Which clinical do you wish...

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Veneficus

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you had when you were in medic school that you didn't have?

and as another question without starting 2 threads;

What is something you learned after you got out of school that you wish somebody would have told you in school?
 
I would have really liked a burn center rotation. Along with more time in the ICU/PICU.

I wish we would have spent more time reviewing vents and multiple drip patients. The school I went to focused a lot on the 911 side of things, very little on the ALS IFT side.
 
Family practice or urgent care center is one rotation that I would like to see students getting. It's really important I know what resources are available in the community.

And I would like to see students spending more time on documentation during school. When they collect all those 50-75 patient contacts? I would like the student to write out an h&p the old fashioned way for every one.
 
Imacho said:
Psych services.
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Had one, it wasn't the most interesting or informative rotation but that was more due to the staff than anything.

abckidsmom said:
Family practice or urgent care center is one rotation that I would like to see students getting. It's really important I know what resources are available in the community.

And I would like to see students spending more time on documentation during school. When they collect all those 50-75 patient contacts? I would like the student to write out an h&p the old fashioned way for every one.
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I had to do 2x10 hr Urgent Care shifts.

Shhhhh about writing H&Ps haha. I a required to write a chart on every patient contact I have during my internship even if I didn't do anything and the Intermediate, who is newer ran the whole call after I make the decision that it isn't ALS.

I second the burn unit rotation, that's definitely something I would have liked to have done but it would have been a pretty decent trip, the nearest burn unit is 3 hours away over the pass into Davis.

I would have liked to do a few rotations on the non-PICU side of the floor. Peds are easily my weakest point and my preceptor has definitely taken a notice to it. I know the dosages and what needs to happen but the actual interaction portion is what gets me seeing as I don't have any little cousins or siblings, except for my brother who is 3 years younger. Never really been around little ones until now. They make me make this face -> :unsure:
 
I kind of got screwed with my clinicals.... Where I did my course we had a big level 1 facility (awesome teaching hospital and only level 1 for many hundreds of miles so interesting pts), but I went to the small level 2 in town. Not my choice as I was placed there.

I had to rotate through the typical things, but because it was such a small hospital, I saw very few ICU pts (none that were critical or should have been in the ICU), no Peds pts, 2 births, and had VERY few hours in the OR for airway management practice.

I had friends at other hospitals get 30 odd tubes, and I was lucky if I could bag the pt.

The nice part was if the unit was slow they were fine with me just going down to the ER. So I spent the majority of the time there which was great fun.

I tried as best as possible to supplement my lack of pt encounters with reading more about these pts. But nothing compares to the real thing.


To answer your question, out of pure personal interest I would have liked to have gone through the SICU. Out of an educational interesting more time with airway would have been good. But for medic students, a good preceptor in a busy ER is the best thing in the world.

Also, the world was revealed to me when I starting doing my ride time. The hospital stuff was just fun and games, and seeing cool things. Where I did my hospital and where I did my ride time is akin to being taught in Beverly Hills and then working in Detroit.
 
NVRob said:
Had one, it wasn't the most interesting or informative rotation but that was more due to the staff than anything. QUOTE]



I did as well 2x 8 hrs. All we did was sit in the corner and watch people lick windows and play ring toss. Got to watch the doc interview a schizophrenic twice. I almost died laughing inside from the answers they were responding with. I know it sounds mean and I'm not trying to be. Just stating a fact.
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A real ER rotation in RN school. We were given ten weeks, one day a week, and not allowed to do aught but VS. ER director didn't want us in there. Ditto OR.
 
medichopeful said:
Although I realize it's important, I can't stand psych. Wanna do my rotation for nursing school? :P
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Psych was the most worthless clinical i have had in nursing school. We spent the first 4 weeks in the hospital, which was an interesting experience but after the first day it was all the same. Most of the patients wouldnt talk to us (or were too medicated) so we just sat there all day. The other 4 weeks were at a psych outpatient center, totally not worth the time. We learned nothing about psych we just did various tasks all day with the members like clean the clubhouse, file paperwork, etc. It was a good experience to see how well people can function when they are receiving the medical care they need but again it could have been done in one day.


Our ER rotation was really helpful. It was at a large Level 1 teaching hospital. We spent a shift in triage, every patient that came to triage got an IV before going to a room so we got a ton of sticks.
 
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ChaseZ33 said:
Psych was the most worthless clinical i have had in nursing school. We spent the first 4 weeks in the hospital, which was an interesting experience but after the first day it was all the same. Most of the patients wouldnt talk to us (or were too medicated) so we just sat there all day. The other 4 weeks were at a psych outpatient center, totally not worth the time. We learned nothing about psych we just did various tasks all day with the members like clean the clubhouse, file paperwork, etc. It was a good experience to see how well people can function when they are receiving the medical care they need but again it could have been done in one day.


Our ER rotation was really helpful. It was at a large Level 1 teaching hospital. We spent a shift in triage, every patient that came to triage got an IV before going to a room so we got a ton of sticks.
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I really enjoyed my psych clinical and use the skills I gained by talking to them all the time. Sometimes it is very helpful to lay on the "therapeutic communication" I picked up in nursing school.

That stupid 10 page "nurse-client interaction" gives me flashbacks sometimes. But I did learn those techniques and I enjoy using them to turn the conversation around on people all the time.
 
Imacho said:
I did as well 2x 8 hrs. All we did was sit in the corner and watch people lick windows and play ring toss. Got to watch the doc interview a schizophrenic twice. I almost died laughing inside from the answers they were responding with. I know it sounds mean and I'm not trying to be. Just stating a fact.
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Sounds about the same as mine, I did 1x12 though.

I've learned more doing psych transfers working as an Intermediate than I did in medic school. Interaction-wise that is, the background about the disorders came from school.

Another one that doesn't sound fun at all but I think could benefit students would be rotating through an alzheimer's/dementia care facility. Provided that facility was proactive about allowing students to interact with residents.
 
abckidsmom said:
Family practice or urgent care center is one rotation that I would like to see students getting. It's really important I know what resources are available in the community.

And I would like to see students spending more time on documentation during school. When they collect all those 50-75 patient contacts? I would like the student to write out an h&p the old fashioned way for every one.
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i agree in my class we didn't touch much on documentation and i didnt get to do any run sheets. Would be nice to make the transition from school to real life more easy
 
Peds ER, MICU, ob/gyn, geriatrics.

And oh yeah, a malpractice lawyer's office
 
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