Nursing Skills; The right way & the real way

Today was a very busy day for me. I had to get signed off by my teachers for administering a medication via a peg tube, inserting an NG tube, cleaning a clean surgical incision wound, and packing a wound. Next week, I have to get checked off for inserting a catheter in a male/female.AHH learning so much!

When I was getting checked off, I was talking to the teachers specifically about how I have seen nurses prepare meds and administer the meds for a patient who had a peg tube, different than how I was being taught. I was concerned.

The teacher provided an article that explained the proper procedure, and also provided first hand experience and instruction on why it’s so important to do it the right way. I went ahead and discussed that in the “real” world they do not do this, and by “they” I’ve only seen one nurse do it incorrectly, but I’m sure many take the shortcuts.

My peers and I have spent hours discussing the purpose of clinicals. In class we are taught the book way; when we get to clinicals we see and experience the “real way.” This usually means you stray away from the proper procedures, and take as many shortcuts so you can get your “tasks” done. :-/ That really frustrates us, because as very GREEN nursing students, it’s hard for us to be judged on us learning or doing the wrong thing when our hands on experiences are done differently. I want to learn the book way and do the book way, but that isn’t “realistic” at all. I don’t want to be that type of nurse that just follows and does it how everyone is doing “it.” I want to do it properly and keep my patient best interest first. The struggles of first semester nursing student. I want to focus on improving my skills. I don’t want to learn how to do it when “the board” is in the building and change it to the “regular” way when they aren’t.