Key Information:
- Accelerated nursing programs cover the same coursework, labs, and clinical training as traditional programs but in a shorter time frame.
- Clinical training begins early in the program, involving various rotations such as acute care and pediatrics, where students perform essential nursing tasks.
- Time management, physical and mental health maintenance, and effective communication are crucial for success in these intensive programs.
- Technology and supplemental resources like VR tools and online forums can enhance the learning experience during clinicals.
Accelerated nursing programs are just as they sound — you get the same nursing education as a traditional program in as little as 11 months, allowing you to change careers more quickly. Naturally, the pace of learning is greatly increased, as is your workload. This applies to coursework, lab experiences, and clinical training, too.
Though all aspects of nursing education are important, clinical training for nurses is at the top of the list. Clinicals allow you to apply what you’ve learned in class and labs in a real-world setting — invaluable experience to gain while you’re still in school.
If you’re confused about how to complete nursing clinical hours in an accelerated program, read on! This guide shows you how to complete your training successfully.
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Understanding Clinical Training Requirements
Completing clinical rotations is part of every nursing program. Usually, clinicals start early — the first or second semester of nursing school. Accelerated programs are the same way. You’ll begin clinical rotations straight away as part of your core nursing classes.
You’ll complete clinical hours in various rotations, including acute care, pediatrics, and long-term care, to name a few. An RN clinical instructor provides guidance and feedback based on your performance in each rotation. During your clinical rotations, you’ll be responsible for a host of tasks, including:
- Taking vital signs
- Making beds
- Assisting patients with feeding
- Performing physical assessments
- Administering medications
According to the American Nurses Association, the number of clinical hours you have to accrue depends on your state’s requirements. Likewise, the required hours vary by degree level. By and large, bachelor’s programs in nursing require at least 400 hours of clinicals. Master’s‑level programs usually require anywhere from 600–1,300 hours. You obtain these hours in multiple weekly shifts, each of which is eight to twelve hours long.
Not all your clinical training has to take place in a healthcare setting, though. Some states allow you to use in-person instruction in a lab setting and nursing simulation labs online to earn clinical hours.
Preparation for Clinical Training
Time management in nursing school is incredibly important. However, a fast-track nursing program enhances the need to manage your time wisely. The tips below will help you stay organized and on top of all the responsibilities of being a nursing student:
- Rely on to-do lists to help you remember assignment due dates, lab sessions, and other responsibilities for class and clinicals.
- Learn to prioritize so you can attend to the most critical tasks first and then complete the less important tasks.
- If possible, opt for clinical sites near where you live to reduce commute times. If sites aren’t available nearby, use your commute time to learn (e.g., listen to a nursing-related podcast while driving to your clinical site or watch recorded class lectures while riding the bus or train).
- Be proactive and complete low-priority tasks during downtime at your clinical site. This will improve patient care and reduce your workload later in your shift.
- Cluster patient care (e.g., assist a patient with eating, feeding, and using the restroom in one round) so you can save time.
One of the challenges in nursing clinicals is the extreme stress on your body. You will be on your feet for most of your shift and often be in high-stress situations. There are significant mental strains involved, too (e.g., working with difficult patients), so protecting your mental health is important as well.
To prepare for the rigors of clinicals, eat right, drink lots of water, and get as much sleep as possible. Take time away from your coursework and clinicals to unwind and have fun. Try yoga to work tense or sore muscles if you’re feeling physically down. If you experience mental health issues, seek guidance from colleagues or see a mental health professional.
