Some of Us Are Trying to Help You...

Published

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 Mental Health, Gerontology, Palliative.

You remind me of a preceptor I had at a rural GP practice. One day she offered to teach me how to put an IV line in using her as the practice. I got both in first time. Again, probably not something that should have been done without a clinical instructor however awesome opportunity for learning from a very good nurse

Specializes in pediatrics, occupational health.

Wow, this discussion is way out of control! When I read the OP, I thought it was great! I am really glad that there are other nurses out there that want to teach and help the nursing students! I don't see how anyone could get mad at that!

I also do not believe it is the nurse's responsibility to know what students can and cannot do. If the student says they can do a task with the nurse, great. If not or unsure, I may be iffy on allowing them to do it, but would rather they just observe closely while I do the task and explain it in as much detail as is needed.

Some hospitals have rules in place on what students can and cannot do, so the nurse needs to be up to date on that info. For instance, my pediatric hospital will not allow students to place IVs for instance, but the student CAN help tape and hold the patient....

So, really, what is all the extra fuss for?

I just always want to teach and help student nurses because I remember where I came from, and know what they are going through!!! As long as a student seems willing to learn, I am willing to teach! :D Best of luck to all y'all in school!!!

Specializes in ICU/ Surgery/ Nursing Education.
You remind me of a preceptor I had at a rural GP practice. One day she offered to teach me how to put an IV line in using her as the practice. I got both in first time. Again, probably not something that should have been done without a clinical instructor however awesome opportunity for learning from a very good nurse

I do this for every nursing student that has a day rotation through the surgical unit. They may try all day for a successful start and not get it on patients. I feel that their unsuccessful attempts are great learning, but they should also have a successful attempt to round out their day. One student stuck me three times before a successful attempt. The student left with a little more confidence.

Specializes in Hospitalist Medicine.
That was good of you, but we were told that we can be failed out of the program for doing stuff without an instructor present. We were told that staff nurses do not know what we can and can't do and that it is up to us to know. I would have been leery like that student was and probably would have asked my instructor. That's just me though. It's not worth getting kicked out of my program and ruining my career over.

^^^This^^^

If we haven't been checked off on it in skills lab, we're not allowed to do it. And if it involves meds, we're never allowed to do it without the instructor present.

When I was helping out in the ED, the doc asked me to start an IV and give morphine to one of our patients. When I said I'd go get a nurse because my instructor wasn't available, he said "I'm giving you permission to do it". While I would have loved the opportunity to do it, I didn't want to run the risk of getting kicked out of the program. It's such a fine line you have to walk. If we weren't so restricted, I'd jump at the chance to do it! :)

Specializes in CVSICU.

I think the general rule for students:

1.) KNOW what your "scope of practice" is. (Know your educational institution's rules & the hospital's rules)

2.) Be PROACTIVE and search out/request opportunities within your scope (just don't be annoying or intrusive)

Make the most of your clinical experience! Do this by knowing your limits and scope while actively participating in patient care and searching for opportunities to practice new skills.

I'm just finishing my degree (just waiting on final grades in October). At the University I go to, we are told that if an RN is willing to take responsibility for us, we are allowed to do anything under RN supervision. with the exception of medications... silly thing is, i was able to give subcuts before i was allowed to do eye drops.. figure that one out. lol

My different angle was just meant to spruce up a little out of the box direction to the post... The way I see it , how many times can we say that the OP took advantage of an opportunity to educate , and in doing so, became an awesome nurse for nursing students everywhere... Or, the obvious, the OP put a student in a precarious spot of furthering skills at the risk of possible dismissal to a program. Essentially, how many different ways can we say the same thing... So I brought the gender issue into the post, to break up the monotony...Oops, what was I thinking, that's not a real world issue right. And to the person that said the OP is a male blah, blah, blah.... Yeah, males never take advantage of opportunities to try and put other males on the spot

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:
What are you talking about?

I didn't show him "who the boss is," I simply offered him the chance to learn something.

Male v. female... makes no difference to me... This just happened to be a guy...

My "test?" Again, what are you talking about? I administered no test...

Specializes in Emergency & Trauma/Adult ICU.
My different angle was just meant to spruce up a little out of the box direction to the post... The way I see it , how many times can we say that the OP took advantage of an opportunity to educate , and in doing so, became an awesome nurse for nursing students everywhere... Or, the obvious, the OP put a student in a precarious spot of furthering skills at the risk of possible dismissal to a program. Essentially, how many different ways can we say the same thing... So I brought the gender issue into the post, to break up the monotony...Oops, what was I thinking, that's not a real world issue right. And to the person that said the OP is a male blah, blah, blah.... Yeah, males never take advantage of opportunities to try and put other males on the spot

That would be me.

So we were having a discussion of nursing students showing initiative for seeking out opportunities to develop skills vs. being discouraged from doing so by the policies of their educational programs.

Whatever concept you attempted to bring to the discussion - I don't have a freaking clue.

No, not digging it.

Specializes in Gerontology.

I think expecting nurses to know what students can/ cannot do is unrealistic. My unit gets students from 6 different institutions. Throw in the fact that some are RNs and some are RPNs and it just becomes more confusing. I can't remember who can do what and when.

So if I offer an opportunity to a student to do something, it is up to,them to say Yea/No/ can I have a minute to check with my instructor?

Some instructors will fail you if you do a procedue without their approval. It's a liability issue, unfortunatelly this causes students to have few learning opportunities. Some CA hospitals wont let students do IV.

Specializes in Critical Care, Float Pool Nursing.
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.[/quote']

That's fine.. you aren't the instructor. Stop looking for educational opportunities. Just do your job, and leave the instructor's job to them.

+ Join the Discussion