#TweetRN Transcript

Healthcare social media transcript of the #TweetRN hashtag.
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LessonsFromTheBedside @from_bedside
Welcome & happy Monday! We hope everyone survived the Thanksgiving holiday! #TweetRN https://t.co/YLR7bjnLNG
LessonsFromTheBedside @from_bedside
@ModerateFERN @NurseNoFilter All too often. #tweetrn
LessonsFromTheBedside @from_bedside
Please introduce yourself! #TweetRN https://t.co/N1Me4a9Xjj
Kelley Reep @reepRN
RT @NurseNoFilter: Excited to see what everyone says in tonight’s #tweetRN My follow up question is: how does someone make it through all…
Sarah, DNP @SarahKDNP
RT @NurseNoFilter: Excited to see what everyone says in tonight’s #tweetRN My follow up question is: how does someone make it through all…
LessonsFromTheBedside @from_bedside
I'm @SarahKDNP hosting & tweeting from this account for the next hour. I graduated with my BSN in 2008 & DNP in 2018. #TweetRN
ICU Mouse, RN @LttleMouse93
@from_bedside Hello everyone! Mouse here, I've been out of school since May! #tweetrn
Charmy @gaininginsights
@from_bedside Hi friends! Charmy NP checking in. Out of school for 7 years #tweetRN
LessonsFromTheBedside @from_bedside
@LttleMouse93 Yay! A newer grad! I look forward to hearing your opinions! #tweetrn
Justin, RN @NurseJustinRN
It's starting!
Christina Cardy, DNP, AGACNP-BC @ccardyDNP
@from_bedside Christina, APRN in Tampa. Currently work clinically in cardiology/critical care and teach in MSN and DNP programs at local institution. Finished my BSN in 2013. #tweetrn
LessonsFromTheBedside @from_bedside
@heycharmy Hi Charmy! Welcome! #tweetrn
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@from_bedside Hi! I’m Kye, @from_bedside team member and @SarahKDNP ‘s cohost for tonight! (Also known were your friendly neighborhood clinical instructor and Family Medicine maven!) #TweetRN
LessonsFromTheBedside @from_bedside
@lowflyingsquab Thanks for joining Mike! I look forward to your opinions as a fellow educator. BSN program? #tweetrn
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
Here we go guys, it’s time! #TweetRN #NurseTwitter #NursingStudent #StudentNurse
Kelley Reep @reepRN
RT @from_bedside: Welcome & happy Monday! We hope everyone survived the Thanksgiving holiday! #TweetRN https://t.co/YLR7bjnLNG
Katie Bates, DNP, ARNP, CHFN @katiebatesdnp
@from_bedside Oh! And I got my RN in 2011 and MSN in 2012 #tweetRN
LessonsFromTheBedside @from_bedside
Guidelines for #tweetrn https://t.co/rzYk4aJzZI
Danielle, RN 🐱 @DaniRN89
@from_bedside Hi! I’m Danielle! ER/trauma nurse from Atlanta. Graduated from nursing school in May of 2013! Feels like a lifetime ago. 😂 #tweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@amycontemplates @from_bedside So glad you’re here! #TweetRN
LessonsFromTheBedside @from_bedside
@katiebatesdnp You were motivated! Go girl! How long have you had your DNP? #tweetrn
Katie Bates, DNP, ARNP, CHFN @katiebatesdnp
@from_bedside Since 2017! #tweetRN
LessonsFromTheBedside @from_bedside
@DaniRN89 I feel you! I graduated in 2008 with my BSN & feel like such an old hag sometimes. #tweetrn
Justin, RN @NurseJustinRN
@from_bedside Hi all. Justin here. I'm super excited about tonight. As an adjunct in my local RN program, I know this will be a great convo. I initially graduated in 2001. Earned an ADN, BSN, MSN, and I'm headed into my final year as a doctoral student #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@SaltyLikeSaline @from_bedside Woohoo! I feel like I’ve been following your journey for so long. I can’t wait to see graduation pics! #TweetRN
Sarah, DNP @SarahKDNP
@katiebatesdnp @from_bedside In retrospect, I'm glad I did my DNP also, but it was hell going back for it. #tweetrn
Kelley Reep @reepRN
@ThatClinical BA 1989, ADN 2008, BSN 2012, MSN 2019. #tweetRN
Micki Englert DNP NP-C CNE @mickienglert
@from_bedside Hello! I completed my BSN in 2009, MSN 2011, and DNP 2017. #TweetRN
LessonsFromTheBedside @from_bedside
@NurseJustinRN And you're going to rock it!! #tweetrn
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@katiebatesdnp @from_bedside So glad to see you! Welcome! #TweetRN
LessonsFromTheBedside @from_bedside
@reepRN @ThatClinical When's the DNP coming? Hint, hint. :) #tweetrn
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
RT @from_bedside: Please introduce yourself! #TweetRN https://t.co/N1Me4a9Xjj
LessonsFromTheBedside @from_bedside
1st question! #TweetRN https://t.co/316VOpKs5D
LessonsFromTheBedside @from_bedside
@ummeowyn It'll all be worth it in the end "grump". Ha ha. #tweetrn
Kathryn - BSN, RN✌🏻🩺✨ @SaltyLikeSaline
@ThatClinical @from_bedside I will definitely share them! Thanks for always supporting me and my journey! #TweetRN
kat 🌟 🍁🎃👻 @kttwins1
@from_bedside Hi everyone. I’m Kat. I’ve been a nurse for 7 years. #tweetrn
Canadian🇨🇦Maple CCRN @ICU_traumaRN
@from_bedside Hey there. I’m Maple. I’ve been out of school since 94 😉 #tweetrn
Lisa Harris 💙 @LisaGerRN
#TweetRN BSN ‘83 Univ of DE; MSN Gerontology’90. I am Lisa. Glad to join.
Kelley Reep @reepRN
@from_bedside @ThatClinical *cue maniacal laughter* #TweetRN
ChiefComplaintPod @ChiefPod
@from_bedside Hi everyone! Nursing student co-host Zach here, I'll graduate in August from an accelerated BSN program. Let's #tweetrn !
Kyle Smith, BSN, RN, CEN, CPEN @EDNerdKyle
@from_bedside Kyle, ED staff nurse at large academic hospital, BSN 2018 and practicing for 17 months! Worked as a scribe in the same ED for 4 years before that! #TweetRN
LessonsFromTheBedside @from_bedside
@ChiefPod Hi Zach. Welcome! Curious to hear your thoughts. #tweetrn
Christina Cardy, DNP, AGACNP-BC @ccardyDNP
@from_bedside A1 #tweetRN in all of my programs, anything lower than a C+ was considered failing, and more than 1 C+ put a student on academic probation and required remediation. Nursing programs need rigor to remain credible. People’s lives are literally at stake.
LessonsFromTheBedside @from_bedside
@EDNerdKyle I bet your years as a scribe gave you some invaluable experience for nursing school! #tweetrn
Sassenmach RN, CCRN @ummeowyn
@from_bedside *grump grump grump* It’s mostly so that I can be a breadwinner when my husband goes for his Ph.D. After I did my ADN and he finished his masters with an infant, we swore only one of us would be in school at a time. #tweetRN
NurseBananahammock @ModerateFERN
@from_bedside A1 #TweetRN The program I attended had a similar rule. Anecdotally? Seems a good plan. Most folks who failed out & faded into history tended to not be a surprise. The couple ppl I knew who bounced back ended up being AWESOME.
