beth38

Terri, Thanks for your help. I guess I will find out wednesday what she really is thinking. I am suppost to meet with her with my printed copy. I will let you know how it goes if you would like. Thanks again

Terri, Hi again. I appreciate your input in this dilemma. I am currently finishing up with Med-Surg. And will be doing my Independent on a Med-Surg Unit at a different hospital from where we have been doing our present clinicals. I am just stumped with what she is expecting from me beyond what I have already indicated. Some of the Objectives I sent include. 1. My goal is to provide total care for 2-5 patients in a medical unit. In addition to receiving and providing report for each individual. By May 4, 2007 2. My goal is to complete two focused admission assessments, with concise documentation of pertinent data. If available by may...... 3.. My goal during Is to participate in and or independently insert a nasal gastric tube, administer blood products, and care for a patient receiving TPN. if avail. by may..... 4, My goal is to participate in discharge planning and teaching through collaboration with my preceptor and Case Manager. If avail. by..... 5. My goal is to demonstrate appropriate prioritization of medical care and nursing interventions by May..... She wrote back after this saying these were better and to print off a copy and bring it to school and we will go over them. How much more can she want. I have a couple more like IV insertion independetly. Any ideas? Thanks again for your help

Terri, Thank you for your reply. Amazingly I wrote a few of those as my goals and my instructor said that I should have accomplished these goals in clinical, and that if I still feel that I need goals such as running the pumps, IV insertion, Wworking on improving communication with other health care professionals that maybe I am not ready to do an Independent and should relook at my goals and if these are the things I need that maybe I should stay on the Med-surg floor for 2 more weeks instead. So now I am really puzzled. I thought I was still wearing the white lab coat with the patch that say's student nurse. If I am expected to know everything already why don't they just change my name badge to read RN, it would sure save me time and money. I am going crazy trying to figure this instructor out. Any ideas on this one?:chair:

Hi all. I think my brain has decided to take a break. I have to come up with goals for my Independent rotation and can't seem to focus to get this done. Anyone out there able to help? Thanks.

I did ask her and didn't seem to get a clear answer. Unfortunalely I can't go into to much detail on this post because I don't know if she reads this. I have one more clinical with her and then go back to a previous instructor who pretty much has already told me that she feel's that I am satisfactory in all areas, so I am going to bite my tongue and as previously posted take it one hour, second at a time. Just 12 more hours with this instructor, I will survive. Thank you for your reply.

Thank you for your response. I can understand if a student was in unsafe communicating this to another instructor. I have not told this instructor that I have a diagnosis of ADD and that I need that extra minute to think things through. I feel that if I do she will say well if you are in an emergency situation and don't have time to think thing's through what will I do? I have proven myself to my other instructors and they have given me all satisfactory's on my evals. I have one more clinical day with her and will be going back to a previous instructor who know's about this diagnosis and gave me satisfactory. Do you think I should tell her or just say that I know the information I just need a minute to collect my thought's and will get back to her?

Thank you all for the excellent advice. I think I take everything to heart, that is why I know I will make a great nurse. I care! I was initially thinking that maybe she couldn't find anything on her own so she read more into what the other instructor had to say. So now hearing your advise, I know my initial thinking was right. Sometimes it just helps hearing it from neutral ground. I think I will be able to survive one more 12 hour shift with her now. And will take all of this great advise to clinical with me. Thank you all!!!

Help Please. I will try to keep this short. I am in 4th semester in nursing, and in 3rd semester we were told that it was important to know our weaknesses. I informed my instructor that I felt that because I had been a nursing assistant for over 15 years that the Role transition was going to be a weakness for me. Well she decided to write that on my clinical eval and now it continues to haunt me into 4th semester. I was informed by my instructor that she felt I was having the biggest problem with role transition. I have the knowledge and critical thinking skill but it seems like I keep thinking about this comment and get nervous and blurt out information that is not related to the current situation. I guess I need help in trying to figure out what I can do to show this instructor that I have the information and that I see the whole picture in relation to patient diagnoses. Thanks in advance.

Please help. I am a nursing student and have been a nursing assistant for over 15 years. I will make this breif. In 3rd semester we were told by an instructor that we need to know our weakness. So I proceded to explain that I feel that I was having a hard time with role transition. Now that is haunting me. She wrote this in my eval and it was passed along to my 4th semester instructor. So know you know what she is focusing on. I feel that I have the knowledge to critically think in many situations and that I have the ability to put the whole picture together with a patients diagnoses, but this comment is hanging over my head and when I get nervous or feel rushed I blurt out things that doesn't seem to be what the instructor is looking for. Any suggestions as to what I may do differently to prove to my instructors that I do see the whole picture would be greatly appreciated.

In speaking with her last night, she said that last week she was reviewing her meds with the instructor before giving them to her patient and a particular med was to be given or held depending on a lab result. She had stated what the patients lab was and was going to double check with the doctor prior to giving the med. She said that the instructor made her nervous and she started to open this med but was not going to give it. Now the instructor is saying that it was intent to give and she could have killed someone. And that she is not practicing at 80% consistently according to the semester evaluation. THe hard part for her is that this instructor is also her advisor and she does not feel that she can talk to her. She has in the past tried and when tried to clarify something the instructor told her that she was just trying to rationize things.I just don't know what advice to give her. She is not going to be giving meds the last two weeks of the semester, it is observation and an hour teaching that she has left to present to patients. Like I said before, I am barely surviving myself, but I feel bad because she is an LPN and does practice safely. I just hope that she can make it through the next two weeks

I am currently in 3rd semester. One of my fellow students is having a really hard time with our instructor. I personally think it is a personality conflict, but the instructor has given instructions for this student to come up with a plan of action as to how she is going to prove that she is competent to pass in two weeks. Unfortunatley this student is not going to be giving meds or doing patient assessments within these two weeks. She will be observing in a adolescent and child unit and alcohol rehab unit. I have given her a few hints like keeping the instructor informed, writing up complete and accurate assessment paperwork. I am out of ideas, and staying to stay afloat myself. I was hoping that maybe someone out there might be able to help

I am writing this paper based on the professional issues that nurses face when a patient is in the beginning of or the middle of resuscitation and the family request to stay with their loved one. Is it unethical for a nurse to go over the request of a doctor to have the family leave and allow them to stay anyway? What percentage of hospitals out there have policies protecting the nurse in this situation and can action be taken against the nurse by the attending physician if this happens? I have finished my paper but am interestin in hearing others perspectives on this subject.

I have a legal/ ethical paper I am writing on this subject. From a nursing standpoint what do you think? Should family be able to stay in the room if a family member is in need of CPR?