00:01
Hello everyone and welcome to this video
on working with preceptors.
00:05
My name is David Warren and I'm certified
as a family nurse practitioner, acute care
nurse practitioner and emergency nurse
practitioner.
00:12
In today's video, I really wanna share
with you my top tips for excelling in the
clinical arena as a nurse practitioner
student working with preceptors.
00:21
I'm going to make some assumptions here.
00:23
I'm going to assume that you already have
your clinical rotations lined up.
00:27
You already have your preceptors selected
or they have been selected for you.
00:31
and you're ready to start clinical
rotation day one.
00:34
The number one point that I would share
with you is be professional.
00:38
I can't stress this enough.
00:39
Be professional in all aspects of your
time in the clinical setting with preceptors.
00:45
That looks like a variety of things.
00:46
Dress professionally.
00:48
Find out, do they wear scrubs?
Do they wear business attire?
Or what is the attire at the hospital or
the clinic you will be rotating through?
And you really wanna tailor your
appearance to whatever that may be.
00:59
You also wanna remember that your
preceptors are there to help you.
01:02
They are not there to be your friend.
01:04
you're going to encounter a variety of
personalities just like you will in the real world.
01:09
You will encounter people who have similar
personalities that you do, you will
encounter personalities that differ from
you significantly, and you have to be
professional with every person that you
come in contact with.
01:21
You don't want to say things that can be
deemed as inappropriate.
01:25
You really wanna keep a professional
demeanor throughout your entire
experience.
01:29
That includes in-person communication
and email or written communication.
01:34
Keep everything as professional as you
can.
01:37
Number two, you want to be motivated and
have a very good work ethic.
01:42
As a nurse practitioner student in the
clinical arena, you will not know
everything you need to know about taking
care of patients.
01:48
In fact, that's why you're in the clinical
setting so you can learn those things.
01:52
You need to have a good attitude and you
need to be motivated to make up for that
knowledge deficit.
01:57
Number three, you want to take something
from everyone, every preceptor you encounter.
02:03
You wanna take something away and learn
from that experience.
02:06
You will learn tips, you will learn
tricks, you will learn what you like, and
you will learn what you don't like.
02:11
And you need to take something away from
every experience you get.
02:15
You will work with preceptors who will do
things completely different than you might do.
02:19
And you may work with preceptors who may
do things very similar to what you would
do in that instance.
02:24
And you need to take something away from
both of those people.
02:28
Some of your preceptors will be very
hands-off, meaning you will go in and see
the patient yourself, you'll take the
history yourself, you'll do the exam
yourself, and then you'll come back and
talk to your preceptor and give them your
plan of care.
02:40
And then some preceptors will be more
hands-on.
02:42
They may want to be in the room with you,
watching you take the history, watching
you do the exam, and watching you come up
with a differential and coming up with a
plan for the patient.
02:51
And you need to be able to take something
away from both of those instances.
02:54
Some preceptors may give you more
feedback.
02:56
and some preceptors may give you less
feedback and you need to take something
away from every person that you work with.
03:02
Even if you think it is not a very good
idea to do X, Y, and Z what the preceptor
did, you need to take something away and
learn from that experience.
03:11
Learn, maybe I won't do this once I'm a nurse
practitioner or maybe that worked really well.
03:16
I love the way they did X, Y, and Z exam
and I'm going to take that away for myself
whenever I start practicing.
03:23
Number four, along those same lines, you
really want to set your expectations at
the beginning of the day with your
preceptor.
03:30
Whenever you go into your shift at the
very beginning, before you ever see a
patient, you really want to line out your
goals and your expectations for that day.
03:38
For instance, what do you want to learn or
what do you want to do that day?
I'll give you some examples.
03:43
Whenever you go in to see your preceptor
and you're talking, you're introducing
yourself, or maybe this is not your first
day, maybe you're a few weeks in.
03:50
You really want to say to your preceptor,
okay, here's what I would like to do today.
03:53
I really want to focus on taking histories
today, or I really want to focus on doing
my exams today, or I really want to focus
on coming up with a plan.
04:01
For instance, I'll go see the patient,
I'll take the history, I'll do the exam,
and then I'll come talk to you and develop
a plan.
04:07
Or maybe you can come into the room, watch
me take my history, and then give me some
feedback after we leave the room.
04:13
Whatever your expectations or your goals
are that day, be upfront about them at the
very beginning of the day so everyone is
on the same page.
04:22
Set those clear expectations and set those
clear goals.
04:25
Now your preceptor may say, well that may
not be a good idea today, let's try this
today and maybe do that tomorrow.
04:30
And then you guys can compromise or
negotiate however you want to talk about
that in the clinical setting to set your
expectation for that particular day.
04:38
But it is really important, no matter
what, that at the very beginning of the
day that you set those expectations, you
tell your preceptor your goals for the day
so everyone is on the same page and you
can have a really good learning experience.
04:50
Number five and probably the most
important point that I want to get across
to you today is treat every day, every
shift, and every person like it's a job
interview because it is.
05:02
At the end of your clinical rotations as a
nurse practitioner student, you will
graduate, you will pass boards, and you'll
be looking for a job.
05:09
And a lot of the places that you rotate as
a student will be potential job sites.
05:14
And so you really want to treat every day
and every person and every shift
like it is a job interview, because one
day you may be working there.
05:23
Every time you show up to a shift as a
nurse practitioner student, the staff,
your preceptors, the clinic managers, the
medical directors, or the hospital staff
will be judging you.
05:34
They will be determining whether or not
they would like to have you as an employee
one day or as a coworker one day.
05:41
So treat every single day and every single
shift like it's a job interview, because
there's a good chance that you may want to
work there one day.