Gemma Lill, MSN, CNE @lill_gemma
@from_bedside Hello #TweetRN friends! I had *quite* a gap between BSN 1993 and MSN- 2018! Now looking at doctoral programs 😊
Micki Englert DNP NP-C CNE @mickienglert
@from_bedside A1: I've worked at institutions where one failure resulted in dismissal from the program. I think the policies should be based on data and reevaluated over time. The appeal process should be consistent and fair. #TweetRN
LessonsFromTheBedside @from_bedside
@ccardyDNP This is the same way that my undergraduate program was (although I don't remember being aware of it at the time since I wasn't in academic trouble). I agree that we have to uphold standards to ensure safety. #tweetrn
Ari BSN, RN, OCN @running_nurse_
@from_bedside A1: I think the rigor is definitely necessary. If it becomes too lax, we lose credibility and respect. We’ve seen this a lot with NP program “degree mills.” Rigor is essential, but more mentorship opportunities should be available. #TweetRN
Kyle Smith, BSN, RN, CEN, CPEN @EDNerdKyle
@from_bedside A1: Too strict! Nursing students are already put under so much pressure. Once you've matriculated, I feel like the School has committed to you-- "we are your partners in your journey in the profession". #TweetRN
Elizabeth Grosse MSNEd, RN, CCRN, CEN @Beth_Grosse
RT @from_bedside: Welcome & happy Monday! We hope everyone survived the Thanksgiving holiday! #TweetRN https://t.co/YLR7bjnLNG
Kathryn - BSN, RN✌🏻🩺✨ @SaltyLikeSaline
@from_bedside A1 I agree & I don’t. I feel that instead of being dismissed from the program, nursing programs should offer more support for these students. If it’s from a complete lack of trying, I can see dismissal. If it’s struggling, work with students to help them get through it #TweetRN
Charmy @gaininginsights
@from_bedside A1 it depends on which classes, but I generally agree. Nurses are the most trusted profession & we should be held to the highest standard starting right in school. School ethic = work ethic #tweetRN
Kelley Reep @reepRN
RT @from_bedside: 1st question! #TweetRN https://t.co/316VOpKs5D
LessonsFromTheBedside @from_bedside
@ModerateFERN Did those who bounced back appeal or never made it that far before they turned it around? #tweetrn
Taliesin Magboo Cahill @tmc_RN
@from_bedside A1: this is hard to answer because the programs are all so different, but in general the problem I had with school is not that too many people failed, but that people who weren't interested in nursing stayed in. #tweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@from_bedside A1: I’m hoping I don’t get hate mail for this, but... I agree with this. Twofold: 1. Nursing is people’s lives. Not everyone is cut out for nursing and that’s okay. 2. Not willing to put in the hard work to pass? Nursing 🚫 for you. #TweetRN
Justin, RN @NurseJustinRN
@lill_gemma @from_bedside Aww dang. Yes you can always catch up with the conversation at any time #TweetRN
LessonsFromTheBedside @from_bedside
@lill_gemma There's no time like the present! I can recommend some! What specialty are you looking into? #tweetrn
Danielle, RN 🐱 @DaniRN89
@from_bedside Forgot my #tweetrn
Christina Cardy, DNP, AGACNP-BC @ccardyDNP
@running_nurse_ @from_bedside Agree. If nurisng wants to be recognized as science and not a trade school, we need to maintain academic rigor. #tweetrn
Katie Bates, DNP, ARNP, CHFN @katiebatesdnp
@from_bedside A1: #tweetRN not too strict although appeal process is important given uniqueness of some student situations and variation of professor expectations. I worry more about students who don’t do well in clinical rotations. That is where the true colors shine.
LessonsFromTheBedside @from_bedside
@mickienglert One failure seems strict to me. I agree that everything should be consistent, fair & based on written policies. #tweetrn
Charmy @gaininginsights
@SaltyLikeSaline @from_bedside Having more mentors and tutors definitely has value 🙌 #tweetRN
Danielle, RN 🐱 @DaniRN89
@running_nurse_ @from_bedside #tweetrn https://t.co/uaHuXK2w4Y
NurseBananahammock @ModerateFERN
This.
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@from_bedside A1 part 2: Having said that, I give my students EVERY chance to pass and as much tutoring and as extra help as they need. I make myself always available to them via text at very least. It’s okay to need extra help, but you need to come and get it. #TweetRN
Megan Hetzel @megrunnergirl
@from_bedside Hey I’m Megan! I’ve been working as an RN for all of 9 months, so I still consider myself a newbie! #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
RT @from_bedside: 1st question! #TweetRN https://t.co/316VOpKs5D
Justin, RN @NurseJustinRN
@from_bedside A1: I'm sure there are reasons for this, but I had a student who failed in the BSN program and came to our ADN program. She was the most fantastic future nurse I've ever met. She ran into some hard times, but never gave up on her dream. She could be my nurse any day #TweetRN
LessonsFromTheBedside @from_bedside
@running_nurse_ I think that those students who are serious about succeeding, but yet still struggle academically naturally seek out mentors within the academic & medical community, because they care that much about succeeding. #tweetrn
NurseBananahammock @ModerateFERN
I endorse this.
Christina Cardy, DNP, AGACNP-BC @ccardyDNP
@tmc_RN @katiebatesdnp @from_bedside Yikes! Nursing is not a “participation trophy” degree. #tweetrn
Danielle, RN 🐱 @DaniRN89
@ThatClinical @from_bedside I thought I’d be in the minority for this opinion too! 😂 You’re not alone. #tweetrn
LessonsFromTheBedside @from_bedside
@EDNerdKyle But at what point do you acknowledge that nursing isn't for everyone and not everyone can "cut it"? #tweetrn
Kelley Reep @reepRN
RT @ThatClinical: @from_bedside A1 part 2: Having said that, I give my students EVERY chance to pass and as much tutoring and as extra help…
ICU Mouse, RN @LttleMouse93
@ccardyDNP @from_bedside A1 my program if you failed one class you could not advance in the program only 2 trys allowed, then you are dismissed. If I were the patient I would want the nurse who maybe failed one course once over someone repeatedly failing. #Tweetrn
Kelley Reep @reepRN
RT @katiebatesdnp: @from_bedside A1: #tweetRN not too strict although appeal process is important given uniqueness of some student situati…
Sassenmach RN, CCRN @ummeowyn
@from_bedside A1: I have very mixed feelings about this. On the one hand, it’s people’s lives. On the other hand, it is a form of gatekeeping. It really depends on the appeals process to me. If something big has happened to the student, what can we do to help them succeed? #tweetRN
Justin, RN @NurseJustinRN
@CStaffordd22 @from_bedside Very happy to have you!! #TweetRN
LessonsFromTheBedside @from_bedside
@SaltyLikeSaline I think that we should try to identify our "at risk" students early on & provide them with the help & resources they need before they get too far gone. #tweetrn
Megan Hetzel @megrunnergirl
@ThatClinical @from_bedside I 100% agree with this. There’s a higher level of responsibility involved in nursing. If you can’t meet the expectations in school, real life is going to be rough. #TweetRN
CRNA Probs @crnaprobs
@from_bedside SRNA here, BSN in 2015 and graduating with DNP in 2020. #TweetRN
Hannah Ethridge @hannah_e21
@from_bedside A1–yes I agree there needs to be rigor and it needs to stay that way, but I also believe programs need to set their students up to succeed. Throwing them into it and saying good luck is not okay, that’s what ours did after first semester. #TweetRN
LisaT, RN @LTwithoutB
@from_bedside Lisa, senior nursing student (I’m more ways than one😂) Graduating RN in May! #tweetrn
Sarah, DNP @SarahKDNP
@heycharmy @from_bedside Agreed. This is the first place where they really get to develop their ethics. #tweetrn
Justin, RN @NurseJustinRN
@ChiefPod @from_bedside And creates an culture of paranoia that is long-lasting. It's time we instruct differently. This is how I was taught, but this is also why I teach now--to do it differently. Thank you for your thoughts. #TweetRN
Hannah Ethridge @hannah_e21
@from_bedside A1–As a result, MANY (more than half sometimes) fail our second semester course because of them just throwing us into it. #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@EDNerdKyle @from_bedside Interesting take on this, Kyle! #TweetRN
LessonsFromTheBedside @from_bedside
@tmc_RN And that stinks. I have seen that myself. Especially from a cultural aspect in south Florida. Many cultures push their kids into nursing because it is an "honorable profession". However, the student doesn't want to do it. #tweetrn
Justin, RN @NurseJustinRN
@ThatClinical @from_bedside There is a safety component to this for sure. #TweetRN
Kyle Smith, BSN, RN, CEN, CPEN @EDNerdKyle
@from_bedside I think if you're failing multiple classes you need to meet with a Dean and have a heart to heart. Why is the performance so poor? If we can identify the factors that led to it, let's make a plan, maybe put you on a revised, likely delayed curriculum path. #TweetRN
LessonsFromTheBedside @from_bedside
@ThatClinical Preach sister!! I'll be your hate mail blocker! #tweetrn
Kelley Reep @reepRN
