Trouble in clinical. Prioritizing. Help

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I am told by my professor that I could fail because I am unorganized, unprepared (I don't know anything about my drugs or any other material I have went over in the previous semesters), and I look like a "deer in headlights". I often ask the same question over and I will need more assistance through a skills procedure. Other days, she says, I am on point. She says she's going to fail me if I am not consistently on point, and because she doesn't know what level I'm at (one day I know what I'm doing, time management is good-other days, not so much) she thinks I will be unsafe.

This is my last semester, and I don't know what happened between 3rd semester and now, but I seem to have a brain fog. Please don't respond with ways as to how I can fix this or that I need to identify the underlying problem. Thank you, but for this post, I just want to ask about how to become better as a last semester nursing student in clinical. I don't know what happened between now and last semester, but everything is sort of a blur.

For all nursing students and RN's out there:

-After you receive report on your patient from your professor, what are some general questions you would ask the RN taking care of that patient? I know this is a broad question, since questions are usually specific to your client, but I feel like lately I haven't been asking my nurse any questions. I just go into the room, do my physical assessment, talk, check IV site look at pump and see what's infusing, see if the bag is almost empty, go back to the nurses station, document, briefly look at medical history (if there's time), then move onto the next patient and repeat.

-I think my problem is I'm afraid to ask questions because I feel they're stupid.

Thank you.

Specializes in Psych, Case Management, Care Coordination.
bella14k said:
Well, it sounds like you go to a great nursing program. I can't really say the same for my school.

And you sound quite unprepared to do any hands-on nursing. This is very disconcerting.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Needles McGee, SN said:
And you sound quite unprepared to do any hands-on nursing. This is very disconcerting.

Did you see the OP's recent response?

Quote
Just an update: I have gotten much better in prioritizing and was passed by my clinical instructor and she had many good things to say about my turn-around...

I just wanted to mention this for those of you nursing students who have this same issue...yes, you can turn it around

The OP had the guts and the initiative to seek assistance for something she was struggling with....I admire her strength, perseverance and initiative.

As a student yourself I am sure you understand when you have that AhHa moment when something finally clicks. Most students, like yourself, are unprepared to take patient alone...even after they graduate. That is why they have orientation/residencies for nurses.

I find it "disconcerting" when students, or nurses for that matter, make these kinds of comments. My first year instructor felt I would never be a good nurse because I was not a good team player, didn't delegate well, was a loner, and preferred to do things myself.

I was 17 years old.

That was 35 now almost 36 years ago. I've had an amazing career. Grant it...I have gravitated towards more independent areas like critical care, Emergency department, Cath lab and trauma flight...but I have been extremely successful as a nurse.

Just something to consider from one who has been a nurse a LONG TIME!

Specializes in Psych, Case Management, Care Coordination.

I DID see her most recent post, however, I didn't mean anything to come across as negative towards HER...I meant the fact that she was close to the end of her program and she felt she was unprepared and was struggling, and the instructor didn't even bother to make sure they got all their clinical hours in, so even less hands-on time than students should receive. Definitely disconcerting for a student.

I see how my original post could be misunderstood. As a student I can absolutely commiserate with her.

Esme12 said:
Did you see the OP's recent response?The OP had the guts and the initiative to seek assistance for something she was struggling with....I admire her strength, perseverance and initiative.

As a student yourself I am sure you understand when you have that AhHa moment when something finally clicks. Most students, like yourself, are unprepared to take patient alone...even after they graduate. That is why they have orientation/residencies for nurses.

I find it "disconcerting" when students, or nurses for that matter, make these kinds of comments. My first year instructor felt I would never be a good nurse because I was not a good team player, didn't delegate well, was a loner, and preferred to do things myself.

I was 17 years old.

That was 35 now almost 36 years ago. I've had an amazing career. Grant it...I have gravitated towards more independent areas like critical care, Emergency department, Cath lab and trauma flight...but I have been extremely successful as a nurse.

Just something to consider from one who has been a nurse a LONG TIME!

