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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To be absolutely dreading work placement tomorrow because it's SO boring?

53 replies

Creoes · 23/02/2012 15:43

I'm doing a nursing degree and am in my first year on my first placement. It's an outpatients department and I literally seem to just stand around for 10 hours doing sod all. It's SO boring. I'm not really doing any nursing at all, everything I'm doing a normal secretary could do. It's a case of shifting records from one drawer to the next for 10 hours straight. I look at my watch and it's 10am. I check again thinking at least half an hour must have passed only to see it's 10.05am. The days are SOOOOO long. I've stuck it out for 4 weeks now and only have 2 weeks left but I'm getting to the point where the thought of going in actually depresses me. I met up with a few uni friends last weekend and they're all really excited about their placements, have given injections, done dressings, looked after people - really nursey type stuff and it made me feel even worse. Yesterday I got there at 8am, nothing to do at all until 9am so I literally just stood there for an hour. From 9am until 12.30pm I simply stood collecting patient records from a box and adding them to a different pile, slowly losing the will to live. I had a half hour lunch break and then back to it - picking up papers, moving them onto other papers - bearing in mind that even THIS is few and far between, the majority of the time I'm literally just stood there WAITING for the bloody papers to arrive in the box for me to sort. I remember looking at my watch and it was 2.30pm and I thought to myself I just could not do that for another 3.5 hours. I really couldn't. It's mind numbing.
The staff are lovely and they have been trying to find things for me to do but even they struggle to find stuff to do. I'm due a 10 hour shift of it tomorrow and it's making me feel depressed jut thinking about it.
I only have 2 weeks left but it's going to be the longest two weeks of my life I think. AIBU to think this is an utterly shit first placement? I know I'm lucky to have got into uni etc in the first place but I am really struggling. One day I went into the toilet and played on my phone for 10 minutes as nobody was about and there was literally nothing to do. I came out after 10 minutes, still nobody about. I went back in and played on it for another 10 minutes - nobody even noticed I'd gone

OP posts:
QuintessentialyHollow · 23/02/2012 16:59

I think it seems like you have an interesting report to write from a hospital management perspective. Please make the best of this opportunity!

emblosion · 23/02/2012 17:03

Chin up OP! You are more than halfway through now, another couple of weeks and you NEVER have to set foot in the place again.

I'm a student nurse as well, in my final year, we all get the odd a crap placement or rubbish mentor and to be honest you've just got to get on with it and think to yourself 'at least I don't work here'! Its rubbish when it feels like all your mates are getting better experience but I promise you it will all even out over your training (plus taking out catheters isn't all its cracked up to be, ha ha).

As others have said can you arrange some spoke-placements for yourself, spend time with nurse specialists etc? If the patients are all coming in with the same problem can you chat to them about it, find out how it effects them as an individual, treatments they've had-holistic nursing assessment and all that? Can you get any experience of preop assessment, referrals, learn about medications patients are on, working as part of the multidisciplinary team etc. All that would stand you in good stead for the future.

Also, try not to bother if people make remarks about you shadowing someone, you're there to learn afterall!

Sorry if you've already thought of all this stuff, I have total sympathy, it sucks when you hate a placement, but i do agree that there is an element of being enthusiastic and getting your face known, try to stay positive & good luck.

emblosion · 23/02/2012 17:08

Also, any experience of writing notes, careplans, doing paperwork etc will make it easier when you are trying to do it under pressure on a busy ward!

eurochick · 23/02/2012 17:12

That does sound like a rubbish placement but I have two comments: one is that a lot of jobs involve a fair bit of boring admin; the second is that I am a bit concerned that you are bored sitting in on patient consultations. Shouldn't this be what interests you?

RosieBooBoo · 23/02/2012 17:22

Ah i remember my outpatient placement, I rememer thinking before i started mon-fri 9-5 nursing job? This is the aim but it was soo bloody boring The area of nursing was quite specialist so i wasnt allowed to do anything apart from observe and after a couple of days it was all samey, so i feel your pain! You'll soon be on the ward running about sweating getting abused by patients :)

MsVelvet · 23/02/2012 17:38

i am a student nurse in my 2nd year at the moment currently on placement, have you not got objectives that need to be met and skills to be done while you are there? If so how can you complete them while there is nothing to do. Also you must have a link lecturer that you can contact as if you have objectives and skills to be done and you cant complete them then how will yu even pass this placement? This needs to be sorted out asap before you could possibly have to redo the whole thing again (usually in your own holiday time)

Bue · 23/02/2012 17:47

Oh dear, have you spoken to your personal tutor at uni about this? I really think it needs to addressed asap. What kind of nursing is this? Confused It sounds as if they are hugely overstaffed, and as a result you are not going to be learning anything at all. I'm on my first midwifery placement right now and most of the time I am doing loads and learning so much. There have been a few very quiet days though, where I've felt quite discouraged at the lack of work, so I can't even imagine that going on for a whole month! Huge sympathies - I'd talk to your tutor asap.