@LTwithoutB @from_bedside Congrats!! #tweetrn
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@LttleMouse93 @from_bedside Ahhh, this is an excellent point! I think this is where instructors need good ongoing communication with their students so there are no surprises when they’re failing halfway through. #TweetRN
LessonsFromTheBedside @from_bedside
@DaniRN89 I think that there has to be some repercussions for your actions & some drive to really show that you want this. #tweetrn
Justin, RN @NurseJustinRN
@running_nurse_ @from_bedside And then we have those who are young and lack life skills and mentorship from a parental perspective. Maybe they weren't ready at that time, but there should always be an option for re-entry should you grow and mature. #TweetRN
Elizabeth Davis @BethDavisRN
@from_bedside Hi, I’m Beth and have been a nurse since 1974. That’s 45 years. Yikes! I started as a hospital diploma grad, then BSN, then MSN. Currently working as the Director of Professional Practice at a community hospital in Canada. #tweetrn
LessonsFromTheBedside @from_bedside
@ccardyDNP @running_nurse_ And we're coming under more & more scrutiny for this every day! #tweetrn
NICU RN @nicunurselife
@from_bedside Hey guys, I’m running a little late this week, but I made it! I’ve been out of school for 2 years this month! I can’t actually comprehend that it’s been 2 years. I still feel like a baby nurse! #tweetRN
ICU Mouse, RN @LttleMouse93
@ccardyDNP @from_bedside I found students from my cohort who failed once most chose not to even take their second attempt. #tweetrn
LessonsFromTheBedside @from_bedside
@heycharmy @SaltyLikeSaline Mentoring is one of my favorite roles as a teacher. #tweetrn
Kelley Reep @reepRN
@ThatClinical @LttleMouse93 @from_bedside The only caveat is watch your make sure there’s not a pattern in which instructor fails students. We had a couple of bad instructors that had power plays. #tweetrn
Charmy @gaininginsights
@nicunurselife @from_bedside Sometimes I think other students/peers are better at judging whether another fellow student will make a “good” nurse rather than grades or a professor or a policy #tweetRN 🤷‍♀️
CritCareRN @rn_critcare
@from_bedside A1 #tweetRN Tough call. I was a 4.0 student until my divorce, then found myself a single mom nursing student. I failed one class. Barely passed another. Did I deserve to be let go from the program? No appeal was available. 🤷 But here I am, can't imagine doing anything else
LessonsFromTheBedside @from_bedside
@NightOwl_RN From scratch!? Dang! They weren't messing around! #tweetrn
Lisa Harris 💙 @LisaGerRN
A1: I do not remember what my school policies were but I think 2 failures should require an appeal - ?”old-timers”? I agree with the clinical safety issue here. I cannot imagine getting close to failure without seeking help!#TweetRN
Justin, RN @NurseJustinRN
@lowflyingsquab @from_bedside I agree. Small class sizes and clinical groups help too! Is it us as faculty? Or is it the student? Or both? This is what we have to assess just as frequently as we assess an ICU patient. #TweetRN we need more nurses--it's worth the work!
Ignite @Ignitenursinged
@from_bedside A1: We agree. These policies are in place to meet a standard for our profession. Outcomes can become complicated when variations in assessment and evaluation lead to reliability and validity concerns and students are not graded with an accurate representation of ability. #TweetRN
LessonsFromTheBedside @from_bedside
@ThatClinical Exactly! I'm known to say that I'm willing to help those who are willing to help themselves. #tweetrn
Amy Schloss @akschloss
@from_bedside A1 For my program, failing 1 course (< 73%) = enter cohort below you/redo year. The students (who have the $ means to do this) are amazing senior students and benefited from this remediation period. With a 2nd fail after this process, I think the dismissal is warranted. #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@ccardyDNP @from_bedside Yes girl yes! I didn’t listen to the radio in the car on my commutes during nsg school, I listened to taped lectures and NCLEX review tapes. I didn’t watch tv. I studied. I had no social life, I had a baby on the boob and a book in my hand! #TweetRN
LessonsFromTheBedside @from_bedside
@megrunnergirl Welcome! #tweetrn
Kathryn - BSN, RN✌🏻🩺✨ @SaltyLikeSaline
@studentnurse91 @ThatClinical @from_bedside If they are choosing not to use the resources provided or fight for their grades, then I agree with the dismissal. If you want to be a nurse bad enough, you will fight. #TweetRN
Justin, RN @NurseJustinRN
@running_nurse_ @from_bedside Agree! This is where the question is: is the faculty? Is it the student? Is it both? We must assess this like we assess our patients ongoing. We need more nurses so it's worth the work. We could use more $$ though #TweetRN
Charmy @gaininginsights
@RN_Atheist @from_bedside You bring up a very valuable point. Nursing students of different ages have different circumstances that can affect their likelihood of success #tweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
Preach girl preach! #NurseTwitter #TweetRN
LessonsFromTheBedside @from_bedside
@NurseJustinRN What caused her to fail? Grades? Didn't have the time to study because of life? #tweetrn
LessonsFromTheBedside @from_bedside
@DaniRN89 @ThatClinical I love that so many of us have high expectations for our profession! #tweetrn
Justin, RN @NurseJustinRN
@katiebatesdnp @from_bedside @SaltyLikeSaline I'm not sure there is a one-size-fits-all here, but if I have a well-performing student who suddenly takes a turn (in grades/performance) I'm asking questions. I'm intervening sooner than later. #TweetRN
Danielle, RN 🐱 @DaniRN89
@RN_Atheist @from_bedside Sometimes life happens and we have to help those that struggle through. I’m glad you were able to get back in the game and accomplish your goals. 💜 #tweetrn
#HellomynameisErica @tiredkiwinurse
@from_bedside @running_nurse_ Not all of them, I had to fail a student because of their literacy level. They never asked for anything & had used up all their resits for the semester so needed to repeat. If they'd have just told someone they needed help, it could have been offered. #TweetRN
LessonsFromTheBedside @from_bedside
@LttleMouse93 @ccardyDNP I couldn't agree more! Failing one course is human, failing more than one is potentially dangerous. #tweetrn
Miésha @theoryofmiesha
RT @ThatClinical: @from_bedside A1 part 2: Having said that, I give my students EVERY chance to pass and as much tutoring and as extra help…
Ashley Fox @Ashley_Promyse
@from_bedside Ashley - RPN graduated 2010. 😊 It doesn't feel that long ago! #TweetRN
LessonsFromTheBedside @from_bedside
2nd question ... #tweetrn https://t.co/y0e2hMfWE3
LessonsFromTheBedside @from_bedside
@ummeowyn I'm all about helping people who have a known track record of working hard, but got derailed due to life. It's the ones who consistently don't put in the work that I just can't support. #tweetrn
LessonsFromTheBedside @from_bedside
@srnaprobs Congratulations!! #tweetrn
A. J. Tarr Cooke BSN, RN @AJDgo
@from_bedside Academic dishonesty is a deal breaker. #TweetRN
Hannah Ethridge @hannah_e21
@from_bedside A2–As a soon-to-be last semester nursing student, I don’t FULLY think someone should be failed automatically. I think education and what our school calls Performance Improvement Plans are so important to ensure safety and professionalism. #TweetRN
LessonsFromTheBedside @from_bedside
@hannah_e21 Yeah, I agree that that's just not right. #tweetrn
Ari BSN, RN, OCN @running_nurse_
@from_bedside A2: I feel an automatic fail would have to be due to gross negligence in a clinical setting rather than an academic mistake. For example, insubordination in clinical to a point where the patient is harmed or a near miss occurs. #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@from_bedside A2: Automatic failure should be limited to a few select circumstances, such as being under the influence in class & clinicals, and I have unfortunately seen this. Ugh. #TweetRN
Ashley Fox @Ashley_Promyse
@from_bedside 🙋‍♀️ I was one of those students initially. Certain percentage all year and certain percentage on the exam. I failed 1 class. I appealed and was told a high school student would get in before I could reapply under their policy. So I applied to 4 others schools. 1/2 #TweetRN
LessonsFromTheBedside @from_bedside
@LTwithoutB Congratulations!! #tweetrn
Patricia Ann @Patricia_Ann_E
@from_bedside A2 #TweetRN Yes to all. I think a Registered Nurse is not immune to being fired, as should a 4th year student not be impervious to what would otherwise be “fireable offenses”. I don’t think being unsafe means not knowing a new unit, I think it means disregarding patient safety
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@NurseNoFilter @from_bedside I agree with this! #TweetRN
Christina Cardy, DNP, AGACNP-BC @ccardyDNP
@from_bedside A2 #tweetrn I don’t think seniority in an academic program should be weighed when considering if someone should pass/fail. Unfortunately, if they’ve made it that far and are still unfit to be a nurse, we (instructors) may have failed them and ourselves in our mission.
