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The hospital I work at...
I should have clarified I guess.
We will be focusing a lot on mother/baby/birthing in our first clinicals, which seems different than where others start. It seems that others start maybe in long term care in nursing homes. I wanted to see what areas in nursing others will start their clinicals in.
At my school:
Semester 1: Med/Surg unit
Semester 2: first half labor/delivery/post partum & peds. Second half long-term care.
Semester 3: first half cardiac medical with rotations in OR, pre & post-op, cancer center, etc. second half mental health
Semester 4: first half community health. Second half critical care rotation - ER, ICU, etc.
Then a 4 week capstone/internship at the end. Ready to graduate this May!
Our first semester was at a long term care facility. I hated every minute of it. I didn't mind peri care or the smells but I hated to see the condition some of the patients were in. I had 4 patients during this time frame. Each had toe nails that resembled raptor claws. Now, I've heard different things: an employee says that it is beyond a nurse's scope of practice in Alabama to clip toe nails. Ok, I guess. I don't have a compelling argument to that and even if I did it wouldn't mean anything to anybody. One of my nursing instructors said that insurance didn't cover it. That wasn't any more of a satisfying answer (at least, in my view). I try to see it from the patient's and family's eyes. If I took my mom to a nursing home and her feet looked normal and 3 months down the road I notice that her feet could be featured on "Jurassic Park" somebody is getting thump in the head. I spoke with several other students who said their patients had the same thing. I can take seeing patients in pain and even dying. But I did not perceive that they were getting cared for (also when we bathed the patients it was clear to several of us that this was the first bath they had in some time). I don't know that I'll ever forget that feeling of disgust (towards the nursing home, not the patients). Maybe I'm being overly critical. I don't exactly have a large frame of reference. But this definitely left an impression with me. That was our first clinical experience.
I am in my second semester and we have labor and delivery/peds and med/surg clinicals in a hospital nearby. I'm not sure what we're doing for our other semesters yet.
We started on general medical floors (tele, oncology, surgical, etc). I am now in my 5th semester and start in the surgical ICU next Thursday. We also have rotations this semester in the cardiovascular and neuro ICU's, the CCU, the PACU, ER and OR. I am very excited for clinical this semester!
My school:
First semester: Lab simulator & Cardiac Arrest Unit
Second semester: Psychiatry & Stroke Unit
Third semester: Maternity & Pediatrics
Fourth semester: Med Surg & ICU
Fifth semester: Seminar & Community Wellness
And then after that, I have no clue :)
But I am planning after this year, to do an internship at a hospital!
Elizabeth Renee
143 Posts
My very first clinicals will be at a birth center and I'm so excited about that!!!
Was curious on what kind of areas other schools start at?