Rhinosaurus · 23/02/2012 18:15

I am currently mentoring a student on her first placement in first year, I am a school nurse. It can get pretty boring at times for her sat in on tac meetings and core groups, so I have encouraged her to pathway out as much as possible, I have given her the contact details however it has been up to her to phone around to arrange them, she has been on some great days out - miu, unplanned pregnancy unit, gynae theatre, hospital school, childrens ward, out with the dns and health visitors, day with PALS and has also seen a post mortem.

As you are on out patients you must be based in a hospital which means you are in a prime location to organise pathway days out in any areas that interest you. Too many students expect their mentor to arrange these, and don't take responsibility for their own learning.

A better site for you is below, you have to register before you can view forums, but there is a whole forum on placements.

Good luck!

www.studentnurse.org.uk/forum/

Rhinosaurus · 23/02/2012 18:24

Also your first placement is usually a lot about communication and record keeping, and the nmc code. Why don't you read around stuff, ie if it is a respiratory clinic, read up about asthma, why don't you look up research on patient anxiety, the benefits of outpatient rather than inpatient, health inequalities ie travel difficulties, communication barriers, learning difficulties.

That way once you are in a clinical area you will have a good solid theory knowledge base to underpin your practice which is what it is about.

Also why not reflect on the way you view the deapartment is overstuffed and try to find reasons why, put forward ideas to improve it that are based on evidence, reflect why certain nurses prefer it - a lot of outpatient staff go there because occi health recommend it - ie bad backs etc.

You really have to stop expecting others to take control of your placement and make it exciting, you need to get the best out of what you've got, and that will stand you in good stead for the rest of the degree.

Lougle · 23/02/2012 18:42

Wow, I'm amazed.

So you mean that you know about all the conditions that your patients have?
You know all the different types of treatment?
You communicate flawlessly with all types of patients?
You are excellent at dealing with people who have been waiting for weeks for a consultation and are highly stressed?
You can look over the waiting room and tell whether patients are well or unwell? Stable or unstable?
You can intervene in a patient's circumstances to make their lives easier?

Yes, Outpatients nursing has dull moments. But there is a huge difference between the nurse who 'works in outpatients' and an 'Outpatients' nurse'.

A truly skilled Outpatients nurse can make a huge difference in a patient's life.

x2boys · 23/02/2012 19:14

i,m a mental health nurse my first place ment was with the health visitors [ it was project 2000 we had to do eighteen monthsof everything] it was very boring and taught me nothing of use in my career but i,m sure thingswill get better by the way nursing these days is far more paperwork orientated than ever

theodorakis · 23/02/2012 19:14

I do not agree. You can learn many skills, ie phlebotomy, learning to ACCURATELY take height/weight/BP. Talk to the patients and suck up the learning from the admin girls. OP is a valid nursing area and whilst it may not turn you on is very useful. Some of my biggest female role models who inspired me were OP nurses.

theodorakis · 23/02/2012 19:18

My first placement was in a fracture clinic. When I asked if I shouldn't be in a ward they asked me if I could write an essay on why OPD would not be a decent placement, if so they would move me

LadySybilDeChocolate · 23/02/2012 19:27

I agree that you could be getting more out of this. Each patient is different, they react differently to a condition no matter what it is. You need to be proactive, do some research into the conditions that you are seeing, how are they treated? How do they affect the patient? What about the conditions pathology? What do the other members of the MDT do? You can learn a lot from this placement, you just need to look at it differently.