LessonsFromTheBedside @from_bedside
@hannah_e21 Well I'd assume that someone is hopefully looking into that. Although I do know that in most nursing programs (undergrad & grad), they have a "weed out" course that weeds out those that are going to make it versus those that won't. #tweetrn
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@AJDgo @from_bedside Oooooh good point, that’s a dealbreaker for me as well. #TweetRN
Ari BSN, RN, OCN @running_nurse_
@from_bedside (Cont) automatic fails for drug or alcohol use during clinical time or prior to a shift. #TweetRN
Charmy @gaininginsights
@from_bedside A2: it shouldn’t come that far where a senior needs to be dismissed. Red flags in that students record should have been recognized EARLIER #tweetRN
Micki Englert DNP NP-C CNE @mickienglert
@from_bedside A2: Automatic failure is reasonable for unsafe clinical practice and for cheating. What constitutes unsafe is tricky... and how the student responds to it matters too. #TweetRN
Kathryn - BSN, RN✌🏻🩺✨ @SaltyLikeSaline
@from_bedside A2 If students are unsafe in the clinical settings, contracts are drawn up. As a senior level student, I do not feel anyone should be autocratically dismissed. However, if reoccurring behaviors or attitudes are present with warnings given, then I can see it. #TweetRN
CritCareRN @rn_critcare
@from_bedside T2 #TweetRN I would address the insubordination but I wouldn't fail it. Repeated unsafe practice, no interest in learning are worthy of a fail in my eyes, as long as you have documentation to back it up and it's not a surprise to the student
LessonsFromTheBedside @from_bedside
@EDNerdKyle Great thoughts! Don't give up on them, but really have a "coming to Jesus" talk with them to let them know they need to pick it up if they want to succeed. #tweetrn
Ashley Fox @Ashley_Promyse
@from_bedside Aced it when I went to another school. I believe it was the school I chose out of HS being just a number in 90 students. My 2nd school of choice was a smaller number students, more hands on& mentorship from teachers when needed to succeed or navigate to succeed 2/2 #TweetRN
Hannah Ethridge @hannah_e21
@from_bedside This is mostly our “weed out” course because they ease us into it. But I do know that the last 3 classes have had almost half fail and this current class isn’t looking too good either. So I’m hoping they’ll listen to us and help bridge the gap. #TweetRN
Lisa Harris 💙 @LisaGerRN
A2: I think for unsafe clinical care and insubordination, there needs to be a meeting with student/instructor/Dean. Performance reviewed, plan created and should be no further repeats of either. Unsafe care would be care provided by student that was not reviewed by prof. #TweetRN
ICU Mouse, RN @LttleMouse93
@from_bedside A2 any behavior during a clinical which is grossly unprofessional (under the influence of anything), forging clinical hours, gross negligence that results in harm to a patient, possibly near miss depending on circumstance and cheating in didactic courses #tweetrn
NurseBananahammock @ModerateFERN
@from_bedside A2 #TweetRN Cheating Failure to follow instructions/unsafe practice in clinicals Gross insubordination/misconduct
LessonsFromTheBedside @from_bedside
@ThatClinical @LttleMouse93 We have a "Clinical Counseling Form" that we fill out for anyone who's not doing well. It gives them notice of what they need to improve & we make an action plan. No surprises. #tweetrn
Christina Cardy, DNP, AGACNP-BC @ccardyDNP
@lowflyingsquab @from_bedside Agree. Unsafe would constitute patient harm, lack of integrity, negligent behavior, and ethical/moral conduct issues. Also accountability issues. #tweetrn
LessonsFromTheBedside @from_bedside
@NightOwl_RN @hannah_e21 I teach only senior year students & this year's group for some reason is FAR behind where they should be at this juncture in their schooling. #tweetrn
Justin, RN @NurseJustinRN
@from_bedside A2: It is too difficult to be too granular with this. If a senior student places someone's life at risk during a clinical session, that is grounds for immediate failure. You have to make the grade too. Theoretical foundations are just as significant #TweetRN
Kelley Reep @reepRN
RT @from_bedside: 2nd question ... #tweetrn https://t.co/y0e2hMfWE3
LessonsFromTheBedside @from_bedside
@lowflyingsquab Hmm. That's an interesting thought. Our passing grade is a 75% also. I don't disagree with them having to retake all of it though, as it just helps to solidify the material further. #tweetrn
Christina Cardy, DNP, AGACNP-BC @ccardyDNP
@ThatClinical @from_bedside When we have trainees w suspected substance issues or serious personal problems, we encourage and support a leave of absence prior to termination/expulsion. #tweetrn
NurseBananahammock @ModerateFERN
Is Just Culture a thing in nursing programs? #TweetRN
Charmy @gaininginsights
@lowflyingsquab @from_bedside Yes!! I’m always scratching my head when I see a select student documenting a manual BP in odd numbers. Like seriously, how great is your eyesight?! #tweetRN
LessonsFromTheBedside @from_bedside
@NurseJustinRN @running_nurse_ This is so many of my students. #tweetrn
ChiefComplaintPod @ChiefPod
@from_bedside A2: Like all programs, academic dishonesty has to be dealt with harshly. And I think in clinicals, mistakes are one thing, covering them up quite another. #tweetrn
LessonsFromTheBedside @from_bedside
@BethDavisRN Congratulations! I bet you've got some amazing stories to tell! #tweetrn
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@rn_critcare @from_bedside I agree with all these points, Crit. And I definitely think that open communication with students is key. Ongoing academic and clinical performance reviews are a great way to do so! #TweetRN
Ali @ali_n_wundrland
@from_bedside Hi! Graduated nursing 12 years ago. Graduated BSc Biology 17 years ago. 😳 #tweetRN
Kyle Smith, BSN, RN, CEN, CPEN @EDNerdKyle
@from_bedside A2: great question, and I think there's a lot that could be grounds for automatic dismissal. Just want to push the perspective that those of us at bedside are way more familiar with what is safe and right than students are. This is mostly a new, alien world for them. #TweetRN
LessonsFromTheBedside @from_bedside
@nicunurselife Better late than never! Welcome! #tweetrn
Bryan Boling @bryanboling
@from_bedside A1: I think we go at nursing education backwards. Most programs I’m aware of are relatively easy to get in and they brag about how many will fail. Most MD programs are stupid hard to get in, but then they bend over backwards to make sure students succeed. #tweetrn
LessonsFromTheBedside @from_bedside
@reepRN @ThatClinical @LttleMouse93 I've seen this too. Students complain about instructors being hard. Sometimes it's the teachers having high expectations, but sometimes it really is a case of someone who has no business being in education. #tweetrn
Ignite @Ignitenursinged
@from_bedside A2: Auto failure yes, but in very rare and extreme circumstances. This should really be a panel review to allow for a thorough analysis of the situation and offense. #TweetRN
Sassenmach RN, CCRN @ummeowyn
@ThatClinical @ccardyDNP @from_bedside 😬 I’m pretty sure I had a letdown response to some of my lecturers by the end of school from pumping and doing homework at the same time. Also, the listening to lectures on repeat is how I passed my CCRN. #tweetRN
LessonsFromTheBedside @from_bedside
@heycharmy @nicunurselife A lot of it does come down to personality honestly. #tweetrn
NICU RN @nicunurselife
@from_bedside Unless it is part of the policy or the second failed course. #a2 #tweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@ccardyDNP @from_bedside I carry some shame with me on a student like that. I still wish I hadn’t passed her and should’ve done more to intervene earlier in her program. 😩 #TweetRN
Gemma Lill, MSN, CNE @lill_gemma
@reepRN @ThatClinical @LttleMouse93 @from_bedside Really?! That’s terrible! There is so much documentation, angst and tears involved in failing a student. Also our uni has the decisions go through the legal department. Personally I’ve found more students pushed through than given failures. #TweetRN
LessonsFromTheBedside @from_bedside
@rn_critcare And that's what makes you a damn good nurse! You had the drive to get back up & keep working hard for it. #tweetrn
Justin, RN @NurseJustinRN
@from_bedside @running_nurse_ Should you have to be older than 21 to enter nursing programs? It makes you wonder. I know it doesn't apply to everyone, but most people are not ready for the realities of the program. I would have waited till I was a bit older too, but poverty was a small issue #TweetRN
LessonsFromTheBedside @from_bedside
