Strange Nursing Student

Nurses General Nursing

Published

I previously posted this in the Men and Nursing forum, but was told it was in the wrong place. So I'll try again.

I am a nurse at a large medical center in Raleigh-Durham, NC. Every Thursday and Friday, a group of students from a local community college come to my unit for clinicals. Overall, the students are wonderful and we are grateful for their help during their clinical time. However, there is one student who greatly stands out from the rest. To put it bluntly, he is downright strange. He spent 10 weeks on my unit over the summer, during which time no one ever saw him display any kind of emotion, empathy, or anything towards his patients, other students, or nurses on the unit. He walks around like he is in a daze, often idly pacing up and down the unit for no apparent reason. I've witnessed him go into patient rooms without even introducing himself, and do shoddy assessments in which he appeared uneasy about touching the patient. I've seen him practically beg other students to help his patients with their ADLs, as he was too embarrassed. In addition, he has made several nurses on the unit uncomfortable with his cold stares, and occasionally strange comments. For example, one morning he walked into the break room, which was full of women, and muttered "yeast infection" and turned bright red from trying to withhold his laughter. That was just strange and inappropriate!!

I've talked to his clinical instructor about this guy's obvious lack of social skills, empathy, and behavior that is almost antisocial in nature. But what worries me most is, how come any school would allow such an inept person to be in the nursing program in the first place. I don't think that he could possibly ever make a good nurse, unless perhaps he was in a clinical setting that required minimal social skills, such as the OR where patients are under anesthesia.

Anyway, sorry for the rant here ... my question for the board is, what do y'all think of this situation? Am I overreacting? Or is there cause for my concern?

Thanks for your time.

Specializes in home & public health, med-surg, hospice.
And this is O.K. with his clinical instructors?!? Man, if that is the case, they are as weird as he is. I've certainly never met a nursing instructor who would tolerate that kind of behavior for one moment.

Yeah! I wondered about that too.

What did his instructor say, NurseKitty NC? I mean, I would think he's exhibited these behaviors in the classroom as well. But what did the instructor say when you guys (I'm assuming you're not the only nurse that's mentioned this) have voiced your concerns about this?

For example, he left an elderly female laying in a pile of urine for his entire 7 hour clinical shift - when I found out and asked him why, he stated "I have never given a woman a bath and I intend to keep it that way." Like I said, he is just downright wierd!

Well, wouldn't this alone be enough to justify failing him in clinical?? Was this reported to his instructor? If so, did they seem inclined to take you seriously, address the situation, and fail this poor boy?

I agree, the clinical instructor needs to take this situation seriously. However, I am beginning to wonder if there is a reason why they keep putting up with this strange boy's behavior. He happens to be a white male, approx. 25 y/o, so I don't think they're worried about age or racial discrimination. What could it be then ... discrimination based on sex? disability? sexual preference? Who knows ... but I am willing to bet there is some reason we don't know about that is making the nursing instructor keep him on ...

Specializes in Critical Care, Pediatrics, Geriatrics.
Is it possible he has autisim or some form of it? If so, it would explain most of his behaviors. He would also be classified as having a disability and the school would legally have to work with him. Most of the kids I have worked with that had autisim had very poor social skills (which was one of the things I worked on with them) but excelled in much of the "book work" at school. Just a thought. (Not talking about nursing students, just elementary-high school students)

this could ring truer than what you think. I am all for accomodating special needs students, however, you must draw the line somewhere...thus, I will share my example. I was in Medical Assistant Program before I went to nursing school. We had a male student in our class that was autistic along with several other special needs. He was beyond strange and it was apparent from day one, but we were told ahead of time of his disadvantage so we went above and beyond to make him feel like he fitted in. He was extremely antisocial, classic type columbine kid, with the long black trenchcoat, unkempt personal appearance, and dark humor. He was an atheist and extremely antigovernment (which wasn't what bothered me) and he would go into great detail about violent acts he would like to do to certain religious and political leaders (which was quite graphic and disturbing). He refused to be touched and it killed his soul to touch others...mind you we were drawing blood from each other, giving injections, and hooking up EKGs. Posed a huge problem and uncomfortable for everyone involved. As time went on we discovered his parents were nurses and were forcing him to either go through some type of medical training or move out of the house (he was mid to upper 20's). He did NOT want to be there. This guy was smart as a whip and gave us the address to his website. Well, no of us visited it until after a freaky incident happened:

My best friend was talking to me about a guy she had hooked our mutual red-headed friend up with. The strange student stood up instantly and flung a table across the room, some 30ft with all his might, and starting raving at my best friend saying he was going to gut her like a fish. The school made him go home for the evening only. We got on his website that night and found he had a HUGE OBSESSIVE INFATUATION with our red-headed friend and had put in graphic detail the things he wanted to do with her sexually on his site...AND HE HAD NEVER EVEN SPOKEN TO HER IN PERSON. Quite disturbing. Everyone in class was nervous about if he would return, what he would act like, and whether the school would kick him out.

The administration was only going to suspend him and move him into a classroom on his own because of the legal issues involved with his disability. We raised so much fuss and the entire class refused to come back to class, unless he was banned from the premises. Days went by and finally they kicked him out for good.

