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Unfair Clinical Evaluations

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by guest723 guest723 (Member)

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You are reading page 12 of Unfair Clinical Evaluations. If you want to start from the beginning Go to First Page.

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49 minutes ago, Snatchedwig said:

Baby girl you getting it now! 

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Do you think I have a chance at salvaging everything? It may take time to formulate new opinions. I'm definitely going to change, and I am looking forward to it. 

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Snatchedwig has 11 years experience as a ADN, CNA, LPN, RN and specializes in Medsurg.

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47 minutes ago, Scorio said:

Do you think I have a chance at salvaging everything? It may take time to formulate new opinions. I'm definitely going to change, and I am looking forward to it. 

Nope your pretty much screwed. Listen to the advice given here and head onto the next clinical.

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23 minutes ago, Snatchedwig said:

Nope your pretty much screwed. Listen to the advice given here and head onto the next clinical.

I hope you're wrong. 😕 

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HarleyvQuinn has 12 years experience as a BSN, RN and specializes in Military, ER/Trauma, Psych, Post-Partum, Med-Surg.

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7 hours ago, Scorio said:

I am doing my best. Yesterday during clinical, I was asking the Nurse I was with about contacting transport for patients. The patient went to the bathroom (we were done with her) so I told the Nurse I will be putting her in transport to bring her back to her bed. She replied, "Wait for her to come back! Then we can call transport!" I said, "Ok. No worries." And I asked if transport is relativity quick at this clinical site, she said, "No." I said, "Ok, for clarification, it is best to contact transport when they are not going to the bathroom and when they are back in their stretcher, correct?" Her response? "I mean, do you want to argue about it? We can argue."

Some people I think look for anything to get in a fight, I am convinced. I apologized, told her that I apologize if I came off defensive. She said she did not think I was defensive. I then thanked her for her advice. 

Waiting for another eval...

Just a side note - When you're the nurse on your own, you don't want to leave the patient in the bathroom by him or herself. Especially if this is a patient you need to assist to the bathroom in the first place. Even for a moment. There's a pretty good likelihood that the patient will go ahead and try and ambulate back to bed/stretcher on their own and suffer a fall in the moments it takes you to try and call transport. Far safer to stay with the patient and ensure they're tucked in, then take care of the transport call. The patient is always first and foremost your priority, and you should always keep their safety at the top of that list. In this situation, I like to think I would have taken the time to point that out to you, outside of the room. Don't perseverate once you've suggested something and received correction. It drives people nuts. Make a mental note of it and look into it/talk with your clinical instructor about it in the post-clinical debrief. Your follow-up question was not an appropriate "clarification" question, as it was a leading question, and would provide you the exact same answer you received before. No. It did not provide the nurse the opportunity to elaborate on her rationale to clarify for you. You needed an open ended question there. One that was asked outside of the room, when the patient wasn't in ear shot and was tucked away in bed. Think more along the lines of, " Can you help me to understand where I went wrong in my decision-making? " Or, simply, "how can I improve?" If the staff nurse isn't really interested in going over it with you, or simply doesn't have time, acknowledge this and talk with your instructor about the situation and ask her to run you through where you went wrong. You need to learn how to make these clinical judgements on your own. 

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TriciaJ has 38 years experience as a RN and specializes in Psych, Corrections, Med-Surg, Ambulatory.

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On 9/5/2019 at 4:23 PM, Scorio said:

She told me, "Well, you need to take account with our perspective, that a lot of us Nurses are not forward with you about criticisms because we are not sure how you will react." I am not rude, or argumentative. I simply acknowledged she was correct, her position was understandable. I am also planning on meeting with several Nurses to help address this problem, because it does upset me how I do not receive criticism first-hand, and when an evaluation comes that I did, "X,Y,Z" wrong, it makes me appear in front of my evaluator that I am not fulfilling my role as a student in advocating for myself. Additionally, it will appear that I have a lack of self-reflection and introspection, which frustrated  me further. What is everyone's thoughts about this? 

I think in a lot of cases when the nurses address students they get defensiveness and lack of receptivity.  They don't get paid enough to deal with that, so their MO is just to report any concerns to the instructor.