@NurseJustinRN @lowflyingsquab Preceptors wanted!!! #tweetrn
Ali @ali_n_wundrland
@from_bedside A1: I am mixed on this. There is a fine balance between being strict for the sake of nursing and not taking individual circumstances into account. #TweetRN
Megan Hetzel @megrunnergirl
@from_bedside A2: Automatic failure should be limited to very specific circumstances. It’s one thing to make a mistake, it’s another to blatantly disregard expectations or put pt safety at risk. What applies to real life should be applied to school. #TweetRN
Charmy @gaininginsights
@ThatClinical @from_bedside Honorable mention to students who are always tardy. If you’re tardy for clinicals, will tardiness in real practice fly? 🤔 #tweetRN
Justin, RN @NurseJustinRN
@nicunurselife @katiebatesdnp @from_bedside @SaltyLikeSaline You were lucky. Faculty shortages make this tough to do. Especially when we don't know what's going on. These days it makes it hard to get too personal with people. You have to communicate, but not all students feel comfortable doing that. #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@dirtlovinggrrl @from_bedside There should be, and I’m open to having a discussion with the student on getting help with a SUD if that’s what’s going on. But until things are under control, the student should at very least take leave from school. #TweetRN
Charmy @gaininginsights
@hannah_e21 @from_bedside I like the mind sight here. School is setting up students for success, not failure 🙂 #tweetRN
Justin, RN @NurseJustinRN
@from_bedside @lowflyingsquab Does your school allow the use of preceptors? #TweetRN
Angie @smangelina
RT @ccardyDNP: @running_nurse_ @from_bedside Agree. If nurisng wants to be recognized as science and not a trade school, we need to maintai…
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
RT @from_bedside: 2nd question ... #tweetrn https://t.co/y0e2hMfWE3
Baby Nurse R.N. @babynursstudent
@from_bedside #a1 #tweetRN As someone who struggled through nursing school & got through. I think there needs to be a balance life and death that is our job. However a test average should not be the only way to assess if I am learning something in lecture especially if u make me do other work
LessonsFromTheBedside @from_bedside
@Patricia_Ann_E Never thought this way, but what an incredible point. #tweetrn
LessonsFromTheBedside @from_bedside
@ccardyDNP This is what I think too. I look at myself. What could I have done differently? #tweetrn
Gemma Lill, MSN, CNE @lill_gemma
@from_bedside @reepRN @ThatClinical @LttleMouse93 I find many clinical instructors don’t actually have an educational background. Before I did my MSN I thought I did a good job - I didn’t know what I didn’t know #TweetRN
Megan Hetzel @megrunnergirl
@CoffeeInfusedRN @heycharmy @from_bedside I think there’s a difference between making an error once and a consistent pattern of errors. We’re human and make mistakes. In fact, you’re at a higher risk to mess up as a senior because you’re allowed to do more. #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@ccardyDNP @from_bedside Incredibly frustrating! I taught for one small organization a few years back who pushed to pass damn near everybody because of the almighty dollar. He pretty much told me to do whatever I had to do to pass them so he got paid. Ugh. #TweetRN
LessonsFromTheBedside @from_bedside
@heycharmy The problem is that most times they have been recognized, but they've not been acted on. Hmmphf. #tweetrn
Ali @ali_n_wundrland
@from_bedside This one hits home for me. I precepted a 4th year student in ICU. Her instructor was hell bent on her passing and continually dismissed my concerns about her safely practice. I wanted her to graduate a safe and competent new grad. They played the system and she passed... #TweetRN
Kelley Reep @reepRN
RT @lill_gemma: @from_bedside @reepRN @ThatClinical @LttleMouse93 I find many clinical instructors don’t actually have an educational backg…
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@ummeowyn @ccardyDNP @from_bedside Haha yes!!!!!! 🤣 #OnlyInNursing #NursingInNursing #TweetRN
LessonsFromTheBedside @from_bedside
3rd question #TweetRN https://t.co/tvab8sBMRG
Elizabeth Grosse MSNEd, RN, CCRN, CEN @Beth_Grosse
@from_bedside A1: Absolutely agree. Nsg is an incredibly demanding practice that requires good judgment, exceptional critical thinking and reasoning skills and resilience. Failing two classes demonstrates a lack of all the above #TweetRN
LessonsFromTheBedside @from_bedside
@SaltyLikeSaline If, as a student, you were involved in a sentinel event, you think you shouldn't be dismissed from a program? What should the consequences be for this type of an action? #tweetrn
Ali @ali_n_wundrland
@from_bedside ...I don’t care that she academically was a great student. She needed to work on clinical skills. Had the university listened to my concerns as we went and helped me address them things would have gone better. #TweetRN
Justin, RN @NurseJustinRN
@katiebatesdnp @nicunurselife @from_bedside @SaltyLikeSaline It's especially difficult. I'm always down for mentoring, but you have to express the desire and you have to understand the boundaries. Everyone matures differently so age isn't a factor, but the level of maturity is often not considered for program entry. #TweetRN
LessonsFromTheBedside @from_bedside
@hannah_e21 I'm sure their admissions department is about to stroke out! #tweetrn
Charmy @gaininginsights
@from_bedside A3: the students faculty advisor should have a one to one and extensively discuss & dissect what the student needs; time off, switching to a different major, etc. #tweetRN
ChiefComplaintPod @ChiefPod
@from_bedside A3: I think this is all highly individual. Something like coming to clinical drunk, I'm not sure how you could bring them back. On the other hand, not making the grade academically despite working hard, I don't know why they couldn't recycle and go again. #tweetrn
A. J. Tarr Cooke BSN, RN @AJDgo
@from_bedside Program accreditation based on NCLEX pass rates is unidimensional. Some states are taking into account program efforts for academic retention of students. I am working in an academic coaching pilot program. I believe in the process, but it's tough to measure outcomes. #tweetrn
Katie Bates, DNP, ARNP, CHFN @katiebatesdnp
@from_bedside A3: definitely open communication about the specifics that led to the failure and methods to improve in those areas. If there were specific deficiencies that can be addressed I have seen students fall back and repeat some coursework with a later cohort. #tweetRN
Barbara Keates @ejfudd
@from_bedside Unsafe practice does it for me. Also no accountability or taking responsibility for actions. Also lying to instructor or preceptor about some they said they’ve done but actually haven’t. Remember we don’t fail students; students fail themselves. #tweetRN
Amy Schloss @akschloss
@from_bedside A2: Programs should prioritize preparing seniors to be independent/competent for their preceptorship (holding them at the same standard that a new grad would be in orientation) Cases of unprofessionalism/negligence? Sure. Mistakes related to learning process not so much #tweetRN
ICU Mouse, RN @LttleMouse93
@from_bedside A3, part 1depends on why they failed. Was a patient harmed when the student should know better? They don't owe them anything. Did they fail a didactic course and have the option of reapplying? Close guidance to find out where the program failed the student. #tweetrn
Patricia Ann @Patricia_Ann_E
@from_bedside A3 #tweetRN I think it should be difficult to do. This takes out the equation (mostly) of anyone citing “personality clashes”. I think it is in a university’s interest to have students be successful. Warnings, remedial projects for grade/performance type issues is acceptable
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@lill_gemma @from_bedside @reepRN @LttleMouse93 I’m one of those who doesn’t have an Ed background! But, I will say I was trained by and learned from an incredible MSN who also had a masters in ed. I’m a lucky one. 🥰 #TweetRN
Catherine Gegaris @cgegaris1
@NurseJustinRN @from_bedside I would hope their clinical judgement would be evident before their last year.#TweetRN
LessonsFromTheBedside @from_bedside
@EDNerdKyle Good point Kyle. Too bad we don't have a "Safe nursing practice" class in the curriculum. #tweetrn
CritCareRN @rn_critcare
@from_bedside T3 #tweetRN There has to have been ongoing documented communication between faculty & student (Unless there was an unforgivable offense) The school's obligation these days seems to be collecting tuition 🤷 Student should have a learning success plan in place.
