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The preceptorship is a stretch where the RN student works one-on-one with another RN, slowly assimilating into the RN role. This is the final step before graduating. They can perform any task that an RN can perform, as long as the preceptor is with them. I well remember my preceptorship… I did it on a med/surg floor at Brantford General.
As a preceptor, you have to be able to teach, but listen as well. The student has a body of knowledge, and needs to use it, so you have to coach, and make them think… Its harder than it sounds. You also need to be able to teach, without destroying confidence.
Another challenge is walking the line between protecting the patient, and supporting the student. An example was an evening where my student had the challenge of working with a suicidal patient who suffered from flashbacks from past trauma and this particular evening she had stong intentions of killing herself.
It’s also hard to watch them do something much slower than you would do, when you know how much work is waiting for you… There is a reason patience is a virtue, and it’s a virtue I don’t always have a lot of.
During her last few shifts of preceptorship with me, I let her have the reins, and run with the assignment… I was there to watch, and answer questions, but she needed to do the work which I knew she was fully capable. It's full time employment after this. It’s exciting to be helping “deliver” a new, baby nurse!
In a way, precepting has been good for me. It has helped me to realize how much I do know, and how far I have come in my development as a nurse. I am amazed by my efficiency, speed, and attention to detail.