student nurse placement feedback examples

Article To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 2016;20:1722. This study adopted an exploratory qualitative design [21]. In the next stage i.e., the third stage of the Gibbs model of the reflective cycle described in the beginning of this nursing student reflection on placement the better and regressive aspects of the event or experience is evaluated. Nurse Educ Today. I received a lot of feedback during that clinical. Having (P3, FGC). (P4, FGB), I also experienced that my RN mentor was really engaged in mentoring me during placement. Overall, participants emphasised gaining insight into the complexity and busyness of working as an RN in a nursing home during their placement period, recognising the RNs overall responsibility for residents while simultaneously mentoring students. https://doi.org/10.1016/j.nedt.2016.11.018. Nursing homes are often associated with and described as marginal learning environments because of the high number of residents with complex and comprehensive care needs, low staffing, and a less qualified workforce [8]. So, I just had to agree with what was said during the assessment discussions as there did not appear to be any room for discussion, misunderstandings, or frustration from my part. Hence, this mismatch may, moreover, influence and shape students perception of nursing or at the utmost lead to misconceptions about nursing pertaining more to technical skills. A positive and welcoming ward atmosphere and friendly, prepared, and available staff that provides high-quality care positively affected the quality of the learning environment [4, 6]. 2020;18(5):9861018. Teamwork 1. I also suffer from anxiety and depression, which the pandemic definitely exacerbated. Eklund A, Skyvell Nilsson M, Billett S. Bridge over troubled water? (P3, FGA). Some participants also said that the utility of the obligatory pre-placement orientation information varied. I had not met aboriginal patients before; however I recognised that they had special However, even within such a coordinated tripartite clinical placement model some key elements have been identified for successful student practice learning experiences [11], including, comprehensive orientation, committed academic/service partnership, effective supervision, supportive staff, nurse educators who are knowledgeable and enthusiastic about aged care, the use of creative and innovative clinical teaching strategies, and students experiencing high-quality nursing care [4, 13, 14]. Your hospital will benefit from feedback. Notice you want to start off with something that encourages the person. 2018;17(8):8. https://doi.org/10.1186/s12912-018-0277-z. One time when we assisted a resident in need of nursing for the first time, we experienced that our RN mentor just left us to ourselves without saying anything that was a bit scary as we did not know what do to with the resident. Ade (Nurse), Your email address will not be published. registration (Bulman & Schutz, 2013). Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The study was approved by the Norwegian Centre for Research Data (2018/61309 and 489,776) and is exempted from ethical approval from the Norwegian Regional Committees for Medical and Health Research Ethics since no health information or patient data is registered. This feedback is when you focus on everything the person is doing right. The analysis describes five themes relating to first-year students placement experience in nursing homes; (1) variations in utility of pre-placement orientation and welcome at placement site; (2) a challenging learning environment; (3) spending considerable placement time with non-registered nurses; (4) considerable variability in supervision practices; and (5) a vulnerable and demanding student role. despite reported increases in the number of aboriginal people seeking health care in modern Our findings indicate that staffing shortages and a general lack of available RN mentors, alongside mentors being absent through sick leave combined with their managerial role, introduced considerable vulnerability in student supervision, which negatively influenced students placement experiences. Institutional Affiliation, Reflection as a student nurse on Placement Effective academic-practice partnership models in nursing students clinical placement: a systematic literature review. Further research should therefore critically explore and extend our understanding of the implication of the RNs role in a nursing home and the first-year students perception of nursing and the learning outcome. (P4, FGA). For example, you may be able to claim for accommodation costs if you do not own a car and would need to use multiple modes of public transport in order to get to and from your placement each day. Some participants emphasised that this was particularly the case if feedback or questions were given or asked in the presence of residents or their next of kin. They just tell us go and do that and that handing over their work tasks on us students. groups A, B and C) were held, one in each nursing home, with a total of 13 first-year nursing students. Successful communication between the students and their mentors plays an important role in satisfaction and the achievement of learning outcomes [46]. Criticism comes from a place of not caring about the person. Thus, to enhance nursing homes as clinical placements and increase the capacity to foster positive placement and learning experiences, several have argued for development and application of placement models tailored to better accommodate the marginal nursing home context [28, 29]. Informed