Kathryn - BSN, RN✌🏻🩺✨ @SaltyLikeSaline
@from_bedside I genuinely don’t have a good response for that. Part of me wants to say absolutely be dismissed, but on the other hand, it’s a learning environment. Really tough line there. #TweetRN
Ari BSN, RN, OCN @running_nurse_
@from_bedside ...or due to substance use. Other issues can be worked with, especially academic. That said, a student who’s unwilling or unable to meet expectations after continued mentoring and assistance shouldn’t be passed simply because they’ve made it so far. #TweetRN
LessonsFromTheBedside @from_bedside
@bryanboling Most nursing programs are driven by admissions numbers (IMO), so the programs are being forced to take students that wouldn't normally make the cut, in order to keep admissions happy. #tweetrn
ICU Mouse, RN @LttleMouse93
@from_bedside A3 part 2, however the student has the same obligation to the school in keeping them update on what is and isn't working and showing them that they are in fact on the same page. It's a two way street and both parties have to be actively involved. #tweetrn
NurseBananahammock @ModerateFERN
@from_bedside A3 #TweetRN the major obligation is that by the time you get there, it can't have been a surprise. That should have been clearly aware at every point where they fell short, given explicit instructions for how to measure up and clear, prompt feedback when they didn't.
Hannah Ethridge @hannah_e21
@from_bedside @SaltyLikeSaline Performance improvement plan should be in place and major discussion about this...also if the patient died, I’d expect that would be more of a learning experience than failing. I don’t know if it should be an automatic fail since it’s a learning environment. #TweetRN
Justin, RN @NurseJustinRN
@from_bedside A3: Times like these call for candid and specific feedback. No beating around the bush. You are being dismissed because of ____. I think there should always be an avenue for re-entry, which should be aligned. Professionalism and empathy go a long way here. #TweetRN
Kyle Smith, BSN, RN, CEN, CPEN @EDNerdKyle
@from_bedside A3: def depends on circumstances, but the student has invested significantly in the school and the school has invested in them. It's in everybody's interests to address the shortcoming and make a new plan. #tweetRN
Bryan Boling @bryanboling
@from_bedside There also needs to be a way to prevent students from just moving on to a different program. #tweetrn
Christina Cardy, DNP, AGACNP-BC @ccardyDNP
@from_bedside A3 #tweetrn I’d hope that it’s not a surprise to the student if they are being failed. Would expect an individualized and continuous action plan to be implemented throughout the last semester w student/advisor. Similar concept to shared decision making in the clinical setting.
LessonsFromTheBedside @from_bedside
@ummeowyn @ThatClinical @ccardyDNP I need CCRN study tips! Share please! #tweetrn
Justin, RN @NurseJustinRN
@cgegaris1 @from_bedside Exactly. There are higher expectations for Senior level students. #TweetRN
Charmy @gaininginsights
@bryanboling @from_bedside Oh, what a valid perspective! Did the student fail expectations or did faculty not meet the students need? #tweetRN
Amy Schloss @akschloss
@from_bedside A3: depends on the scenario! But i think schools are obligated to giving the student one opportunity to join the cohort class below them and redo the course work/clinical #tweetrn
LessonsFromTheBedside @from_bedside
@NurseJustinRN @running_nurse_ I'm convinced that the only reason I've been successful in my nursing career is because I was an older student. #tweetrn
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@from_bedside A3: my obligation was to offer the student as much help and counseling as they wanted/needed during the course, as well as ongoing communication about their academic status. If they chose not to take the help and fail, I no longer have an obligation. #TweetRN
Micki Englert DNP NP-C CNE @mickienglert
@from_bedside A3: The faculty and school should provide as much support as reasonable before failing the student. After the failure, I think it is acceptable for the school to recommend other programs to the student or other avenues. #TweetRN
NurseBananahammock @ModerateFERN
RT @LttleMouse93: @from_bedside A3 part 2, however the student has the same obligation to the school in keeping them update on what is and…
Kyle Smith, BSN, RN, CEN, CPEN @EDNerdKyle
@from_bedside I have found that many of the students who struggle the most academically have the best caring personalities and clinical insight. We don't want to lose that as a profession #TweetRN
Justin, RN @NurseJustinRN
@lowflyingsquab @from_bedside Our dean is not too hip on the preceptors, so we don't utilize them. #TweetRN
Kelley Reep @reepRN
@murraylegalnurs @browofjustice @nurse_waddell @nursekelsey Join us #TweetRN chat and @from_bedside !
Ashley Fox @Ashley_Promyse
@ThatClinical @from_bedside That was the advice I was given after my registration exam. Over 10 years ago now. I think I made the right choice. I hope I can encourage students to as well. People can put in hard work and still face other variables and challenges. #TweetRN
Charmy @gaininginsights
@rn_critcare @from_bedside With nursing shortages, we NEED schools to recruit, accept, retain, & graduate students who are set up for success. 💰 should be the last factor! #tweetRN
LessonsFromTheBedside @from_bedside
@lowflyingsquab @NurseJustinRN That's how our program is. Twelve 12-hour shifts with a preceptor in the final 8 weeks of school. #tweetrn
Kathryn - BSN, RN✌🏻🩺✨ @SaltyLikeSaline
@from_bedside A3 - Students have responsibilities just like instructors do. Each side must be all in and fully have exhausted all efforts in my opinion. I truly feel that each side must give all resources available to the student. I can’t imagine failing as a senior. #TweetRN
- @ORcirculatingRN
“Ppl who go to grad school w/o working on the floor 1st will be bad providers.” If referring to acute care, sure. But if going to FNP school to practice outpatient, I disagree. Acute care really just isn’t for everyone & that’s partly why ppl go back to school. Thoughts? #tweetRN
Catherine Gegaris @cgegaris1
@from_bedside @NurseJustinRN @running_nurse_ #TweetRN 100%,I was an older student and I think that was a plus!
