Table of Contents
Front matter
The Student Nurse Handbook: A Survival Guide
For Baillire Tindall :
Commissioning Editor : Ninette Premdas
Development Editor : Sheila Black
Project Manager : Elouise Ball
Design Manager : George Ajayi
The Student Nurse Handbook A Survival Guide
Bethann Siviter RN (Adult) BSc (Hons) Dip (HE) SPDN
Consultant Nurse
Past Chair of the Association of Nursing Students
Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2008
Copyright
BAILLIRE TINDALL
An imprint of Elsevier Limited
Elsevier Limited 2004
2008 Elsevier Limited. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier's Rights Department: phone: (+1) 215 239 3804 (US) or (+44) 1865 843830 (UK); fax: (+44) 1865 853333; e-mail: .
First edition 2004
Second edition 2008
ISBN 978-0-7020-2946-2
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress
Note
Neither the Publisher nor the Author assumes any responsibility for any loss or injury and/or damage to persons or property arising out of or related to any use of the material contained in this book. It is the responsibility of the treating practitioner, relying on independent expertise and knowledge of the patient, to determine the best treatment and method of application for the patient.
The Publisher
Printed in China
Dedication
In loving memory of Fiona Malem, nurse, tutor, activist and friend: the lessons Fiona taught me live on long after her untimely death.
Acknowledgements
Thanks always to those special friends and family who know how much they mean, and to:
Everyone at Elsevier for their patience and understanding.
The RCN and the Association of Nursing Students
To the staff and leadership, and patients , at South Birmingham PCT
The Altomare-Marshall Family for never letting far away feel far away.
Helen Thorpe, my sister and friend, and my nephew Oliver he is my happiness.
To the Nurses of the Pain service and Rheumatology Ward at Russell's Hall Hospital in Dudley, for their love, patience and exceptionally proficient care.
To my mum, Dorothy Vaitkunas; It is her passion for nursing and love for patients that influenced me to be a nurse and I am eternally grateful for that life-long gift; To my father William Vaitkunas; I respect him as a man and worship him as a father. Once he said to me I don't care what you do, how much money you earn- but be someone worthy of Respect Dad, I hope I have become someone you can be proud of.
Most importantly, thanks to my dedicated and loving husband Andrew. I would be a much better person and nurse if I were more like him. The patient and tender care he has shown since I became ill has been the best nursing care I could ever hope for. Andrew, you are my hero, a fine man and much more wonderful than you recognize.
Foreword
As General Secretary of the Royal College of Nursing, I fully recognise the pressures placed on our nursing students and, through it all, admire their commitment and passion for the profession.
No student nurse could read Bethann's book and come away without experiencing an impact on their nursing practice. Although not a clinical handbook, it gives the student an understanding of the importance of good clinical practice and the models that underpin it. Not merely an informational resource, it gives examples and information in a humorous and useful way, helping the student develop insight and a personal understanding of the whys and wherefores of nursing, as well as an understanding of resources such as the NMC and their guidance for practice.
Bethann asks the student to develop into a self-motivated, responsible, pro-active, thinking professional-in-development who is working to learn how to organise, plan and prioritise their care for their patient's benefit. Recognising that practice areas can be potentially hazardous places, she reinforces important legal and ethical concepts as well as interpersonal and communication skills. She also guides the student into accepting that they are right to be proud of their accomplishments, of their profession and their skill, not with an arrogant closed-off approach, but in a fair and objective manner so they can just as easily recognise and accept weaknesses, working to use one to overcome the other. Focusing on reflection as the way to do this, she gives a clear message - this is your nursing and you are in control. Be the kind of nurse you know your patient needs you to be. For many students, it may be the first time they have been told by someone in authority that their career and their development truly lie in their own hands.
Readers of the first edition said they felt as if Bethann had become a friend, helping them prepare for practice and invest in their success, and this edition continues that trend. From her writing and the work she does on behalf of students through the RCN, Bethann has proven her genuine care for and investment in student nurses; so, in closing, I would say the best way to describe Bethann and her books is in the same language: a valuable resource and caring friend for student nurses.
I am sure every student will find this a useful, valuable and insightful text to encourage and guide them through their course and into their nursing career.
I wish you well in your education and into your future career nursing is a great profession you have chosen well!
Peter Carter OBE
General Secretary, Royal College of Nursing, London 2008
Preface
The first edition of the SNH was written while I was still a student myself, in a BSc course I undertook on the heels of my Dip(HE) to be honest, I started the BSc (District Nursing) before the Diploma was technically finished (I was in a hurry). The first day of the District Nurse course, I had my driver's license practical test (a driving license being a requirement for the course), so again, there I was a student facing assessment at the last possible moment: fresh from the student experience, still reeling and still so close to placements, assignments and expectations, and facing at least one more year as a student, although a different kind of student (one with a qualification), I felt I knew what students needed.
At first we thought we should find another student to refresh this book: a second edition written by a more experienced nurse might lose the awareness and sensitivity of the first edition. In the end, I felt strongly that I could no more give up this book, and my connection to students through it, than I could give up nursing itself. My commitment to you is even stronger now than in the first edition, as so many of you have come to hear me speak, written to me, said to me Yes, I needed that book! I needed it, too, and I didn't realise how much it meant to me to give it to you.