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Nursing Students Student Assist

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I very often read posts on this board which complain about the staff nurses. I was a nursing student, too, and I know that such criticisms can be valid but you should know that a lot of us really dig having students around and look for opportunities for you to learn.

I work mid-shift (which means that my shift overlaps both days and nights) and I recently was helping out a colleague who had a student assigned to her. We had just intubated a patient and were tending to our post-tube tasks (e.g. OG tube, Foley, etc).

The student was just standing at the end of the bed so I looked at him and said, "Alright, time to do an OG tube."

He responded, "Um, I don't know if I'm allowed to when my instructor isn't around."

I replied, "Well, I don't know either. Please close the curtain and either come in or step out."

He closed the curtain and tentatively stepped inside at which point my colleague handed him the OG kit. He stepped up to the HOB and we talked a bit about NG vs OG, indications and contraindications, followed by guidance as to what to do.

A couple of minutes later, he'd dropped his first OG on an intubated patient.

I still don't know if he was or was not allowed by his program to drop the tube but those opportunities are relatively rare and I figured he should take advantage of it when it presented itself...

So, young Padawans, know that some of us staff nurses are actually invested in your learning... not because we have to but because we like to.

Specializes in Neuro, Telemetry.
This is how mine are as well. They are talking about switching up the format next semester and are "interviewing" 5 nurses to pair with 5 lucky students to trial a 1:1 student:nurse thing, but for now all ten of us at a time are just plopped onto the laps of the 4th floor nurses, whether they want us there or not.

And yes, the permission thing. It is frustrating as a student because as much as I want to learn, I have to ask. it is not always clear what we are and are not allowed to do (I have asked for clarification from my instructor and gotten nothing) so if I am ever unsure, I always ask. It's not worth possible consequences but I do understand that it may look to you, the nurse, like I am unsure of my abilities, don't want it badly enough, etc etc.

Your second paragraph pretty much explains why I have done things I wasn't sure I was supposed to do but just went for it. We get told we can do all skills we have done in prev semesters. I performed a simple skill from a prev semester (with my RN for the day of course) I them excitedly told my instructor about it, and got told it should have contacted her because even though I've done it before, I hadn't done it for her yet. I then contact her later for something similar but that I havnt ever done yet and she tells me to just do it and not ask. This is what confuses me. I get satisfactory for my clinical evals, so I know I havnt done anything bad, she just would have liked to witness me perform the skill I guess to ensure I'm practicing safety and following policy. It sucks thinking you know what you are aloud to do, and then find out after that you weren't supposed to. But I would never do anything from the list of skills we were told were grounds for dismissal because they are too invasive or too high risk to patients for a student to perform. I stay away and only observe from a distance. I have had a nurse get frustrated I couldn't do something when she offered, but it was one of the big "do this and you're gone" skills.

This is stupid. Please don't prompt students to perform procedures that they are unsure if they are permitted to do. It's really, really inappropriate. I would have wanted my instructor present for my first insertion of a feeding tube. Also, half the staff nurses in my clinicals (way back when I was in school) ratted you out to your instructors if you didn't perform up to par, and you would get an unsatisfactory score if they said something bad about you. It happened to me, and because of that, I did the least possible to get by -- just so I wouldn't get in trouble.
Got it... I'm stupid (stupid is as stupid does).

I guess I'll go back to leaving the students to simply watching unless their instructor is there to also watch.

Got news for you... whether the instructor is there or not, I'm still supervising the activity... not the instructor. It remains my patient and, frankly, I have no idea whether or not the instructor knows what they're doing and I'm not trusting my patient to them.

Then again, I'm doing stupid things...

Of course, you're the one who "did the least possible to get by..." so who's to say who should be wearing the pejorative label...

I do understand that it may look to you, the nurse, like I am unsure of my abilities, don't want it badly enough, etc etc.
nah, I don't think much about it... I look for educational opportunities, either a SEE ONE, or a DO ONE... but from there it's up to the students and the program... it's really nothing to me either way if they accept or decline... though it's quicker and easier for me if they decline.
it was one of the big "do this and you're gone" skills.
So what are those?

When I was in nursing school (2007-2009), by second semester, we were allowed to do anything that the staff nurse was willing to supervise and assume responsibility for.

