Requesting No Students During Orientation

Nurses General Nursing

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So, I just began my first nursing position about a month and a half or so ago. However, I have not spent much time on my floor because I have been attending classes, Department of Nursing orientation sessions, attending ACLS, taking competencies, and the like. The few times that I have been on the floor, a majority of the time my preceptor and I have been assigned to work with a student, as well. Now, I know that as a nurse I will be working with students, which I don't have a problem with. In fact, the times that I have worked with a student, I have rather enjoyed it and am looking forward to working with them. The thing is, though, is that tasks that I need practice doing and experiencing are often delegated off to the students, especially since, for the past year, I worked as an ECG technician, and did not have any clinical experience while completing my BSN degree (I graduated with my ADN last year). Often times, tasks are delayed because we are waiting for the student to complete them, which doesn't help with my time management skills. It has become evident that my skills have been weakened because of this break, although, mind you, they are still there, and my charting is, while still very accurate and detailed, not up to the speed it once was.

I was discussing this with my Nursing Education Specialist and Nurse Manager, and they both agreed that I could benefit from clinical time with no students. They did not feel that it was a rude request, and there are plenty of other nurses, with more experience, that can work with the students until I get acclimated to the unit and doing nursing work again. At the same time, I do have to wonder about the fairness of this request, and whether other nurses might find it rude that my preceptor and I are not working with any students. After all, taking on students creates extra work for them, as well, especially if they have more than one to work with. I do not want to create resentment in my new work environment. Additionally, it makes assigning patients more difficult for the instructors of these students, especially since they will have to avoid assigning students to the patients I will be working with. Lastly, I'm possibly taking away some experiences for the students to have, since they won't be assigned the patients I will be.

What are your thoughts? Is this rude or not?

Specializes in Psychiatry, Community, Nurse Manager, hospice.

This is not rude. I am a student, and my clinical instructor said that we would not be paired with anyone on orientation.

I'm on orientation, and I have students pretty much every week (they're only on the floor one day each week). There have been times when I've had students for up to three of my patients. I seriously love the students, and hope to precept one day when I have more experience. But I must say that having students (especially multiple students) can make it hard to get into a good rhythm and keep things moving. Because I've pretty much got the patient load at this point in my orientation, it means I'm the one working with the students, not my preceptor. I would love to be able to say not right now to having students, but that doesn't seem to be an option. At least last week, I only had one student for one patient.

Specializes in Cardiac/Telemetry.

In my hospital, students come to the floor the night before to select their pt's for the next day. They are required to prep before the shift. RN assignments are made the morning of the shift and the charge has no idea which pt's the students have selected. I have a 4th semester student nurse Preceptee and our assignment included a 3rd semester student that had selected 2 of our 5 patients. I had to tell the student that my Preceptee had priority with med passes and that would pretty much be a CNA for the shift. Because we were short and had an extra patient, I offered the student the option of doing a med pass on 1 of the patients she had chose the night before with her instructor. It worked out OK but was not ideal for any of us.

Specializes in Emergency, Trauma, Critical Care.

If I saw another run with a orientee and a student id prob offer to take the student off their hands...that just slows things down too much. You'll never be on your own with two to the mix. I'm surprised your preceptor agrees to both.

Orientation is not the time for student nurses. This is the only orientation you are gonna get at this facility and sharing tasks with students is going to suck time away from your learning.

Don't feel guilty one iota. Don't let your 1:1 time with your preceptor be compromised if at all possible.

It is not rude what so ever. You are the priority as a new employee and you should be getting that experience, especially if they expect you to be on your own soon. Those students will eventually become nurses and will have their own time to build their skills just as you are now. You are not taking anything away from them, promise.

NO this is not rude! When I am precepting a new employee I am always clear that my expectation is to not have a student also. I feel that it is extremely unfair to the new employee to put them in that position. While the institution may receive a stipend from the school ( I don't know), the hospital's primary interest is to orient the new employee. As a staff nurse, I resent being expected to teach both an orientee and a college student at the same time.

Very legit concern. As a nursing instructor, when making clinical assignments, I tried not to put a student and an orientee together. It usually worked. If there was a procedure that the orientee needed to do to complete the orientation checklist--that took priority over the student experience. There was also multiple opportunities for both the new nurse and the student in the facility I was in.

Specializes in Med-Surge; Forensic Nurse.

I don't think this request is rude, at all! I can hear and feel your sincerity, but, you ARE a nurse, too, and YOU are in an orientation period, too. I don't think an orienting nurse should be sharing a preceptor/instructor with students, at the same time. If you think about it, this is why there are clinical instructors-to be with students; preceptors to work with LICENSED nurses. There is a rationale for having different instructors/preceptors so that each person/group has a dedicated trainer and that trainer will be able to meet the needs and level of service for those students.

No, that is a good request. I assigned a student to a nurse once after speaking with her and asking if she was comfortable with a student and it was fine if she was not. She said yes. A mistake was made by my student and come to find out the nurse was 3 months out from graduation. Lesson learned. I assign my students to pts now and ask them to get me to go with them for anything.

No, that is a good request. I assigned a student to a nurse once after speaking with her and asking if she was comfortable with a student and it was fine if she was not. She said yes. A mistake was made by my student and come to find out the nurse was 3 months out from graduation. Lesson learned. I assign my students to pts now and ask them to get me to go with them for anything.

Yep, that would be the clinical instructor's job!

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