Maximizing the Clinical Experience
Your clinical experience is what you make of it. On the one hand, you can do the bare minimum or have a poor attitude, which makes clinicals even more difficult. On the other hand, you can embrace clinicals for what they are — an opportunity to learn and grow and do so in a supportive environment. Do the latter by using the strategies outlined in the table below:
Clinical Strategy | Benefits to You |
Be eager to learn by asking questions, offering to help, and using downtime to enhance your understanding of clinical topics or strategies. | Increased knowledge, improved skills, enhanced rapport with instructors and colleagues. |
Write it down! Take notes throughout your shift regarding things you need to do, questions you need to ask, or patient details. | Improved organization, makes clinical paperwork easier, makes you an active participant in your learning. |
Use mistakes as learning opportunities. | Increased knowledge, improved skills, better understanding of areas you need to improve. |
Come prepared with everything you need for each shift, such as scrubs, stethoscope, notepad, etc. | Enhanced ability to perform your job, improved patient care, professionalism. |
Focus on the little things like being on time, having a positive attitude, and generally behaving like a professional. | Demonstrates to patients, colleagues, and supervisors that you take your job seriously. |
Seek nursing clinical feedback from supervisors, peers, and patients. | Allows you to reflect on your performance, identify strengths and weaknesses, and shows you care about doing your best. |
Furthermore, practice effective communication strategies with everyone you encounter during clinicals. Speak clearly and confidently, expressing what you need or want in a professional tone. Be an active listener, too. Ensure you make eye contact when listening to others, confirm what you heard, and ask for clarification if you’re unsure what the other person needs. In a medical setting, effective communication can mean the difference between life and death!
Common Challenges and Solutions
All nurses at all nursing clinical sites are met with challenges big and small. Things will go wrong; what’s important is how you deal with those challenges. Below is a short list of common problems you might encounter, along with practical solutions to help you overcome them.
Common Challenges of Clinicals | Solutions |
Long shifts | Use downtime or breaks to eat, drink water, sit down, stretch, and so forth. |
Scheduling issues | Be open to swapping shifts with others as needed so they are more likely to do the same for you when a scheduling issue arises. |
Physical demands (e.g., long periods of standing, lifting heavy objects) | Wear comfortable shoes, sit down whenever possible, and use safe lifting procedures. |
Overwhelming emotions (e.g., “taking work home with you”; holding onto stress) | Talk to a loved one about your feelings and emotions, decompress with peers who understand the emotional toll clinicals can take, and seek professional help when needed. |
Burnout | Practice self-care, exercise, strive for a better work-life balance, and ask for help from supervisors and peers. |
The American Nurses Association has numerous nursing student resources on this subject, details about nurse professional development, and other important aspects of becoming a nurse. Consult their website for details.
Leveraging Technology and Resources
During clinicals, you’ll gain valuable experience in real-world medical settings. But you can use nursing education technology and supplemental resources to maximize your learning that much more. Tools and resources worth considering include the following:
- Virtual Reality (VR) tools allow you to work in simulated nursing settings to hone your knowledge and skills. You can simulate hundreds of scenarios, including situations that seldom occur in the real world.
- Online learning tools such as quizzes, study materials, and simulations give you the needed practice to master critical nursing skills.
- Telehealth technologies enable you to complete clinical rotations virtually, often with underserved and diverse populations.
- Online nursing forums are good sources of practical information provided by nurses of all experience levels and specialties.
- Nursing student organizations and professional nursing organizations like the National Student Nurses’ Association offer educational support, leadership training, and other benefits for enhancing your clinical experience.
- Study groups with your peers are effective for brushing up on your knowledge and skills.
Completing Clinical Requirements and Beyond
To ensure your clinicals go smoothly, maintain proper records for the hours you’ve worked and the competencies you’ve mastered. Work with your nurse preceptor to ensure all required documentation is in order and submitted on time.
Once your clinicals are complete, the next step in transitioning from nursing student to nurse is NCLEX preparation. Everyone’s approach to the NCLEX is a little different, but some basic tips you can use to get ready for the exam are below:
- Study early and often using an NCLEX prep book
- Complete NCLEX practice exams
- Take part in study groups for the NCLEX
- Be familiar with each of the NCLEX client needs categories
- Get plenty of rest the night before the exam
Once you pass the exam, you can pursue employment as an RN, focus on a specialty, or take part in a residency, to name a few options. Whatever path you choose, you can move ahead knowing you have the appropriate knowledge, skills, and experiences from your clinical rotations to be a successful nurse.