There are just some types of people who do not belong in the medical feild and a careful evaluation should be done of students who appear to have problems interacting with peers and pts. The student's with disabilities have rights that should DEFINITELY be protected. But their rights end where the pt's rights begin, and the pt deserves appropriate and safe care. If this guy just carries on awkward conversations, thats one thing..big deal. But if he provides unsafe care and cuts corners...NO NO, he needs to go.

I agree w/those who regret nursing schools that base entry requirements on academics. I think interviews are a must. Not everyone who is brilliant needs to be in contact with humans who are suffering. This guy, if he is as bad as you say, has no place in bedside nursing. It's sad.

I totally agree!!!! Glad you said it first....thought I would get my head chewed off if I said it first LOL:rotfl:

Just a thought...was that nursing student exclusively home schooled as a kid? Honestly, I have never met a home-schooled student who was ever socially "normal". Not to say that they are not out in there and existing. I just personally have not met one.

Specializes in Psychiatry and addictions.

Just a thought... Since you said that you already have addressed the issue w/ the student and his instructor and were pretty much ignored (it sounds like), the next step, if you choose to follow up, would be to put your concerns in writing. I'd give the written statement to the instructor and send a copy to the school as well, and maybe your own supervisor. Make sure you include details, like times and dates if you can.... Maybe another nurse who has noticed this could do the same so it doesn't look like you're just picking on him.

Specializes in home & public health, med-surg, hospice.

Just a thought...was that nursing student exclusively home schooled as a kid? Honestly, I have never met a home-schooled student who was ever socially "normal". Not to say that they are not out in there and existing. I just personally have not met one.

Hey TweetiePieRN,

How many home-schooled kids have you met?

We had my daughter in a home school program kindergarten & 1st w/6 other children. Unfortunately, we wound up having to put her in public school in 2nd. Anyways, we & she loved it! She got to experience so many things they just don't get to in the pubilc schools.

It's funny, the first book she had to read in public school was The Magic School Bus & The Beehive, it was all about "drone" bees and such...lol I guess what I'm saying is, I'm not sure I would really want my child to be "normal" rather "exceptional." :)

Oh well, I've gotten seriously :offtopic: . I just wondered.

Specializes in PCT.

I think it would be a good idea to document and write letters, at least you would know that you tried to intervene.

I have often wondered about the accommodation of mental disabilities for nursing school. We have a student in my class that makes me very uncomfortable, I know it's wrong of me, but I don't think that he has any business being there. He seems nice enough and I would not mind having him as a neighbor, but I would not want him as my nurse.

Specializes in Ortho, Med surg and L&D.
I know a young man who reminds me somewhat of the person in your description. I actually thought he was not able to speak for ages, cause he just sits there, laughing inappropriately, nodding his head at the wrong times and never says anything. Turns out he is truly brilliant (2 PhDs) - and able to speak just fine - but is completely lacking in social skills.

... it is a real disservice to him, as well as the patients, to even allow him to attend nursing school.

Hi,

Thank goodness that there are more positions in the Nursing world than bedside nursing. This may not be a disservice to these students who do not plan to enter into nursing practice and may be of wonderful service to all of us if such students use their skilss with their nursing knowledge to better the world of nursing.

More than one way to look at things and to consider and respect the talents of others, especially those who differ from ourselves.

Gen

Specializes in Ortho, Med surg and L&D.
I agree with those who think that this student trying to enter the nursing profession is doing a great many people a disservice. In response to "Gen" above, I do not understand why you believe that I've been going along with gossip and heresay, and simply "stare" at this guy? That makes no sense.

I've personally witnessed the oddities of this guy that I've wrote about in my original post. In addition, I've tried several times to talk to him - especially when he is assigned to one of my patients. He talks in a slow monotone voice, often staring at the ground. He has absolutely no bedside manner, and gets extremely embarrassed at almost anything. For example, he left an elderly female laying in a pile of urine for his entire 7 hour clinical shift - when I found out and asked him why, he stated "I have never given a woman a bath and I intend to keep it that way." Like I said, he is just downright wierd!

Hi,

Well everything in this post makes a big difference. You have more than enough to go on to present to your manager and also to the school to ban him from ever doing another clinical there.

Is this possible?

Gen

p.s. good luck

Specializes in Ortho, Med surg and L&D.

... For example, he left an elderly female laying in a pile of urine for his entire 7 hour clinical shift - when I found out and asked him why, he stated "I have never given a woman a bath and I intend to keep it that way." Like I said, he is just downright wierd!

NurseKitty,

The actions described above are unnaceptable. It makes no sense either that your facility allowed this woman to sit in urine for 7 hours!?

Not only are the instructors and the student at fault here but, I would hold anyone who knew about this accountable.

The entire school ought to be kicked out of your site for clinicals.

Good luck,

Gen

p.s. respectfully exiting thread

So scary, I think it so horrible that nursing schools accept students solely on the basis of academic acheivement. We have a student in my class that was home schooled from k-12th grade she is so socially deprived. She had an extremely religous upbringing and I doubt that they even talked in their home about The oppisite sex or anything like that, It makes it extremely awkward when it comes time for her to perform anything private on her patients. I am not saying anything negative about home schooling I am just saying nursing schools need to take into consideration a persons social background and not just academic acheivements.

As far as your situation goes I would coninue to talk to his clinical instructor. If she does not listen Then I would consider talking with the director of the nursing program at this community college. If you are concerned and you come in contact with students on a regular basis, imagine how his patients and peers must feel. It is a scary prospect, good luck.

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