The Catch-22 of inexperience

Image: Asia Images Group | Getty Images


In my clinical experiences, I’ve found that it’s really hard to get the opportunity to perform a new skill.

Picture it:

New patient admitted to the floor, assigned to the nurse you are following, and needs an IV started.

You (the student nurse): Can I start the IV?

Nurse: Have you done it before?

You: I’ve performed it several times in our skills lab (the response you’ve been taught to say when the only time you’ve done it was on a plastic arm)

Nurse: (looks at you funny) Have you done it on a person?

You: Um… not exactly (OK! So he was plastic –big deal!)

Nurse: No, you can’t start the IV unless you’ve done it before, our patients aren’t pin cushions.

I get it. I really do. I have a family full of hard to find veins (not that I tried to find them myself!). But what I don’t understand is that if we can’t perform a skill without experience, but can’t get experience until we’re allowed to perform a skill – when are we supposed to do it?

Our skills lab really trains us well, but it is plastic. And at our school, we aren’t allowed to practice on each other (at least not with anyone knowing). It just seems odd to me that if we aren’t trusted to perform a skill in person while being talked through it with a nurse (on a willing patient of course!), then why would our future employers want to trust us to perform these skills post-graduation?

Today I got the chance to draw blood – a new skill for me. I was walked through it by the nurse and with her explaining it to me step by step, I felt comfortable. It felt like I had done it several times before. I feel fortunate that I got the opportunity, and that I can now say “yes, I’ve done this before,” but I still feel like we’re held to this goal that remains unreachable until some very rare opportune moment.

What are the policies for new skills at your schools or workplaces? Have you experienced this Catch-22 as well?

Ani Burr, RN

I'm a brand new, full-fledged, fresh-out-of-school RN! And better yet, I landed the job of my dreams working with children. I love what I do, and while everyday on the job is a new (and sometimes scary) experience, I'm taking it all in - absorbing everything I can about this amazing profession we all fell in love with.

Recent Posts

Leadership Qualities for Students

When we discuss students, we always mention their qualities. Those qualities show what they are…

11 months ago

A Comprehensive Guide to Dual Diagnosis Treatment Options

If you or someone you know is juggling mental health issues alongside substance abuse, understanding…

12 months ago

How To Take Care Of Your Mental Health While Following The News

For the last couple of weeks, the Israel-Hamas conflict has taken over the news cycle.…

12 months ago

Eyes on the Future: Innovations in Eye Treatment Lenses

Our eyes are invaluable, serving as our windows to the world. The ability to see…

12 months ago

Vision Issues Are on The Rise Among Nurses: Why and What to Do About It

Undoubtedly, one of the most demanding and challenging professions is nursing. Nurses work long hours in…

12 months ago

Echocardiography as a Diagnostic Tool: How Cardiologists Use Echo to Assess Heart Health

Echocardiography, or echo for short, is a key diagnostic test used by cardiologists to assess…

12 months ago