ie. at risk for impaired skin integrity related to ........ I am curious though.....is your patient 'actually' immobile, or just unable to move without causing pain, because immobile and limited mobility are two very different things. the trick to writing nursing diagnosis is to chose a nursing diagnosis that applies to your patient and explain 'why'. Additionally we are always taught that if it is an 'at risk for' nursing diagnosis then you use the term 'related to' to explain why.....if it is an actual occurrence (ie. acute pain) then you use the term 'as evidenced by' to explain why. Make sense? Additionally I see the opportunity for additional nursing diagnosis, think about what happens to your body during and after surgery....... Are you just required to come up with a diagnosis or nursing implementations as well?

Sooooooo what the heck are you supposed to do when you get your period???? wear a tampon for 12+ hours and get TSS.....bleed through a pad and sport a red spot on your bottom?!?!?! I'm afraid student or not I'd tell her I was going to the restroom with or without her permission and wish her luck telling my attorney she was throwing me out of school for using the toilet or taking care of my girl needs......

Easy fix= quit looking in the student post if it bothers you o badly...... just a bit of critical thinking....

possible nursing dx: Ineffective self health management AEB refusal to comply with or allow interventions (ambulating), that would reduce risk factors that could induce or increase poor health. You could also use: impaired gas exchange risk for impaired skin integrity risk for activity intolerance knowledge deficit risk for infection risk for constipation However, the first one would be my one of my priorities if his vitals remained stable, his airways patent, continued to deny pain and showed no sign of infection, as most of the other nursing dx's could be eliminated by effective self health management