Kelley Reep @reepRN
RT @from_bedside: 3rd question #TweetRN https://t.co/tvab8sBMRG
LessonsFromTheBedside @from_bedside
@NightOwl_RN @heycharmy @ThatClinical Preach! #tweetrn
Justin, RN @NurseJustinRN
@from_bedside @running_nurse_ You know, it might be more about maturity than age. I would hate to restrict age groups because I've met some very mature and competent 21-year-olds, but the opposite exists too. #TweetRN
NICU RN @nicunurselife
@from_bedside Clear expectations, a warning with clear instructions on how to fix the identified issue, a little compassion. Our policy was that the student could not reapply for 5 years, and then, if accepted, they would be starting from scratch. #tweetRN #a3
LessonsFromTheBedside @from_bedside
@ThatClinical @ccardyDNP Wrong on so many levels, but probably more common than we think. #tweetrn
Jon @TechNurseJon
I know we're not on the topic of precepting, but this issue extends into practice. There simply aren't enough people to go around, and ultimately, who's going to $ for what's necessary? #TweetRN
LessonsFromTheBedside @from_bedside
Last question #tweetrn https://t.co/OFn7xr7FGF
Justin, RN @NurseJustinRN
@from_bedside @lowflyingsquab Wow. I heard of this before, but we use no preceptors. I think it has something to do with additional requirements. Our Dean does not allow it. I'm sure she has her reasons. #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@LttleMouse93 @from_bedside I 100% endorse this! A nsg program isn’t English or auto mechanics. It’s literally handling people’s lives, and we should NOT have to chase down students to make them get help. We can’t constantly lead them by the hand. Many get weeded out for a reason! #TweetRN
LessonsFromTheBedside @from_bedside
@ali_n_wundrland That's so frustrating. Why expect you to put all of your time, blood, sweat & tears into her when they won't take your honest feedback?! That would've soured me on precepting. #tweetrn
Catherine Gegaris @cgegaris1
@NurseJustinRN @from_bedside #TweetRN. it is a time for candid crucial conversation. Re-entry for me would depend on the issues for being dismissed.
LessonsFromTheBedside @from_bedside
@lowflyingsquab I love this mindset! #tweetrn
Kathryn - BSN, RN✌🏻🩺✨ @SaltyLikeSaline
@from_bedside A4 It’s no secret that some students and instructors just don’t jive. Therefore, one single instructor, in my opinion should not be allowed to dismiss a student. The nursing board should be consulted and a full review occur prior to dismissal. #TweetRN
Justin, RN @NurseJustinRN
@ummeowyn @from_bedside And if it is all based on fact and hard data, there can be no bias or personal feelings involved. #TweetRN
Sarah, DNP @SarahKDNP
@AJDgo @from_bedside Ooh. This sounds fascinating! I'd love to know more. #tweetrn
Christina Cardy, DNP, AGACNP-BC @ccardyDNP
@mickienglert @from_bedside Ideally this process should follow corrective/disciplinary action escalation plans as they do in the workplace. Verbal warning...written warning...final warning...suspension, etc. #tweetrn
Ignite @Ignitenursinged
@from_bedside A3: We believe the obligation is to provide detailed explanation with objective findings. If done constructively, it can be a learning experience where safety and competency are viewed as underpinnings of nursing professionalism. Reentry if previously outlined in policy. #TweetRN
Gemma Lill, MSN, CNE @lill_gemma
@ThatClinical @from_bedside @reepRN @LttleMouse93 You are lucky! Im not saying an education background is mandatory, rather in my case, I didn’t know what I didn’t know. Simply being a nurse for a long time doesn’t necessarily translate into being an effective clinical instructor #TweetRN
Jon @TechNurseJon
@NurseJustinRN @from_bedside @running_nurse_ Interesting thought, but curious what that would do to a profession that's already looking at shortages? #TweetRN
NurseBananahammock @ModerateFERN
@from_bedside A4 #TweetRN I'm sitting this one out to see what others think.
Charmy @gaininginsights
@from_bedside A4: I strongly believe a student should have the right to present their perspective before a committee before a decision is made. Let’s not forget considerable time & tuition has been invested at this point #tweetRN
A. J. Tarr Cooke BSN, RN @AJDgo
@ORcirculatingRN That is such an arcane idea that one is only bona fide by doing their time on the floor. #tweetrn
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@dirtlovinggrrl @from_bedside No you’re right, not one and done, especially if the student then identifies herself to me as struggling with addiction. I agree. #TweetRN
Catherine Gegaris @cgegaris1
@NurseJustinRN @from_bedside @running_nurse_ #TweetRN,a lot depends on emtional IQ. Nursing is hard,I don't think a lot of younger students understand it until they are in school,and sometimes they may have just made the wrong choice for them. I had staff that left in their first year ,never should have gone into nursing.
Justin, RN @NurseJustinRN
@lowflyingsquab @from_bedside I do wish we had that, but I trust my Dean's decision. Maybe I can change her mind slowly, or at least find out more about this. #TweetRN
Kyle Smith, BSN, RN, CEN, CPEN @EDNerdKyle
@from_bedside A4: failing is too big of a life event for 1 instructor/faculty member to have review of without a formal review process. I feel instructor/faculty should only be able to make a recommendation and the decision is with the dean. #TweetRN
LessonsFromTheBedside @from_bedside
RT @NurseJustinRN: @from_bedside A3: Times like these call for candid and specific feedback. No beating around the bush. You are being dism…
LessonsFromTheBedside @from_bedside
RT @bryanboling: @from_bedside There also needs to be a way to prevent students from just moving on to a different program. #tweetrn
Sassenmach RN, CCRN @ummeowyn
@nursinterrupted Y u no #tweetRN?
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@lill_gemma @from_bedside @reepRN @LttleMouse93 I agree, it absolutely doesn’t! I think I wouldn’t be half the instructor that (I hope) I am without learning from that masters nurse. I’ll forever be grateful to him! #TweetRN
ICU Mouse, RN @LttleMouse93
@from_bedside A single professor no. If it means being removed from the program the Dean/chair and a committee. I know my school had committed for each level 1-3, made up of all of our professors at the time and additional faculty, and them on the dept. Chair would decide. #TweetRN
LessonsFromTheBedside @from_bedside
RT @SaltyLikeSaline: @from_bedside A3 - Students have responsibilities just like instructors do. Each side must be all in and fully have ex…
Kelley Reep @reepRN
RT @ummeowyn: @nursinterrupted Y u no #tweetRN?
NurseBananahammock @ModerateFERN
Words to live by. #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@from_bedside A4: I have mixed feelings on this. A committee and dean isn’t there day in and day out with the student and see what the instructor does. However, a committee keeps an instructor on a power trip under control. Checks and balances. #TweetRN
LessonsFromTheBedside @from_bedside
RT @Ignitenursinged: @from_bedside A3: We believe the obligation is to provide detailed explanation with objective findings. If done constr…
Elizabeth Grosse MSNEd, RN, CCRN, CEN @Beth_Grosse
@from_bedside A3: I’m having trouble with this question because “Failing” is such a broad term. Excessive absences d/t illness? Egregious behavior?Drug / alcohol abuse? Mental illness? Poor performance / test results? These would all be handled so differently, no? #TweetRN
skoobaru @skoobaru
@from_bedside Hi! I'm Doreen. Graduated diploma nursing school 1987, graduated 2018 with my BSN, thinking of going on to my MSN to teach. #tweetrn #scaredofdebt #lovetoteach
LessonsFromTheBedside @from_bedside
@lill_gemma @ThatClinical @reepRN @LttleMouse93 I'd love to take some Ed courses. #tweetrn
Justin, RN @NurseJustinRN
@heycharmy @from_bedside @running_nurse_ Or emotional intelligence. At least, if anything, to gauge the student's needs. That would help me as an instructor for sure. #TweetRN
LessonsFromTheBedside @from_bedside
#tweetrn https://t.co/JL2PxfasMV
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
@ejfudd @from_bedside Yes exactly! I keep telling my teenagers that part of figuring out what you’re good at is figuring out what you’re NOT good at. Both are equally important! #TweetRN
LessonsFromTheBedside @from_bedside
RT @heycharmy: @from_bedside A4: I strongly believe a student should have the right to present their perspective before a committee before…
Barbara Keates @ejfudd
@SaltyLikeSaline @from_bedside I definestrlu work with students who want to do better. But I’ve also met a few students who just didn’t get it. Mainly wouldn’t take responsibility for an error. Or would lie about knowing medications. It being verbally abusive to pts and staff and me! #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
RT @from_bedside: Last question #tweetrn https://t.co/OFn7xr7FGF
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
RT @from_bedside: 3rd question #TweetRN https://t.co/tvab8sBMRG
Nurse NoFilter @NurseNoFilter
@from_bedside I also feel like there should always be another faculty involved when failing is in a clinical setting. Lots of documentation and guidance/support for the student. Get the high risk advisor involved if the school has one. make sure it’s well documented and justified. #TweetRN
Hamayun Khan @HamayunKhanPK
RT @heycharmy: @from_bedside A4: I strongly believe a student should have the right to present their perspective before a committee before…
Kelley Reep @reepRN
RT @from_bedside: #tweetrn https://t.co/JL2PxfasMV
- @ORcirculatingRN
@ModerateFERN @AJDgo Yes, but to an extent. The vast majority spew out the idea that 1 can’t be a good midlevel provider w/o floor experience. For those who hated clinical/the floor but found their place elsewhere, they could still be a great outpatient provider. There are so many avenues #tweetRN
Sarah, DNP @SarahKDNP
I love this!! #tweetrn
A. J. Tarr Cooke BSN, RN @AJDgo
@ModerateFERN @ORcirculatingRN Clinical experience yes, but the idea of "paying your dues" to be a "real" nurse is a contrived construct. I do lots "real" nursing without a steth around my neck. #tweetrn
Christina Cardy, DNP, AGACNP-BC @ccardyDNP
@from_bedside A4 #tweetrn policies r/t failing need to be explicit and standardized for all students. This sets clear expectations for the student and protects the university.
