Encouraging Autonomy with Safety Net

• Even as students gain independence, clinical instructors stay accessible for queries and support. This ensures students feel confident to take initiative, knowing guidance is available if complex situations arise, like adjusting medication plans for patients with renal impairment.
• The clinical instructor will determine when the student has achieved an adequate level of competency in medication administration to practice under the supervision of a staff nurse, providing this is a mutual agreement and as per CNO practice standards.
• Scenario-Based Learning for Complex Care: Clinical instructors might present scenarios requiring students to manage patients with multiple medications across different routes, challenging them to prioritize care and monitor for interactions and side effects. For example, managing a patient’s transition from IV pain medication to PO analgesics post-surgery, requiring adjustments based on pain assessment and side effect monitoring.