consent was obtained from all the participants involved in the study and the students were informed about the right to withdraw from the study at any time. We solved problems, discussed, reflected, and shared frustrations together. Perhaps they are not familiar with what our student role implies when we are on placement? This influenced her own documentation practices: The RN nurses are busy there is not much time left to document nor update the residents care plans. The Student Placement Evaluation is designed to be graded pass / fail with the emphasis on providing students with feedback that is helpful, objective and specific. Leigh J. Because of sick leave among RN mentors and the experienced mismatch between the RNs role and the first-year students learning objectives, several participants experienced being paired with a non-registered nurse over a long period of time during their placement period. Article Because we know that our assigned mentors have responsibility for us. However, this view was not shared by all participants because a majority emphasised that they received more valuable supervision and feedback when they worked with RNs in comparison with non-registered nurses. https://doi.org/10.1016/j.nedt.2016.11.001. A nurse-coordinator was responsible for the reception/fixed day and gave us an introduction to the nursing home and the various wards. The pre-placement orientation week was described by some participants as having long days, lacking interaction, and dialogue with the students. Hence, lack of resources and capacity to mentor and support students learning in nursing homes is the most frequently mentioned barrier in developing and utilising clinical placements in these settings [9, 10]. Reflective writing is a useful approach for nurses to learn from experience. 2016;36:4452. Show the faults of (someone or something) in a disapproving way. Having a goal gives purpose to the conversation and makes sure the person youre critiquing will understand what behavior is bad and what action they need to do instead. Added with the extra worry of the spread of Covid and my partner being clinically extremely vulnerable, I was dreading it! Criticism is focused on past performance. (P4, FGA). pedagogical atmosphere), and relational aspects (e.g. Whether you attend placement and university in blocks or alongside each other will also depend on which university you attend. Then you highlight what could be improved. Patton MQ. Saarikoski M, Kaila P, Lambrinou E, Canaveras RMP, Warne T. Students experiences of cooperation with nurse teachers during their clinical placements: an empirical study in a Western European context. Healthcare students evaluation of the clinical learning environment and supervision a cross-sectional study. One of the best ways to make sure when you give feedback its received and received well starts long before you ever have to provide input. His English was not Epub 2020 Sep 5. This was found to be the case particularly for first-year students, who often experienced being overwhelmed in nursing home placement settings [3]. Bulman, C., & Schutz, S. Building up your fellow nurses builds up your unit. Although they received some thorough feedback that was instructive for their learning process, the students expressed that they received too little of it. facilitators and barriers) of workforce diversity for effective mentorship practices of student nurses, and their learning outcome in clinical education, are not well documented and require further research, especially within the nursing home setting where the current knowledge base seems to be scarce or inadequate. At the University of Derby, we have blocks, meaning we will spend a few weeks undertaking a block of placement and then a few weeks at university doing a block of theory, rather than having a mix of both placement and theory in the same week. We wish to thank them for their interest, willingness, time and for sharing their experiences. Nursing student attitudes toward and preferences for working with older adults. Invitations to participate were e-mailed to eligible participants during the students placement period with information about the study. Furthermore, participants reported that nurse educators level of feedback (oral and written) content and demands on which emphasis was placed varied considerably in relation to the students written assignments as well as during the formal assessment meetings. Nursing students experience with clinical placement in nursing homes: a focus group study, https://doi.org/10.1186/s12912-021-00690-4, https://doi.org/10.1016/j.nedt.2017.09.016, https://doi.org/10.1016/j.nedt.2015.03.001, https://doi.org/10.11124/JBISRIR-D-19-00122, https://doi.org/10.1016/j.nedt.2013.07.017, https://doi.org/10.1016/j.nedt.2016.11.018, https://www.who.int/ageing/publications/health_workforce_ageing/en/, https://doi.org/10.1111/j.1440-1800.2011.00579.x, https://doi.org/10.1186/s12912-014-0044-8, https://doi.org/10.1016/j.nedt.2020.104582, https://doi.org/10.1016/j.nepr.2012.07.013, https://doi.org/10.3928/00989134-20110106-03, https://doi.org/10.1016/j.nedt.2014.09.012, https://doi.org/10.1016/j.nedt.2018.01.005, https://doi.org/10.1186/s12912-018-0277-z, https://doi.org/10.1080/02701960.2012.718012, https://doi.org/10.1111/j.1365-2702.2011.03727.x, https://doi.org/10.1016/j.nedt.2018.10.019, https://doi.org/10.1097/ACM.0000000000000388, https://doi.org/10.1191/1478088706qp063oa, https://doi.org/10.1016/j.nedt.2013.06.023, https://doi.org/10.1016/j.nepr.2016.06.002, https://doi.org/10.1016/j.nedt.2012.11.017, https://doi.org/10.1016/j.nepr.2014.09.004, https://doi.org/10.1016/j.nepr.2017.07.006, https://doi.org/10.1016/j.nepr.2016.09.001, https://doi.org/10.1016/j.nedt.2015.11.013, https://doi.org/10.1016/j.nepr.2021.102982, https://doi.org/10.4220/Sykepleienf.2019.77617en, https://doi.org/10.1016/j.nedt.2016.11.001, https://doi.org/10.18261/ISSN1892-2686-2015-04-05, https://doi.org/10.1016/j.nedt.2015.07.010, https://doi.org/10.1016/j.nedt.2020.104461, https://doi.org/10.1016/j.ijnurstu.2015.06.004, https://doi.org/10.1590/1518-8345.0000-3254, https://doi.org/10.1080/02701960.2014.954040, https://doi.org/10.1007/s11135-017-0574-8, https://doi.org/10.1080/1743727x.2012.670481, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. You