Post-Clinical Briefing

So here it is, albeit a bit late, my recollections on clinical. So far I've been to the hospital about three times...twice for oreintationy type things, and once working with an actual, real live patient! I would have to say my biggest stressor about clinical isn't working with the patients or not knowing what the heck I'm doing, or having to transport a body to the morgue or any of that...it's the other nurses. Believe it or not, not everyone is tickled pink to see a gaggle of nursing students come on to the floor, and I worry a lot about inadvertently pissing someone off or being annoying, pestering or bothersome. But then again, I'm there to learn so I have to be somewhat annoying if I'm going to get my hands on any of the cool skills like catheters and enemas (ok, maybe "cool" was not the right word to use here). But you know what I mean.

The trouble with being a first semester student (well, a first MONTH student) is that we can't do much yet. We're basically operating at the level of a CNA and since our floor already has CNA's, our being there doesn't relieve the RN of any of his/her duties and we are basically taking up their time and space. But, the good news is, I should be getting checked off on PO med pass week after this one, so at that point I'll be functioning pretty much at the LVN level as far as the skills I am capable of doing and I'll be a MUCH bigger help to the RNs on the floor. I'm expecting they'll warm up to us a bit when we can handle their med passes, and accu-checks and vitals and head-to-toes and dressing changes...you get the idea.

So, for this coming week I have home health on my clinical day. I heard from the girl who went last week that it was pretty boring with a lot of time sitting around while the RN does documentation. So, I hope I can study for my theory exam while I'm sitting around. Then, the following week I'm back at the hospital and will hopefully get checked off for the PO pass.

For those of you who have no idea what I'm talking about...all the "major skills" we learn have a "check-off"...both in the lab (using a dummy) and then once again in the hospital on a real, live patient. So, I aced my PO check off (PO=by mouth as in oral medications) in the lab, but my clinical instructor has to observe me doing it "for real" before I'll be let loose to medicate my way around the unit. She also has to observe me doing my first Accu-Check (blood glucose test) before I'll be let loose to finger stick all the diabetics...my plan is to get that going week after next as well...just think how happy the RNs will be when I offer to do all their Accu-Checks in the morning. I am determined to be useful and helpful! I'll let you know how it goes.

Oh, and I saw a pretty darn big wound...my first! And no, I didn't faint, feel nauseous or wish I were at Nordstrom trying on shoes...it was way cooler than trying on shoes!