One thing I always hated when starting a new job is getting feedback (especially negative) from the manager after the fact.  I learned to be proactive and made sure the manager and my new coworkers knew that I was approachable and receptive to feedback.  My response to feedback was to ask questions to make sure I really understood what I needed to do differently.

I think you're on the right track to approach people to make amends and clarify expectations.  Doesn't mean everyone is going to be civil to you going forward, but at least you don't have to take anything personally when you're already doing everything you can.  Wishing you smoother sailing from here on in.

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Nurse SMS has 8 years experience as a MSN, RN and specializes in Critical Care; Cardiac; Professional Development.

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Instead of stating you are going to do something ask if the nurse would like you to. Then do what he or she says. Period. You absolutely were insinuating she was stupid by getting all questiony about something so basic. HER patient. HER timeline. End of story! When you are the floor nurse you can do it your way. Just stop it.

Taking initiative when it comes to students usually means you need to help more. That means doing the stuff most students prefer not to do. The less exciting stuff, like toileting, cleaning after bowel movements, assisting to the chair, taking vitals, ambulating and giving showers or bed baths. Asking about patient transport is not taking initiative. 

You have most likely burned your bridges here. Remember that those nurses Do. Not. Care. What. You. Know. Or what you think you know. Or how smart you are. Or that you think your way is better. They did not ask for you to critique them and they do not need your feedback. This is a lesson you need to work on hard not just as a nurse but in all your relationships. It reminds me of when I am doing something around the house and my husband feels the need to imply I could do it better even though the way I have been doing things has worked just fine for years. They do not need or want your thoughts of process improvement. Be a learner. Stop asking them if you are defensive or annoying. That’s annoying.  

Just. Be. A. Student. Nobody cares what you know. They care if you are safe and if you are going to make their day harder. The end. 

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Orion81RN has 7 years experience.

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26 minutes ago, not.done.yet said:

Instead of stating you are going to do something ask if the nurse would like you to. Then do what he or she says. Period. You absolutely were insinuating she was stupid by getting all questiony about something so basic. HER patient. HER timeline. End of story! When you are the floor nurses you can do it your way. Just stop it.

Taking initiative when it comes to students usually means you need to help more. That means doing the stuff most students prefer not to do. The less exciting stuff, like toileting, cleaning after bowel movements, assisting to the chair, taking vitals, ambulating and giving showers or bed baths. Asking about patient transport is not taking initiative. 

You have most likely burned your bridges here. Remember that those nurses do. Not. Care. What. You. Know. Or what you think you know. Or how smart you are. Or that you think your way is better. They did not ask for you to critique them and they do not need your feedback. This is a lesson you need to work on hard not just as a nurse but in all your relationships. It reminds me of when I am doing something around the house and my husband feels the need to imply I could do it better even though the way I have been doing things has worked just fine for years. They do not need or want your thoughts of process improvement. Be a learner. Stop asking them if you are defensive or annoying. That’s annoying.  

Just. Be. A. Student. Nobody cares what you know. They care if you are safe and if you are going to make their day harder. The end. 

This! 

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Snatchedwig has 11 years experience as a ADN, CNA, LPN, RN and specializes in Medsurg.

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2 hours ago, not.done.yet said:

Instead of stating you are going to do something ask if the nurse would like you to. Then do what he or she says. Period. You absolutely were insinuating she was stupid by getting all questiony about something so basic. HER patient. HER timeline. End of story! When you are the floor nurse you can do it your way. Just stop it.

Taking initiative when it comes to students usually means you need to help more. That means doing the stuff most students prefer not to do. The less exciting stuff, like toileting, cleaning after bowel movements, assisting to the chair, taking vitals, ambulating and giving showers or bed baths. Asking about patient transport is not taking initiative. 

You have most likely burned your bridges here. Remember that those nurses Do. Not. Care. What. You. Know. Or what you think you know. Or how smart you are. Or that you think your way is better. They did not ask for you to critique them and they do not need your feedback. This is a lesson you need to work on hard not just as a nurse but in all your relationships. It reminds me of when I am doing something around the house and my husband feels the need to imply I could do it better even though the way I have been doing things has worked just fine for years. They do not need or want your thoughts of process improvement. Be a learner. Stop asking them if you are defensive or annoying. That’s annoying.  