I trained as a paeds nurse for a couple of years and some of the placements were dire. I spent 2 weeks in a homeless day shelter washing up, they called this a mental health placement Hmm My mental health suffered! On the paediatric wards I would split my time between doing observations and running up and down the stairs to pharmacy (I was on first name terms with them all by the end of the first day), not because I didn't want to learn but because they were so short staffed that there was no one else to do this. I couldn't shadow a nurse as it ment that a child's obs were not done or they could not be discharged because they were waiting for their medication. I left after 2 years, I was worn out. Sad

DayShiftDoris · 24/02/2012 03:13

Well

I did that job for 4 and half YEARS!!!

Now, I am with Lougle... there is a lot to be said for a and 'Outpatients nursr' but in my experience they are few and far between because its not always enouraged as it's a numbers through the door job...

BUT... you are student so get on with it!! Look at it from an empathetic, client centred manner... if YOU were that patient how could this experience be better... what about that bored young slip of a girl talking to her and making her feel more at ease.

What I learnt in my four years was an AMAZING amount of clinical decision making experience (ok not mine but someone elses justification can be fascinating), how a patient experience can be made or broken by the person greeting them, how a full explanation can decrease anxiety and worrry and the importance of dignity and respect....

You think those are skills you can do without?

Watch how other people interact with patients... whats good, bad or indifferant? How do you want to practice?

I had more disclosures of issues around mental ill health, domestic abuse, concerns about their condition and more tears, laughter and sadness than I have had in any other job... mostly because I concentrated on the patients and what I felt they needed.

Now I hated that job, it really wasnt what I entered my profession to do but I STILL had a duty of care and I could make a little bit of a difference so I tried to every day.

Don't sit still and my advice... get yourself attached to the busiest HCA that is there and work with him / her... might open your eyes!

Get on with it and thank your lucky stars its only 4 weeks not 4 years!!

ednurse · 24/02/2012 03:34

Grin and beat with it, it's not too much longer. Outpatients is one of those repetitive jobs unfortunately. I would have another word with your mentor. Is there anywhere else in the hospital you could visit for the day? A minor injuries for example? Do the consultants who run the outpatient clinics go on to do surgery or diagnostic tests on these patients? Perhaps ask the consultant if you could observe one day, find out when they are in and get your mentor to check with theatres if it's ok to watch.

It really is about asking, asking, asking. Just keep on!! I once saw a organ harvest in theatre as I saw the transplant team passing through our department one quiet night shift. If there really is NOTHING to do then perhaps try and complete as much of your workbook as possible? Even try and learn new things or do research on things that interest you for future reference.

Lougle · 24/02/2012 07:39

Any job can be reduced to something completely boring.

Blood pressure measurement - slap a cuff on an arm, press a button, write down the two numbers.

BUT a good nurse will be

-assessing whether the cuff is the right size (too small and you get a high BP reading, too big and you'll get a low one).

-Checking for any signs of the patient having a condition which could be worsened by having a tight cuff on (lots of patients don't reveal that they have, say, lymphodema).

-Thinking about the BP result -does it lie reasonably with other resuts through the day? A sudden spike/dip should be double checked for accuracy. Is the gap between the systolic and diastolic reasonable, or does it indicate a problem? How is the BP in relation to the heart rate? Is the 'Portsmouth sign' evident?
-Using the time the cuff takes to inflate/deflate to chat to the patient and pick up signs of their overall mood, any anxieties, any issues that they haven't felt able to raise, any other signs of deterioration, skin condition, etc.

Even neurosurgeons do 'routine surgery'. The first few times they do a burr hole for evacuation of a tumour is breath taking, of course. After a while though, what is it, really?

Drill a hole, suck the blood out, stitch up the skin.

Nursing is what you make it. You can be a second rate nurse, thinking only of the task, or you can be a first class nurse, thinking of the patient.

lesley33 · 24/02/2012 08:34

Sounds like the outpatients clinic I go to! Everyone is there for the same thing and tbh unless there are other complications like heart problems alongside, the condition only varies in its severity. But the outpatient clinic I go to always appears to be hugely overstaffed. I don't really understand how thsi can happen when other parts of the hospital will be run off their feet and not have time to feed or wash patients properly.

Lougle · 24/02/2012 16:13

Well as an example, I worked in 'Main Outpatients' at a hospital without A&E. Each Consultant needed a member of nursing staff (NOT necessarily a qualified RN, but either a RN or a Care Assistant). That member of staff would be a chaperone, assistant, do whatever was needed.