Evidence-based Karen @ebpkaren
@from_bedside Karen here! Pediatric nurse and EBP nerd. Fourth year PhD student in nursing, hoping to defend this summer or early fall-ish. 🤞🏻Dissertation focus is on economic eval of hospital transfusion safety programs. Also have an MSN/MPH and BSN. #TweetRN
LessonsFromTheBedside @from_bedside
@skoobaru Do it! We need passionate teachers! #tweetrn
Sarah, DNP @SarahKDNP
RT @from_bedside: #tweetrn https://t.co/JL2PxfasMV
Christina Cardy, DNP, AGACNP-BC @ccardyDNP
@ThatClinical @from_bedside Documentation of the student’s academic career and any counseling is imperative on the instructor’s behalf. #tweetrn
LessonsFromTheBedside @from_bedside
RT @ThatClinical: @ejfudd @from_bedside Yes exactly! I keep telling my teenagers that part of figuring out what you’re good at is figuring…
Micki Englert DNP NP-C CNE @mickienglert
@from_bedside A4: A faculty member shouldn't be able to automatically fail a student. Need to follow policy. Failures should be reviewed by multiple levels. #TweetRN
🏳️‍🌈That💉Clinical💊Instructor🚑 @ThatClinical
RT @SarahKDNP: I love this!! #tweetrn https://t.co/cXai3d4GoO
Christina Cardy, DNP, AGACNP-BC @ccardyDNP
@SaltyLikeSaline @from_bedside I had some horribly malicious instructors in my BSN and MSN that told me I “wasn’t getting it”, yet I would excel on objective assignments. They would mark me down on subjective assignments that could not be reviewed. Patterns and disconnects can be very obvious. #tweetrn
Elizabeth Grosse MSNEd, RN, CCRN, CEN @Beth_Grosse
@from_bedside A2: Any behavior that shows a total disregard for patient safety and well-being. This includes abusive behavior, negligence, and coming to class and clinicals under the influence. Automatic fail. Most schools have this policy & ensure students are aware from Day 1 #TweetRN
Justin, RN @NurseJustinRN
@from_bedside A4: If you want to have an environment free from bias, students and faculty alike, should feel good about review policies before final dismissal from the program. #TweetRN
LessonsFromTheBedside @from_bedside
RT @heycharmy: @from_bedside A3: the students faculty advisor should have a one to one and extensively discuss & dissect what the student n…
Dude, just no @dhambrick63
@from_bedside @reepRN #TweetRN Nothing in the Senior year should be a surprise - to neither faculty nor student
LessonsFromTheBedside @from_bedside
RT @NurseJustinRN: @katiebatesdnp @nicunurselife @from_bedside @SaltyLikeSaline It's especially difficult. I'm always down for mentoring, b…
Kathryn - BSN, RN✌🏻🩺✨ @SaltyLikeSaline
@ccardyDNP @from_bedside I truly feel that sometimes instructors pick out the strongest students and try to make them weaker. I have never understood why. But look at you now, girl!!! I’m sure those instructors are eating their words now! #TweetRN
LessonsFromTheBedside @from_bedside
RT @Beth_Grosse: @from_bedside A1: Absolutely agree. Nsg is an incredibly demanding practice that requires good judgment, exceptional crit…
Justin, RN @NurseJustinRN
@lowflyingsquab @from_bedside Work might be one. No other school does that here either so hospitals might not support it. Not sure why. There are also some board stipulations here in Louisiana. Various reasons I suppose. Not impossible, but it requires a major shift. #TweetRN
Ari BSN, RN, OCN @running_nurse_
@from_bedside A4: they can fail a student, but should go before a review board to ensure no bias. Like everyone else has pointed out: passing is not a right! #TweetRN
LessonsFromTheBedside @from_bedside
What's YOUR pet peeve for clinical students? #tweetrn
LessonsFromTheBedside @from_bedside
RT @heycharmy: @hannah_e21 @from_bedside I like the mind sight here. School is setting up students for success, not failure 🙂 #tweetRN
LessonsFromTheBedside @from_bedside
RT @bryanboling: @from_bedside A1: I think we go at nursing education backwards. Most programs I’m aware of are relatively easy to get in a…
LessonsFromTheBedside @from_bedside
RT @ccardyDNP: @from_bedside A2 #tweetrn I don’t think seniority in an academic program should be weighed when considering if someone shoul…
LessonsFromTheBedside @from_bedside
RT @Patricia_Ann_E: @from_bedside A2 #TweetRN Yes to all. I think a Registered Nurse is not immune to being fired, as should a 4th year st…
LessonsFromTheBedside @from_bedside
RT @tiredkiwinurse: @from_bedside @running_nurse_ Not all of them, I had to fail a student because of their literacy level. They never aske…
LessonsFromTheBedside @from_bedside
RT @DaniRN89: @RN_Atheist @from_bedside Sometimes life happens and we have to help those that struggle through. I’m glad you were able to g…
LessonsFromTheBedside @from_bedside
RT @NurseJustinRN: @katiebatesdnp @from_bedside @SaltyLikeSaline I'm not sure there is a one-size-fits-all here, but if I have a well-perfo…
Sarah, DNP @SarahKDNP
RT @NurseJustinRN: @katiebatesdnp @from_bedside @SaltyLikeSaline I'm not sure there is a one-size-fits-all here, but if I have a well-perfo…
LessonsFromTheBedside @from_bedside
RT @NurseJustinRN: @running_nurse_ @from_bedside Agree! This is where the question is: is the faculty? Is it the student? Is it both? We mu…
LessonsFromTheBedside @from_bedside
RT @rn_critcare: @from_bedside A1 #tweetRN Tough call. I was a 4.0 student until my divorce, then found myself a single mom nursing studen…
LessonsFromTheBedside @from_bedside
RT @ThatClinical: @LttleMouse93 @from_bedside Ahhh, this is an excellent point! I think this is where instructors need good ongoing communi…
Justin, RN @NurseJustinRN
@lowflyingsquab @from_bedside Maybe I'll pioneer it!! That's why I love these chats. Lots of good stuff to take back!! Thank you so much for sharing!! #TweetRN
LessonsFromTheBedside @from_bedside
RT @dhambrick63: @from_bedside @reepRN #TweetRN Nothing in the Senior year should be a surprise - to neither faculty nor student
Evidence-based Karen @ebpkaren
@from_bedside A1: I struggle with this because, like others have mentioned, rigor is important, but also not all professors teach well. And life is unpredictable. Faculty should get investigate early if they see students struggling before they fail a course. #TweetRN
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