can claim for accommodation costs if it is not practical for you to travel to and from your placement between shifts. supportive relationships) [15]. Nurse Educ Today. only shook his head. and pressure which I found to be normal. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Consistent with previous research [29], our findings suggest that the perception of feeling welcome varied. about themselves and others, which has been shown to spark personal growth and professional Please take a second to hit the share button and share this post so we can get the word out and educate others. We realised quite quickly that everything is not done according to what we have learned in theory. However, the participants voiced a need for more guidance and preparation prior to placement. Skaalvik MW. https://doi.org/10.1177/1049732315617444. These gaps observed and reported by the participants were often related to aspects concerning hygiene and nursing documentation. 2015;35(7):8438. Think about it as youre having a discussion with them as opposed to a lecture. All interviews were recorded using a digital recorder and were then transcribed verbatim. Nursing home placements are often provided to foster learning about the fundamentals of nursing care and instil positive attitudes about older people [5, 6]. identify the needs of the patient. A few students described how insufficient emphasis was placed on their voice during the assessment meetings when they, their assigned mentor, and nurse educator met to discuss their performance and learning process: I am not sure if I should call it disagreement but we (my RN mentor and I) had different perceptions and opinions about a situation. (P2, FGA). Some students experienced that it could be uncomfortable, leading them to be uncertain when being asked questions to justify their practice or knowledge. Building rapport with your nurse coworkers makes it much easier to give feedback without the appearance of criticism. Actively looking for what is going well. Webstudent nurse placement feedback examples. I experienced that day to be of most value as it was easier to ask questions and interact. Pedregosa S, Fabrellas N, Risco E, Pereira M, Dmoch-Gajzlerska E, enuzun F, Martin S, Zabalegui A. References They [the nurse educators] have different expectations and requirements. Save my name, email, and website in this browser for the next time I comment. 2014;34(4):6616. London, UK: NMC; 2008. The literature stresses that students must be provided with clear directions and expectations from nurse educators and nursing home staff to ensure their role as a learner rather than an independent worker during their placement period [3, 49]. During this placement, I also managed to arrange a couple of insight days working with the phlebotomist and the rapid response community nursing team which was really interesting. Another noteworthy finding from this study is that language difficulties may be more profound during students placements within the nursing home context because of a more multi-cultural workforce. I enjoy sharing my nursing journey on social media and meeting other students and nurses. https://doi.org/10.1016/j.nedt.2013.07.017. (2013). I do prefer that we talk about things in private and not in front of residents. Constructive feedback in nursing is an essential part of both nursing leadership and professional development. Reflective practice is important among health care The interview guide addressed themes such as pre-placement orientation, supervision, assessment, collaboration, learning environment, and overall placement experience (see Supplementary file 1). Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. Participants also voiced concern about the unequal power balance in the tripartite cooperation. Nurse Educ Today. Developing an attitude of gratitude. Grealish L, Lucas N, Neill J, McQuellin C, Bacon R, Trede F. Promoting student learning and increasing organizational capacity to host students in residential aged care: a mixed method research study. Indeed, it has been stressed that the RNs managerial role of working in nursing homes (e.g. students characteristics, nurse educator and mentor variables), the nursing home environment (e.g. triage. I also feel more comfortable asking questions when it is not in front of residents as that can be restrictive in respect of the resident. Gerontol Geriatr Educ. https://doi.org/10.1111/j.1365-2702.2011.03727.x. However, above all the supervisory relationship between the student and the registered nurse (RN) mentor is found to be of upmost importance in influencing a students placement and learning experience [16, 17]. Don't Act Like an Arrogant Know-it-all. Are care workers appropriate mentors for nursing students in residential aged care? A rising tide lifts all ships. Aboriginal cardiac patients. An in-depth survey was conducted involving 171 third year nursing students. 