Wow OP... You really showed that male nursing student who the boss is...everyone covered all the bases during their replies, so I am going to bring in a new angle. Did you do that because the student was a male...and if so, how did your test make you feel :nailbiting:

Sorry guys, as a new nursing student I'm suppose to internalize all the words to formulate my critical thoughts... So I am picking on the word "he" in the OPs post. Developing my skills so to speak, you feel me???

Specializes in Emergency & Trauma/Adult ICU.
Sorry guys, as a new nursing student I'm suppose to internalize all the words to formulate my critical thoughts... So I am picking on the word "he" in the OPs post. Developing my skills so to speak, you feel me???

Nope, I don't feel ya ... as in, I have no idea where you're going with that.

OP is male ... is there going to be gender commentary on that, as well?

Specializes in Neuro, Telemetry.
Wow OP... You really showed that male nursing student who the boss is...everyone covered all the bases during their replies, so I am going to bring in a new angle. Did you do that because the student was a male...and if so, how did your test make you feel :nailbiting:

If your going to "bring a new angle" please at least do so constructively. I dont see anywhere where the OP implied that she needs to feel dominant over males, or that anyone was treated for what sex they are. For all we know, the OP could be a male. I dont remember what gender they are honestly. And you second post just makes no sense.

Specializes in Neuro, Telemetry.
So what are those?

When I was in nursing school (2007-2009), by second semester, we were allowed to do anything that the staff nurse was willing to supervise and assume responsibility for.

We are not aloud to touch or do anything involving a CVC line of any kind. We cannot spike a medicated bag of fluid (this will be aloud next semester), we cannot IV push medication (again, this will be aloud next semester), we can not drop NG/OG, or do trach care until after we have been checked off in class (which will be in the next few weeks). Basically if we practice something we havent learned in class yet, push a med, or participate in a very risky/invasive procedure, we could be dismissed. But basic care, foleys, IVs, suture and staple removal (with instructor the first time), and stuff like that is aloud, the instructor just wants us to text her first so she has the chance to observe if she is available. What I did that "wasnt aloud" was 2 things that I hadnt been observed by the instructor yet, but werent on the no no list. I thought our program wa strict about what we can and cant do until I saw some of the other PPs that can basically do nothing. Geebs.

Specializes in Neuro, Telemetry.

Also, in your defense against people saying you shouldnt push procedures on students. I think that is terrible. Then students will never learn if all nurses didnt offer anything. What my instructor told us is that nurses will offer things to us all the time (teaching hospital and they really do offer us a lot and seem to enjoy having students) and it is our job to know our scope and what skills we are aloud to perform with/without an instructor present at all. Our nurses see students from block 2 to block 4 and all of us have different skills we have been checked off on. So they offer, and it is our job to know ahead of time what we can accept and practice. If you had offered me the OG, I would have let you know I am not checked off yet and asked to observe if aloud. If the student was unsure, they could have told you no. Due to my two errors in judgement in accepting a skill I wasnt supposed to do yet, I usually juts tell the nurse in the morning what I am aloud to do, and then ask what they anticipate doing that day so I can clear it with the instructor early. Then it doesnt get to the point of being on the spot and not being sure. And honestly, if its not something I can get dismissed for and may just get a stern talking to, I am probably going to accept the offer to practice the skill for the experience and just deal with the consequence later. I wouldnt ever do something to get dismissed though. And again, that is us as the students responsibility to know, not yours as the staff nurse. I still thinks its fantastic that you offered the experience and definitely feel you should just keep on doing what youre doing and leave it up to the student to know what they are aloud to do.

Specializes in Trauma, Teaching.

Mrs. Boots, I think your spell checker is jinxing you! Aloud means out loud, sound; you want allowed as in permitted. I wouldn't ordinarily say anything, but if your checker lets that go through on a note to your instructor..... let's just not let you get sidetracked by it.

As to what you can and can't do, always best to be clear on it. Sounds like you have a good handle on things.

Specializes in Neuro, Telemetry.
Mrs. Boots, I think your spell checker is jinxing you! Aloud means out loud, sound; you want allowed as in permitted. I wouldn't ordinarily say anything, but if your checker lets that go through on a note to your instructor..... let's just not let you get sidetracked by it.

As to what you can and can't do, always best to be clear on it. Sounds like you have a good handle on things.

Ha. Sorry, I do a lot of my commenting from my phone and dont always check what gets changed or what I just flat out misspell in my haste. Terrible, I know and the grammar nazis probably hate me lol. But I definitely make sure to proof read all correspondence to instructors and such so I dont look as silly to them as I probably do here sometimes.

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