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Old 10-10-2008, 10:17 AM
Geff
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Default Training in the dark.

Hi guys? I am a male student nurse undertaking a Diploma Nursing course.I am in 1st year but seem to have lost direction. Clincal sessions seem to be a greater part of the training and are really a very important part in instilling confidence. We usually go through these sessions with less guidance from the senior nursing staff and if any it isn't enough. How can one get the sense of direction back without the help of mentors? Are all training sessions carried out this way else where?Someone help me! I need a mentor.
Geff
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Old 10-10-2008, 11:04 AM
Medic09
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Hi Geff!

Your title got my attention. I started life as a combat medic, so we really trained alot in the dark!

Seriously, I know nothing about nursing education in Kenya; but I have been a teacher and training officer, as well as a medic, student, and nurse. If you haven't done it yet, speak with your instructor(s) directly. Explain clearly what you think you need from them. 'Sink or swim' was a little bit of the approach in my education as well; and that was at a good American university. What the instructors expected us to do independantly varied with the instructor. Some were just not very up to the task. Some kept a sharp eye from a distance, trying to give us enough 'leash' to develop some independance and confidence, but intervened when they saw a problem. Some constantly rotated among the students and watched us like hawks.

Instructors have personalities just as students do; so you never know what to expect. Start by speaking with them privately. Don't put them on the defensive; just explain your needs and see how they respond.

Of course, programs vary. The other question is, do you have other options?

Lastly, stay on top of your knowledge base. You can't treat patients 'by the book'; but knowing the books well at least will give you some foundation to contribute to your and the patient's well-being.

Good luck! Let us know how you proceed.

mordechai
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Old 10-11-2008, 08:43 AM
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Quote:
Originally Posted by Geff View Post
Hi guys? I am a male student nurse undertaking a Diploma Nursing course.I am in 1st year but seem to have lost direction. Clincal sessions seem to be a greater part of the training and are really a very important part in instilling confidence. We usually go through these sessions with less guidance from the senior nursing staff and if any it isn't enough. How can one get the sense of direction back without the help of mentors? Are all training sessions carried out this way else where?Someone help me! I need a mentor.
Geff
KENYA
Hi Geff and welcome,
Without knowing about your course; You will find that you need to present some initiative and interest first. Know what you can and can't do, and what you should be doing (this should come from your training facility). At the start of each shift, i presume you are delegated to a nurse who preceptors you for that shift? Negotiate with them as to what you will be doing that day (within your scope of practice) this might change as you learn more, so you will be negotiating at each shift.

EG: "Today I need to take 2 of the four patients. I need to focus on assessment and wound care. I will come and see you when I need assistance." (DO TIME PLAN) "Here is my time planer" (SHOW PLANER, THEN START DOING WHAT IS DUE). This is based on you knowing what you can do, and not having to be supervised while doing ADLs, Obs, etc. (NOTE: FOLLOW YOUR AGENCY'S PROCEDURES, IF YOU MUST HAVE DIRECT SUPERVISION, YOU MUST HAVE THIS SUPERVISION!)

Remember that some of these nurses see a lot of students and you can't expect them to remember what you can and can't do. If you are unsure of the structure of the day, ask to just follow for a day. But remember to be helpful, do obs for all the patients if you aren't focusing on drugs at this stage. Listen out for what is happening on the ward AND SHOW INTEREST (you might need to ask to see it), you have time to see things now that you won't as a full nurse.

If you need more guidance from a buddy nurse, you will need to take some of the pressure off them, they are still taking a full load of patients as well as you. If you do some of the jobs that you don't need direct supervision for but can take a long time, then you buddy will have more time to explain things to you later.

Hope this is of help!
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'Think not of yourself as the architect of your career but as the sculptor. Expect to have to do a lot of hard hammering and chiselingand scraping and polishing. - BC Forbes'
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Old 12-06-2008, 02:58 PM
liz0111
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Well.....I'm in alabama and it's the same way here. Alot of it has to do with just being a natural at it, so if you need help,practice on family and friends ( for taking BP and temps) practice on fruit for giving shots. Being first level you need to be sharp on assessment (head to toe). READ, READ, READ!!! Get your hands on everything you can. Watch discovery channel health shows (if you have access to them) and other medical shows. And NEVER BE AFRAID to ask questions, who cares if you sound stupid!!!!!! It's better to sound stupid than to endanger someones life!!! First level is scary, but it will be second nature to you next year!
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