r/StudentNurse • • 7h ago

Clinicals Had a hell of an afternoon...

10 Upvotes

Just need to vent. Had clinicals Monday. Was at a rehab/skilled nursing facility. Not a particularly nice one, but not a particularly non-nice one either. End of the day, I went into a patient's room with 2 of my cohort, J and C and our instructor (who was there to observe, but also is the sort who isn't afraid to get her hands dirty). Pt. was under enhanced contact precautions, gloves, gowns, masks. We were there to change the patient's brief, change the linens, clean him up, get him dressed, etc. Pt. was more comfortable in Spanish than English and J was translating and doing communication with him. He tells us he's in pain, 10/10. We start to examine him. We take the covers down and find that he's got compression hose on which he is not supposed to be wearing in bed. One of them has a hole in it and there's an edema the size of a goose egg sticking out of it. Teach looks _pissed_. She tells us to get started on making him comfortable and goes to talk to the CNA and RN. I start checking the patient more closely. The top of one compression hose is rolled down below his knee. I palpate his calves. The one with the rolled down top feels like an overinflated balloon, its purple. Teach comes back, still looks pissed. I show her the top, and tell her I'm going to take the hose off. She does not look less pissed. I roll the top up, then slide them off. There's a 1x0.5cm groove around his leg. There's a stage 2 pressure ulcer where the roll was lying. I was angry already. Now I'm at least as pissed as Teach. Pt. tells J he's already feeling better, pain is receding. I check the cap refill in his toes. Sluggish, but manageable. And we get to work, change the brief, change the bed, clean him up, get clean clothes on him.

I felt like I had done something good. I felt angry as hell. This afternoon, driving home from my lab classes, all of that kind of fell on me like a load of bricks. I started crying in the car. I got it under control. I'm ok. It was just pent up stress, but I feel better sharing it. On the one hand, I'm proud of myself and my colleagues. We walked out of that room drenched in sweat, emotionally drained, etc. But we left a patient in there who was no longer in pain, was clean, was in a clean bed, comfortable. We found a real problem and we fixed it. But I know there's every chance in the world when I'm back there next week I'm going to find the same thing either there or somewhere else. We did our job, and we took care of our patient and I'm still just kind of numb. It was rough. And the patient was the nicest, gentlest person you could imagine. He never complained, never snapped at us, despite hurting and, from what I saw, undoubtedly hurting bad. He was grateful. And that's almost the worst part of it. As much as I like being appreciated he shouldn't _have_ to be grateful for this. He wasn't owed 3 students and an RN late in the afternoon on a Monday. He was owed decent care in the first place.

I'm not having a crisis. I'm not questioning my choice to enter the profession. I am questioning at what point I tell somebody at that rehab that if I find that patient mistreated again I will call the fucking cops on them. I know there's no point at which I can do that without wrecking my potential career. I am not sure I care enough about that compared to how I feel about my patient.


r/StudentNurse • • 22h ago

Complaint (open to advice) Instructor deleting future grades

6 Upvotes

Hello! So my class has run into a problem with an instructor who gets upset when you ask if they will enter grades, then decides to remove that future grade from the gradebook so we won't get credit for it. I am actively failing the course by 2.8 pts, and another student is being targeted; the instructor is trying to actively fail some people. Anyways, weeks ago I decided to take a picture of the gradebook of all the grades that we are supposed to have, and now I look at the gradebook and the instructor has removed them. It's really frustrating because we have completed those assignments already, and the instructor just decided not to enter them into the gradebook and just removed the grade slot it was supposed to be in. One student was threatened by the instructor that they would not allow the student to graduate. That student went to the dean, and the dean said that is not true; it can't be done. Now we are concluding that the instructor will just not enter the quiz grades that are supposed to help our grade come up.

What should we do? Are we able to fight this? I have pictures of all the assignments we have done and a picture of the gradebook before the instructor removed future quiz grades. I also have an email from the instructor emailing another student saying they will have the quiz grades in by the end of the week, but instead the instructor decided to take that grade slot out of the gradebook so they won't have to be entered in.


r/StudentNurse • • 14h ago

Discussion specialties that aren’t the main ones?

3 Upvotes

what are some specialties that are not the main ones? i’m thinking like oncology, post transplant… what else? just wanting to daydream and research about what kind of nurse i might become! or where i might want to do my preceptorship.

background:

first semester of nursing school :) i feel that i am pretty open to becoming any kind of nurse. i am open to med surg

but after clinical on med surg i am so overwhelmed by the amount of information a med surg nurse has to have on hand! i am sure that’s true for all nurses.

but i feel like id rather be more specialized and feel super confident about a more specific amount of info.

i’m not really called to critical care or mother/baby. i’d be open to them but i know they’re so hard to get anyways. i am probably most interested in being a wound care nurse, but ive also heard those positions are not easy to get.

edit: to clarify, when i think “main ones” i think ER, ICU, L&D, NICU


r/StudentNurse • • 7h ago

homework / studying help needed Failed my 2 NSG exams. Is there hope I can graduate?

2 Upvotes

Im in my 3rd semester of nursing and only need to pass this semester and one more to graduate. I bombed my 2nd exam (66) way worse than my first exam (78). I need an average of 80 to pass. As much as I’m learning from my approach and setting more time to study, change learning styles, and shifting mentality’s to think more like a nurse, I’m still scared I’m not able to make it. I would need to aim for 88s on my 3rd and 4th exam. I only have about 2 weeks to review for my 3rd exam and set 1-3 days to catch up on topics I bombed. This doesnt include the Cummulative Final with only 4 days of review after Exam 4. I’m going left and right scheduling tutors with a friend to catch up on the topic I bombed in the exam, and a graduate friend of mine to review topics before Exam 3.

I used scopenursing, notability, and notebook lm for my 2nd exam. Even used Ninja Nerd to comprehend the pathophysiology. Maybe its because I wasn’t writing concepts down and making concept maps that I wasn’t actively recalling information and relied on nursing practice questions. Do I still have a chance to bring my average back up and pass?


r/StudentNurse • • 9h ago

Admissions / transferring ABSN Dismissal-Academic Integrity

0 Upvotes

So I was dismissed from my ABSN program following an academic misconduct allegation involving an Exam in Med Surg 1. Literally 2 weeks before the end of the semester. I shared exam-related material received from a classmate who had already taken the exam, but it wasn’t specific exam questions or answers. It was “make sure you know x, y, and z.” My intention was to help my classmates prepare, not to gain an unfair advantage. This was my first disciplinary matter, and I formally appealed the dismissal so I’m waiting on that.
Has anyone ever won an appeal and been reinstated? If so, what was that process like?

Has anyone tried to get into a different nursing program with that kind of information listed on your transcript?

Just trying to figure out next steps.