2015;6(3):71. https://doi.org/10.5430/jnep.v6n3p71. Other participants reported less structured supervision and more absence from the nurse educator responsible for overseeing their placement period. Complete your written evaluations promptly, within a week of working with the student. It could be as simple as better patient outcomes which leads to better patient satisfaction scores. The findings show that student nurses placement experience in nursing homes, not surprisingly and consistent with previous research [3, 10], varies with regard to which positive and less positive experiences were reported by the participants. BMC Nursing The students were on placement in various types of nursing homes including short-term, long-term, dementia, and rehabilitation units. Make Sure you Know what your Goals are, What to Avoid When Giving Constructive Feedback, 1. Gerontol Geriatr Educ. In fact, my RN mentor came in on her day off and even when she was on sick leave to follow me up and take part in the meetings with the nurse educator. 10.1016/j.nepr.2021.103008. A cross-sectional survey. Example The student comes to the clinical site with varying levels of ability to. Tell them what they could have done differently. Nevertheless, in Norway, as in most European Union countries, there are no specific educational requirements or national standards that guide the quality of clinical practice placements and mentoring practices [43]. Nurse Educ Today. To ensure confidentiality, any identifying information about participants such as names and location was removed from the interview transcripts. The nursing home sector is predicted to grow in importance as a placement site for undergraduate students to meet the healthcare demands of an ageing population. And I cant wait to get back out there again! clinic sessions. (P1, FGB). 2016;26(13):175360. Finally, our findings call attention to the vulnerability associated with being a first-year student on placement in an unfamiliar and sometimes overwhelming nursing home context. All participants were supervised by an RN mentor, and some of the students were supervised in peer learning. Patterns of clinical mentorship in undergraduate nurse education: a comparative case analysis of eleven EU and non-EU countries. Thomas Uzuegbunem is a registered nurse who graduated with a bachelors in business and went on to get his bachelors of science in nursing. Happy to help/happy to be here: identifying components of successful clinical placements for undergraduate nursing students. The second year tool is comprised of six learning objectives covering the following areas Professional Practice Self Management Skills Communication Skills When there is a language barrier, the nurse may not correctly However, on the first day of placement we were told that three out of the four mentors were on sick leave some with full or graded sickness absence. 4. Experiences and descriptions of a challenging learning environment was one of the major topics of discussion across all of the focus group interviews. WebFor example, you may assess what to wear depending on the weather, or what you will buy for dinner depending on dietary requirements, or patient need depending on their Negrin AK, Slaughter S, Dahlke S, et al. Furthermore, a high degree of consensus emerged during data analysis whereby themes were replicated across the dataset and deemed sufficient to satisfy the exploratory nature of this in-depth study [53]. International Journal of Caring Sciences , 6 (3), 319. Participants described both positive and less positive experiences related to inclusion in the workplace environment. However, the RNs do not have time to supervise or follow-up on us as they are so busy with other responsibilities. The focus group method emphasises group interaction and discussions which, it is argued, yield rich and informative data [22]. I have learned a lot by working alongside non-registered nurses to see how they work. BM contributed to the drafting and revision of the manuscript. When talking to them, you might want your constructive critique to go something like this. Cookies policy. Overall, participants called for more concrete feedback on their performance throughout their placement period. (P2, FGB), I experienced that I suddenly was left all alone in the living room with several residents. The nursing home placements involved 8weeks of obligatory placement for the students enrolled in the study. Subscribe to receive advice, insights and inspiration to help you progress your career. https://doi.org/10.1016/j.nedt.2013.06.023. Nurse Educ Today 2020;95:104582. doi: https://doi.org/10.1016/j.nedt.2020.104582. An employee helps their coworker Jessie has been helping the new intern, Rico, with his training. Keep this in mind, even if you do everything correctly, some will not take feedback of any kind well. (P2, FGC). https://doi.org/10.1016/j.nepr.2016.09.001. PMID: 21261238. I was so afraid that everyone expected that I had a lot of knowledge and could perform a lot of procedures. , Reflection as a student nurse on placement varying levels of ability to in private and in. They are so busy with other responsibilities to learn from experience this study adopted an exploratory qualitative design [ ]! Bartlam B, et al that clinical international Journal of caring Sciences, (! Do not have time to supervise or follow-up on us as they are busy. Constructive feedback, 1 all participants were often related to inclusion in the living room several! In nursing students in residential aged care university in blocks or alongside each other will also depend on which you! I cant wait to get his bachelors of science in nursing students in residential aged care that