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Having a tough time in clinicals. Help!!

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Posted over 2 years ago

 

I need help with my clinical experience. I am in my med/surg rotation and the focus is intravenous therapy. My instrutor told me I am not putting the big picture together. I am having a hard time presenting the information to my teacher. I look up the H&P, labs, Dx, and procedures the night before but when she asks me a question I tend to draw a blank if it is not staring right at me. What are they looking for specifically? Please help.  I go to clinical tomorrow and want to impress my instructor.  I will be going to the hospital tonight to pick my pts., I have a hard time reading the Dr.'s orders. How can the instructor know more about the patient than me when she looked at the chart for five minutes and I spent all night working on it?

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Rate This | Posted over 2 years ago

 

she probably has been a nurse for quite a while thats why it is so much easier for her. it takes time to learn so much...remember that you are still learning. Just take your time when she asks you a question sometimes you need to think outside the box...critical thinking is a huge part of nursing. 

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Rate This | Posted over 2 years ago

 

Good luck to you. It does get easier with time. Read the patient's history and physical. Maybe even read past H & P's. That may help you to get an overall picture of the patient. Also read any consult notes.


Joyce Harrell, RN, OCN
joyce@theessentialnurse.com
http://www.theessentialnurse.com
http://www.facebook.com/essentialnurse
http://www.mydoterra.com/joyceharrell

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Rated: +1 | Posted almost 2 years ago

 

Dear NursingStd 2012,


Hey, I know where you're coming from! It may take you a little while to get there, but you will get there. Remember, your instructor was there once, right where you are and so was I. I started each clinical day with reading my patient's chart whenever I got a minute or two alone. I don't know if you are doing RN or PN, but I know my instructor started with giving everyone their assigned patients, usually 2 or 3. So, you had to use time management and prioritize, I usually started with getting the report on my patient's, then I would do my head-to-toe assessments next, followed by checking with the leading nurse if there were problems with vitals or if patient requested something. I also used other team members such as CNAs, too. They are helpful when you need to bathe, turn, and groom your patients, but all in all, you need to be abreast of all things related to your patients. As for answering instructor questions, just take a deep breath and think before giving any information. Don't assume anything about your patients without knowing for sure, always find out. Never say you don't know, say you will find out. I used these little books during my PN clinicals:NURSE'S POCKET DRUG GUIDE BY JUDITH A. BARBERIO, McGRAW-HILL NURSE'S DICTIONARY, and F.A. DAVIS COMPANY LPN NOTES. These little guides helped me extensively during all clinical rotations. You may want to check your local book store for them or Barnes and Noble. GOOD LUCK and GOD BLESS!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!