Wednesday, July 12th, 2017

The First Day Of Being A CNA-What I Learned

December 7, 2010 by  
Filed under CNA Training

The first patient I have encountered in the clinical area was not the patient was assigned to … and it took me a while to understand what was really sick. What I learned on the first day of Clinical is a lesson that will stay with me during my nursing career.

We need a cool blue scrubs, stethoscopes around the neck of a new, ten students were crowding around the table with a small meeting room. Ms. K., the hospital director of nursing education , led us to the hospital, where he had reserved for us our first clinical experience. Then he shot Ms. B., * who has headed the unit.

Ms. B was given a sheet with a list of hospital policies and procedures, cleared his throat and began reading aloud. The paper was double sided, and start early, she began to read from the wrong side of the paper in the middle of the list. Does not seem to realize her mistake, she continued to read, stumbling over words as she did. She came to the end of the line, lost his seat and went back to the beginning. It took him three attempts to clear the first section.

She did not do much better with the second section. She read aloud slowly, laboriously. At times, she fidgeted, tapped his fingers on the paper, or sucked in his breath. Sometimes she stopped and hummed to himself. If she came across a difficult word, she had to replace it with a lighter or ignore it completely.

My classmates and I changed the look of bewilderment. His defeat was so obvious that none of us did not know what to say. I suggest that we go around the table and read each paragraph aloud, or give us 10 minutes to read the policy manual for ourselves. I did not dare open my mouth, even fear of embarrassing him. We sat in complete silence, but I could see the gears turn sought to exploit the knowledge of the pathophysiology of a novice to figure out what was wrong with him. Only one lesson every week, we learned about literacy, and how outwardly successful people have struggled with him, using all types of adaptive techniques to hide the hand. It was possible that Mrs. B. suffered from the same disease? It seemed unlikely that a nurse can take as long as his profession if he could barely read.

So what could be the problem? It was a stroke? It was possible that he had come to work in the morning and no one is her supervisor, not his colleagues, did not notice the problem? Without our student nurses on something that everyone else had overlooked? No, you can not. Someone else would have noticed something.

Halfway through the list, Ms. B. He shrugged helplessly and put the paper. She told us to read the rest on our own and fill out the questionnaire at the end. When we did, she picked up our papers and asked us if we had questions. We do not have. She took our papers and mixed with the environment.

When the door was safely closed behind her, the small conference room exploded. At first we let myself go with embarrassed giggles, the kind that you leave when an artist takes a spill onstage. But we were the nurses who had something to take lightly. We tried to solve the mystery of a nurse educator completely unable to read a single page out loud. And if she did not know how she lost her job over all these years? How the hospital had kept? We exchanged the theory of the theory of Outlandish before finally reached an agreement that it was close to retirement age and who show early dementia; hospital kept out of charity, in a situation where it would do less damage.

If before, we were concerned about their welfare, now that we were outraged. How dare hospital mistake this woman just consistent to guide us to the hospital? What type of learning experience would be for us? Our clinical instructor came to fetch us, and we pointed to his experiences. She went to the head of the nursing program, telling him that Mrs. B. had several years experience in hospital, but was new to the education staff of nursing. This was the first group of students, she had to know. Maybe she was nervous.Ms. B accompanied us upstairs where we had to work that day, but our instructor summarily dismissed her, saying she shows us around the unit itself. For the rest of the day of our clinical instructor at the steam to the hospital as incompetent and incompetent staff they hired.

A week later we were back in the hospital, and I noticed Mrs. K., the director of nursing education transferred to our supervisor and tell him something. The pilot was a shock look on his face. Subsequently, the post-conference, he repeated the speech us.After Mrs. B. to the left of our group last week, said his supervisor that he was not feeling well and went home. The next morning, it seems to work and did not answer the phone. Mrs. K and another employee went to his home and found unresponsive. He rushed to the hospital and found to be acute renal failure. His BUN and creatinine were through the roof. He was in hospital care and much better.

Suddenly the pieces fell into place. These levels of toxins in your blood, it was incredible that he could act. But what about us? True, we had at the beginning of nursing students, but we should have enough common sense to identify people in need. Because we did not do the simplest thing – to ask, “Are you okay? Can we get you something to drink?” Why has not anyone warned that something could be very bad? Why do you prefer to settle for an explanation, which condemned both him and the inability of the hospital?

I realized she was the victim of what psychologists callĀ  “group-think” – Where group members lose their ability to think critically and independently We’ve all been waiting for someone else to take the first step to sound the alarm None of us were prepared to hold the neck forward to get help Mrs. B. I needed We played our role -.. that .. was the teacher, who were students we have analyzed its behavior in terms of their talent and skill we failed to recognize that in this situation the roles are reversed: it was the patient were nurses.

As nurses, who are often able to work with people whose rank, skill or experience far superior to ours. However, we must look beyond the title role, acting as an advocate for our patients. We can rest on our laurels, thinking it is the doctor or the nurse manager or charge nurse, realizing that something is wrong. Very often, these are our skills and instincts of a sudden to save a patient. When we realize that something is wrong, we must act quickly on it, not be paralyzed by confusion or indecision. We need trust, confidence to act on what we know and what we observe. There is no insecurity, no “I’m just a student” or “just a nurse.” What I learned on my first day of Clinical is a lesson for the rest of my career in nursing.