A vascular consultant's list would need staff to see patients through to the clinic room, remove current dressings and soak/clean the wound for inspection, prepare any equipment needed for the consultation, then re-dress the wound. Meanwhile, another member of staff would be preparing the next patient because if this didn't happen, patients would have to wait the full 20 minutes or so it takes to remove, clean and redress wounds as well as the consultation time itself.

Outpatients is one of those areas that you can have far too many staff in one moment of a day, then vastly too few another.

Interesting, so is specialist theatres. To staff them adequately you need 6-7 staff for 3 nursing beds. That is only just enough if you are doing a rapid list, where patients conditions are 'cut and shut'. By the time one nurse is in the anaesthetic room with a patient, another is protecting the airway of someone just out of theatre, and yet another is on a ward handing the previous patient over to the nursing staff, it really is touch and go whether you can safely operate.

On other days, where there may be just 3 emergency tumour removals/resections, the operations can take 5-8 hours. That means that recovery staff are essentially 'sitting around' for hours. They can't go elsewhere, because the operation is unpredictable, so they have to be available. So they do various 'housekeeping tasks' such as stock ordering, cleaning equipment (cleaners clean the rooms, but not medical equipment), safety checks, Continuing Professional Development reading, etc. To a stranger they would look like they were merely pottering around.

Sapphirefling · 24/02/2012 18:25

Every single thing thast Lougle says.
And some points to add - it is deeply worrying that you lump all patients together as they're 'all there for the same thing'. Do some work around individualised, holistic, patient centered care. In 2 years time, will you be refusing to dress an ulcer cos at the end of the day, it's boring and they're all the same?
And stop moaning on the internet. Deeply unprofessional (and you WILL be assessed on your professional skills and attitude on future placements) i'd hazard a guess that if your link lecturere happened on this post and sussed you, you'd be deeply in the shit. I mentor student nurses continuoulsy and would have a serious issue with your attitude you have displayed on here. Wonder if our paths will ever cross....

At a rough estimate, you will love 2 or 3 of your clinical placements, you will find 3 or 4 of them 'ok' and there will be a few that you will hate. But you will learn something from ALL of them and even if that's only about 'how to do things better' it's still incredibly valuable.

Lougle · 24/02/2012 18:59

Oh, and you'll see a lot more patients with 'mundane' issues such as raging UTI and chronic constipation in A&E than you will in outpatients. Casualty paints a very rosy picture!

Stressymoo · 24/02/2012 20:06

I like many others on here am an outpatient nurse but before i role out about how my his is busy and i would pry for time.just to sit about!!

Please let us know which area your placement is in!?! I sure we can help you with some requests for other areas to visit is we knew the specialty?

Also u know paperwork is repetitive and boring at times but it is 80% of the nurses role now.in the NHS!!

Never underestimate good record keeping and in outpatient note prep takes time when up to 80 patients a day pass through out department which us just one small area! Having the right notes and in correct results is VERY important!

You will NOT spend every day of your nursing career doing dramatic things!!
His is not casualty and ER!!!

Sometimes my best days are knowing i have helped a patient by giving good news saying that the thing they were worried about is not cancer! Making sure that the wait times are low! Sending that the elderly women home with the help she needs!

To get the most out of a placement you must be proactive!! Step up!!!

Good luck

Stressymoo · 24/02/2012 20:07

Sorry for spelling! Typing on phone!!

featherbag · 24/02/2012 20:13

Your turn at the 'exciting' placements will come. I have to say though, you really don't sound as if you're putting a great deal of effort in! I know you say the other nurses don't do a great deal, but they have their registration, they aren't there to learn, you are! I had my share of placements like the one you describe (A&E is my natural pace and where I've worked since qualifying), and you really do get out what you put in. For example - could you do a case study on a patient? Spend the day with the pre-op assessment nurse? Spend a day on the associated ward? Spend some time with the relevant specialist nurses? Are there any relevant allied health professionals you could visit? What about the drugs you often see mentioned in the patients' notes, do you know what they all do, why they're prescribed/not prescribed, their side-effects, etc. etc.? Do you know the body systems associated with the speciality inside out and back to front?

Sorry if that's a little harsh, but do you see what I'm getting at? It's your learning and only you are responsible for it. I hope things improve for you.

Marilyn1980 · 24/02/2012 20:21

When I'm bored on placement I get my books out and study, or get my mentor to log in to the intranet so I can print off local policies etc that I can then reference in my essays. There are usually journals about that you can read through and photocopy for essays. There are always boring placements but look at the bigger picture and the end result.

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