Just. Be. A. Student. Nobody cares what you know. They care if you are safe and if you are going to make their day harder. The end. 

 

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by dij New Member Nurse

dij specializes in LTC, PSYCH, ALF, POST-ACUTE.

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DO NOT BE DISCOURAGED!!!

All of what you have listed, I was there!

I was stressed out when I was in clinicals that I went outside the hospital and wanted to drop out completely.  My mentor nurse berated me for the same things and the Charge nurse came in to berate me some more.  My nursing clinical instructor who had been around for only one week out of the four continued to berate me after the meeting and I took time for a walk.  As I was walking I really considered if nursing was what I really wanted to do.  I asked myself some questions.....

HOW DO OTHERS PERCEIVE  ME???

WHAT CAN I DO DIFFERENTLY TO CHANGE THIS PERCEPTION??

HOW PASSIONATE AM I ABOUT NURSING??? OR HOW BAD DO I WANT THIS?

With these questions answered I told myself I had to adapt to the environment and be extremely organized.  I developed a spreadsheet that was one piece of paper back and front so I always had the answers to every question on a patient.  I did a lot of observing and less talking.  I was criticized for lots of things but never attempted to defend myself.  I didn't need to.  I took initiative even though I didn't want to in this chaotic floor. In the end everything came out a lot better.  Its all about personality and tact. 

While most of the culture of nursing has changed being a student nurse has still remained the change.  Some older nurses still eat their young!  Find a good mentor nurse who can change your attitude/perceptions and offer you advice that can help you in other clinicals.  

THINK LESS ABOUT GRADES IN YOUR CLINICAL AND MORE ABOUT HOW YOU CONDUCT YOURSELF. 

Best of luck, you will make it through!

 

 

 

Edited by dij

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23 minutes ago, dij said:

DO NOT BE DISCOURAGED!!!

All of what you have listed, I was there!

I was stressed out when I was in clinicals that I went outside the hospital and wanted to drop out completely.  My mentor nurse berated me for the same things and the Charge nurse came in to berate me some more.  My nursing clinical instructor who had been around for only one week out of the four continued to berate me after the meeting and I took time for a walk.  As I was walking I really considered if nursing was what I really wanted to do.  I asked myself some questions.....

HOW DO OTHERS PERCEIVE  ME???

WHAT CAN I DO DIFFERENTLY TO CHANGE THIS PERCEPTION??

HOW PASSIONATE AM I ABOUT NURSING??? OR HOW BAD DO I WANT THIS?

With these questions answered I told myself I had to adapt to the environment and be extremely organized.  I developed a spreadsheet that was one piece of paper back and front so I always had the answers to every question on a patient.  I did a lot of observing and less talking.  I was criticized for lots of things but never attempted to defend myself.  I didn't need to.  I took initiative even though I didn't want to in this chaotic floor. In the end everything came out a lot better.  Its all about personality and tact. 

While most of the culture of nursing has changed being a student nurse has still remained the change.  Some older nurses still eat their young!  Find a good mentor nurse who can change your attitude/perceptions and offer you advice that can help you in other clinicals.  

THINK LESS ABOUT GRADES IN YOUR CLINICAL AND MORE ABOUT HOW YOU CONDUCT YOURSELF. 

Best of luck, you will make it through!

 

 

 

THANK YOU SO MUCH! I really needed this! 

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by dij New Member Nurse

dij specializes in LTC, PSYCH, ALF, POST-ACUTE.

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The author of the post came to this forum for help and she has good intentions. We are only hearing one perspective of the story.  No she was not being bullied but harshly criticized.  It might be true that she has a poor nurse mentor but she has to remain professional.  She is already taking those steps by responding rather than reacting. 

 

Best of luck.....

 

 

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traumaRUs has 27 years experience as a MSN, APRN and specializes in Nephrology, Cardiology, ER, ICU.

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Staff note - multiple posts have been removed....posts that were offensive as well as those that quoted the offensive posts. 

Please adhere to the terms of service. 

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