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Needles McGee, SN said:
I DID see her most recent post, however, I didn't mean anything to come across as negative towards HER...I meant the fact that she was close to the end of her program and she felt she was unprepared and was struggling, and the instructor didn't even bother to make sure they got all their clinical hours in, so even less hands-on time than students should receive. Definitely disconcerting for a student.

I see how my original post could be misunderstood. As a student I can absolutely commiserate with her.

Unfortunately I have found not all schools are created equal. There are many students that come here confused and a few of us spend a ton of time setting them back on the right path. Bella is one we have helped. I'm thankful for AN for allowing us the opportunity to help students.

Some students are more overwhelmed as they approach graduation.

I am so glad you came and clarified...((HUGS))

Needles McGee, SN said:
I DID see her most recent post, however, I didn't mean anything to come across as negative towards HER...I meant the fact that she was close to the end of her program and she felt she was unprepared and was struggling, and the instructor didn't even bother to make sure they got all their clinical hours in, so even less hands-on time than students should receive. Definitely disconcerting for a student.

In the BSN program I am in, fortunately, our clinicals include sitting in on shift reports and thorough post conferences. However, I have been told numerous times by several instructors that we (the nursing students in my cohort) are all going to graduate very green. We've been told it often takes a year minimally to become comfortable in a nursing position. Additionally, we've told that without a preceptor (which, fortunately, most hospitals are good about providing) for the first few months on the job as a new graduate nurse, we would be pretty lost. I believe that realistically, most new graduates are going to be a in a position of disconcert for at least the first few months, probably longer. I try to eek out every millisecond of experience from my clinicals, but I can see already that I will still have a LOT to learn after graduating.

I look back at this post and comments and think to myself that dispite a less-than-enjoyable/beneficial clinical experience, I know I still learned a lot. I learned a lot my first year,but feel my second year was not as beneficial as the first. I still learned new higher level skills and disease processes and was tested on these skills. When you're upset, as i was my fourth semester, you blame it on others. For me, i blamed it on my professors and my program even though i know i could have been taught by people who were actually more interested in my education as opposed to throwing me out to the wolves. But looking back at my particular senior year experience (more of my last semester , really)I went to a program that taught me what I needed to be an entry level nurse who provides safe and effective care, nothing less nothing more. This has nothing to do with the program, just the clinical.

But to those who didn't exactly leave the nicest comments, I'd like to say a few things. first, I know why you feel that way. And i didn't leave that often or early enough to not have enough hours to sit for the boards. But it was enough to **** me off, since this isn't the experience i paid for (my education cost money and yes that's a damn good reason to be upset no matter what semester you are in). Secondly, I had to figure it out on my own, I had to figure things out when I wasn't told what to do even when i asked and deserved assistance for something i WASN'T taught. Sometimes people have professors who are miserable and sometimes have to work with RN's who are *******. and no , i had no problem approaching them. when it came to med administration or doing a skill, or reporting something, that was the only thing I knew i had to approach my professor for (or the RN in charge of my patient for). I think Im' pretty smart to be able to turn around so quickly despite un supportive staff and despite other things happening in my life which i don't need to share because I don't need anyone to feel bad for me.

Anyway, to conclude this, If i could go back to my original post, I probably wouldn't have wanted to slander my professor (and not all of the nurses were bad, one bad one ended up liking me after i HAD to precept with her, and i think she had more respect for me because of my progress. My progress to being where i should be, sometimes exceeding expectations and then being satisfactory...This is the same with my professor at the end of the sam) or program so badly and I realize that as a senior nursing student in her last semester I shouldn't need assistance with some rings. But there are things that i wasn't taught that staff RNs didn't want to help me with or teach me for the most part. I can't give any examples just in case they're reading lol. But I have good reasons for feeling the way i felt, and then there's times where i was venting, like on this original post. But no matter level you are at, you should be guided through every semester. If i didn't need assistance from staff RN's or a professor, even at the senior level, *** would i even be in clinical for last semester? Oh,so i have enough hours to sit for the boards....which i passed today (unofficially, via pearson vue trick, 100% accuracy, according to all nurses and my friends :D) in 75 questions.

Good luck.

Now I just need a job which is very hard for new grads these days, esp in nyc....but that's a diff topic.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Congrats on passing boards....((HUGS))

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