How can I maximize my learning experience at clinical?

Long story short, Friday was our first day in the hospital setting... and we were basically thrown into the water without any life jackets or anything like that. Sink or swim. The nurse I was paired up with to shadow wasn't exactly forthcoming with pertinent information and seem annoyed that I had a lot of questions to ask her...

I pretty much felt "in the way" the whole day and so out of place and I know that I shouldn't be feeling like that. I'm there to learn and I'm going to ask questions, point blank. It's my only time to apply what I've learned and read so I don't get why seasoned nurses who went to school as well and know what I'm going through would be so unhelpful...

Also, she was behind the desk a lot more than she was actually in the patients room giving care... so I learned a lot of logistics, but nothing relevant to what we're learning in school (which is the hands on care).

So what are some tips to maximize my learning experience...? I'm a visual learner so if I see someone else do it, then I'll be able to do it, with proper explaining of the procedure and such.
If your nurse isn't really happy about having a student, you may ask your instructor to pair you up with another nurse. In my clinicals, I made it a point to tell my nurse that I would be happy to help with her other patients, and not just the one that I was assigned for. You get a lot more experience that way. Your patient might not have anything interesting going on. The first Foley I did on someone was on a patient that wasn't mine, but I had asked my nurse to please tell me if there was anything interesting I could do for ANY of her patients. Also, it sort of sucks, but if you help with the "grunt work" (i.e. bed changes, baths, etc), your nurse will be happier to let you do the "fun" stuff like IVs, Foley's, trach care, etc. At least that was my experience. Sometimes the nursees are so behind on baths and charting and stuff, they don't have time to let you do any of the cool stuff.I used to also tell my nurses to please just let me know if I'm slowing them down or getting in their way. Sometimes it helps to acknowledge that you are aware that they are really busy and pressed for time. More flies with honey than vinegar, right? LOL!

Quote from IrockIf your nurse isn't really happy about having a student, you may ask your instructor to pair you up with another nurse. In my clinicals, I made it a point to tell my nurse that I would be happy to help with her other patients, and not just the one that I was assigned for. You get a lot more experience that way. Your patient might not have anything interesting going on. The first Foley I did on someone was on a patient that wasn't mine, but I had asked my nurse to please tell me if there was anything interesting I could do for ANY of her patients. Also, it sort of sucks, but if you help with the "grunt work" (i.e. bed changes, baths, etc), your nurse will be happier to let you do the "fun" stuff like IVs, Foley's, trach care, etc. At least that was my experience. Sometimes the nursees are so behind on baths and charting and stuff, they don't have time to let you do any of the cool stuff.I used to also tell my nurses to please just let me know if I'm slowing them down or getting in their way. Sometimes it helps to acknowledge that you are aware that they are really busy and pressed for time. More flies with honey than vinegar, right? LOL!

It helps to be pretty straightforward with the nurse you are shadowing. Introduce yourself and tell them what you can do ("I am allowed to do morning care/PO meds/physical exams/Neuro checks/Ambulation/Etc"). This will get you some good practice tasks for the day. Then you say the following: I'd love to do whatever I can today, and please let me know if I'm in your way. If you do ___ x,y, z procedures____ could I observe?Usually, at some point during the day while I'm breathing down the back of their neck, I'll also throw in a "If I'm in your way just let me know!" for good measure. If your patient has been cared for and you have down time - find your nurse and ask "Do you mind if I follow you around for a bit? Is there anything I can do to help with your other patients?"Even the busiest nurses will open up a bit when you give them some idea of who you are and what you know. They just don't have the time to question students to suss out what level they are on - present this info and you will go much farther than you are right now.

Do the best you can with what you are given. Some days you will be with what seems like a nurse that doesn't want anything to do with you. This happened to me often in school, but if you put forth the effort and dig in that is all you can do, some nurses will respond and some won't. I am on orientation at work and now am not allowed to do anything but shadow. Take advantage of clinical, if your patient goes to a procedure go with them because once you hit the floor you will never be able to just pick up and go with a patient to see something awesome exciting and new!

Quote from dmoney8827Also, she was behind the desk a lot more than she was actually in the patients room giving care... so I learned a lot of logistics, but nothing relevant to what we're learning in school (which is the hands on care).

Ask if there are any bedside procedures you can watch (ie bone marrow biopsy? Paracentesis? or even just an IV placement?) Most doctors and nurses don't mind if students watch When you have down time, always ask the nurses if there is anything you can do for them. Even if it's just changing bed linen or getting a blood sugar, they will be more receptive of you and your classmates since you offer to help out. If you are assigned to a patient, read their progress notes, H&P, study their labs, etc.

Thanks for this post. I am so nervous. I start clinical this coming friday and I was wondering what to do/not to do? I have several friends in clinical and they all tell me to not talk too much with the patients. Don't ask too many questions and don't talk about personal stuff with the patients. Thats really all I know. But I am also nervous about bed baths, and just everything. lol..its so scary to just start. I hope my first day is a good one and I feel comfortable. Have any of you guys been on an Orthopedic floor? thats were I will be. What should I expect. I think I will be doing lots of bed baths/ bed changes and bed pan changes. Hopefully theres more than that. But it is my first semester in clinical. Thanks!

[quote=ChristineN;4588906]Ask if there are any bedside procedures you can watch (ie bone marrow biopsy? Paracentesis? or even just an IV placement?) Most doctors and nurses don't mind if students watchHi, ChristineN, I was wondering how often student nurses pass out. I am so worried about this b/c my instructor said it happens alot. What should I do so I don't. I would be so humiliated and freaked out!! TIA

[QUOTE=nrice28;4588915]Quote from ChristineNAsk if there are any bedside procedures you can watch (ie bone marrow biopsy? Paracentesis? or even just an IV placement?) Most doctors and nurses don't mind if students watchHi, ChristineN, I was wondering how often student nurses pass out. I am so worried about this b/c my instructor said it happens alot. What should I do so I don't. I would be so humiliated and freaked out!! TIA

OMG!! Thanks so much for this invaluable info!! Jeez, if I were to pull back the covers and not see a leg would feel probably kinda shocked. I mean, its just not what you would expect. But now I will make sure to have my shock guard up. lol..but I should have mentioned that my professor said it happens alot b/c of wound changes. Oh no! I don't know how I will do. I am so scared. I really don't want a bad experience make/break me. I really do want to be a nurse. I guess if I really do hate it then i could just remind myself its just temporary and next semester I will be on a different floor. Thanks so much for the heads up. oh man, im am in for a lot. LOL!

Quote from nrice28I have several friends in clinical and they all tell me to not talk too much with the patients.

[QUOTE=nrice28;4588915]Quote from ChristineNAsk if there are any bedside procedures you can watch (ie bone marrow biopsy? Paracentesis? or even just an IV placement?) Most doctors and nurses don't mind if students watchHi, ChristineN, I was wondering how often student nurses pass out. I am so worried about this b/c my instructor said it happens alot. What should I do so I don't. I would be so humiliated and freaked out!! TIA