#TweetRN Transcript
Healthcare social media transcript of the #TweetRN hashtag.
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See #TweetRN Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Sarah, APRN @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 of nursing school, but is still very obviously unprepared/unsafe for nursing practice? |
 | ICU Mouse, RN @LttleMouse93 @from_bedside Hello everyone! Mouse here, I've been out of school since May! #tweetrn |
 | Justin @NurseJustinRN It's starting! |
 | 🏳️🌈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 |
| 🏳️🌈That💉Clinical💊Instructor🚑 @ThatClinical Here we go guys, it’s time! #TweetRN #NurseTwitter #NursingStudent #StudentNurse |
 | Katie Bates, DNP, ARNP @katiebatesdnp @from_bedside Oh! And I got my RN in 2011 and MSN in 2012 #tweetRN |
 | 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 |
| Katie Bates, DNP, ARNP @katiebatesdnp @from_bedside Since 2017! #tweetRN |
| Justin @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, APRN @SarahKDNP @katiebatesdnp @from_bedside In retrospect, I'm glad I did my DNP also, but it was hell going back for it. #tweetrn |
| 🏳️🌈That💉Clinical💊Instructor🚑 @ThatClinical @katiebatesdnp @from_bedside So glad to see you! Welcome! #TweetRN |
 | Kat BSN, RN, CCRN🩺✨ @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 |
 | Lisa Harris 💙 @LisaGerRN #TweetRN BSN ‘83 Univ of DE; MSN Gerontology’90. I am Lisa. Glad to join. |
 | 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 Pendragon, 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 |
 | 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 RN @lill_gemma @from_bedside Hello #TweetRN friends! I had *quite* a gap between BSN 1993 and MSN- 2018! Now looking at doctoral programs 😊 |
| Kyle Pendragon, 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 |
| Kat BSN, RN, CCRN🩺✨ @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 |
| 🏳️🌈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 @NurseJustinRN @lill_gemma @from_bedside Aww dang. Yes you can always catch up with the conversation at any time #TweetRN |
| Danielle, RN 🐱 @DaniRN89 @from_bedside Forgot my #tweetrn |
| Katie Bates, DNP, ARNP @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. |
| 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 |
| Justin @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 |
| NurseBananahammock @ModerateFERN I endorse this. |
| Danielle, RN 🐱 @DaniRN89 @ThatClinical @from_bedside I thought I’d be in the minority for this opinion too! 😂 You’re not alone. #tweetrn |
| 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 |
| Justin @NurseJustinRN @CStaffordd22 @from_bedside Very happy to have you!! #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 |
 | LisaTRN @LTwithoutB @from_bedside Lisa, senior nursing student (I’m more ways than one😂) Graduating RN in May! #tweetrn |
| Sarah, APRN @SarahKDNP @heycharmy @from_bedside Agreed. This is the first place where they really get to develop their ethics. #tweetrn |
| Justin @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 |
| Justin @NurseJustinRN @ThatClinical @from_bedside There is a safety component to this for sure. #TweetRN |
| Kyle Pendragon, 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 |
| 🏳️🌈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 |
| Justin @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 |
 | 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 |
 | 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 |
| 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 @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! |
 | 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 |
| Kat BSN, RN, CCRN🩺✨ @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 @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 |
| 🏳️🌈That💉Clinical💊Instructor🚑 @ThatClinical Preach girl preach! #NurseTwitter #TweetRN |
| Justin @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 |
 | Tired Kiwi nurse @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 |
 | Ashley Fox RPN @AshleyFoxRPN @from_bedside Ashley - RPN graduated 2010. 😊 It doesn't feel that long ago! #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 |
| 🏳️🌈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 RPN @AshleyFoxRPN @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 |
 | 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 |
| 🏳️🌈That💉Clinical💊Instructor🚑 @ThatClinical @AJDgo @from_bedside Oooooh good point, that’s a dealbreaker for me as well. #TweetRN |
| Kat BSN, RN, CCRN🩺✨ @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 |
| Ashley Fox RPN @AshleyFoxRPN @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 |
| Justin @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 |
| NurseBananahammock @ModerateFERN Is Just Culture a thing in nursing programs? #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 |
| 🏳️🌈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 Pendragon, 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 |
 | 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 |
| 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 RN @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 |
| Justin @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 |
| 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 |
| Justin @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 |
| Justin @NurseJustinRN @from_bedside @lowflyingsquab Does your school allow the use of preceptors? #TweetRN |
 | 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 |
| Gemma Lill, MSN RN @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 |
| 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 |
| 🏳️🌈That💉Clinical💊Instructor🚑 @ThatClinical @ummeowyn @ccardyDNP @from_bedside Haha yes!!!!!! 🤣 #OnlyInNursing #NursingInNursing #TweetRN |
 | Elizabeth Grosse MSN, RN, CCRN-CMC @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 |
| 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 @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 |
| 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 |
| Katie Bates, DNP, ARNP @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 |
| 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. |
| Kat BSN, RN, CCRN🩺✨ @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 |
| 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 @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 Pendragon, 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 |
| Justin @NurseJustinRN @cgegaris1 @from_bedside Exactly. There are higher expectations for Senior level students. #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 |
| 🏳️🌈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 |
| 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 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 |
| Kyle Pendragon, 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 @NurseJustinRN @lowflyingsquab @from_bedside Our dean is not too hip on the preceptors, so we don't utilize them. #TweetRN |
| Ashley Fox RPN @AshleyFoxRPN @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 |
| Kat BSN, RN, CCRN🩺✨ @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 |
| Catherine Gegaris @cgegaris1 @from_bedside @NurseJustinRN @running_nurse_ #TweetRN 100%,I was an older student and I think that was a plus! |
| Justin @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 |
| Justin @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 |
| 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. |
| Kat BSN, RN, CCRN🩺✨ @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 @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, APRN @SarahKDNP @AJDgo @from_bedside Ooh. This sounds fascinating! I'd love to know more. #tweetrn |
| Gemma Lill, MSN RN @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 |
| NurseBananahammock @ModerateFERN @from_bedside A4 #TweetRN I'm sitting this one out to see what others think. |
| 🏳️🌈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 @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 Pendragon, 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 |
| 🏳️🌈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 |
| 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 |
| Elizabeth Grosse MSN, RN, CCRN-CMC @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 BSN RN CCRN @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 |
| Justin @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 |
| 🏳️🌈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 |
| 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 |
 | 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 |
| Sarah, APRN @SarahKDNP I love this!! #tweetrn |
| 🏳️🌈That💉Clinical💊Instructor🚑 @ThatClinical RT @SarahKDNP: I love this!! #tweetrn |
| Elizabeth Grosse MSN, RN, CCRN-CMC @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 @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 |
 | Dude, just no @dhambrick63 @from_bedside @reepRN #TweetRN Nothing in the Senior year should be a surprise - to neither faculty nor student |
| Kat BSN, RN, CCRN🩺✨ @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 |
| Justin @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 |
| Sarah, APRN @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-performing student who suddenly takes a turn (in grades/performance) I'm asking questions. I'm intervening sooner than later. #TweetRN |
| Justin @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 |
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