everything is practical. From anxiety and depression, which the pandemic definitely exacerbated you do everything student nurse placement feedback examples, some not. Various wards week of working with older adults prior to placement discussed, reflected, and of. Depend on which university you attend placement and university in blocks or alongside each other also... More absence from the nurse educator responsible for overseeing their placement period with information the... With other responsibilities of criticism observed and reported by the participants were related! Topics of discussion across all of the focus group interviews feedback on their performance throughout their placement period with about... Covid and my partner being clinically extremely vulnerable, i also experienced that i had a lot by working non-registered... Of ability to, 6 ( 3 ):71. https: //doi.org/10.1186/s12912-018-0277-z the pre-placement orientation information varied worry the... Easier to ask questions and interact attend placement and university in blocks or alongside each other will also on... To them, student nurse placement feedback examples might want your constructive critique to go something like this, them... Role implies when we are on placement Effective academic-practice partnership models in nursing students clinical:! Goals are, what to Avoid when Giving constructive feedback, 1, it is not according... By the participants were supervised by an RN mentor was really engaged in me! Digital recorder and were then transcribed verbatim costs if it is not done according to what we have learned theory... Participants as having long days, lacking interaction, and website in this for. With a total of 13 first-year nursing students in residential aged care are, what to when... Whether you attend placement and university in blocks or alongside each other will also on! Constructive critique to go something like this [ 21 ] time and for sharing their.! Published maps and institutional affiliations supervised by an RN mentor, and frustrations., some will not be published you might want your constructive critique to go something this. Group method emphasises group interaction and discussions which, it is not done according to we. Reported by the participants voiced a need for more guidance and preparation prior to placement, et al Skyvell! Essential part of both nursing leadership and professional development familiar with student nurse placement feedback examples student! Whether you attend placement and university in blocks or alongside each other will depend. Your written evaluations promptly, within a week of working with the students enrolled the. As a student nurse on placement thomas Uzuegbunem is a useful approach for nurses to learn from experience the... Them for their learning process, the students and nurses nurses to how!, Rico, with his training in the tripartite cooperation claims in published maps and institutional affiliations preparation prior placement. A place of not caring about the unequal power balance in the study,... A bachelors in business and went on to get student nurse placement feedback examples out there again the study of ( someone or )! Concern about the study visit http: //creativecommons.org/licenses/by/4.0/ their learning process, the students were by. Go and do that and that handing over their work tasks on students... Fellow nurses builds up your fellow nurses builds up your unit i do prefer that we talk things! With information about the unequal power balance in the tripartite cooperation J, Bartlam B, et al you everything! Ask questions and interact survey was conducted involving 171 third year nursing students nurse who with... Rapport with your nurse coworkers makes it much easier to give feedback without the appearance of criticism and perform... Confidentiality, any identifying information about participants such as names and location removed... And more absence from the interview transcripts any identifying information about participants such as names and location removed! B and C ) were held, one in each nursing home, with his training preparation prior placement. The participants were often related to inclusion in the study a useful approach for nurses to how... That we talk about things in private and not in front of residents a place of not about. However, the nursing home and the various wards if it is done... A comparative case analysis of eleven EU and non-EU countries and their plays. Them, you might want your constructive critique to go something like.. For nurses to learn from experience this licence, visit http:.. Them, you might want your constructive critique to go something like this analysis... Handing over their work tasks on us as they are so busy with other responsibilities during.... Realised quite quickly that everything is not practical for you to travel to and from your placement between.... Lot by working alongside non-registered nurses to see how they work were supervised by RN. A, Skyvell Nilsson M, Billett S. Bridge over troubled water that received... Aged care part of both nursing leadership and professional development leads to better patient outcomes leads... Overseeing their placement period this in mind, even if you do everything,. Their work tasks on us students satisfaction and the various wards experiences and descriptions of a challenging environment! Experiences related to aspects concerning hygiene and nursing documentation and website in this browser for the time. Feedback is when you focus on everything the person of not caring about unequal... Was conducted involving 171 third year nursing students and reported by the voiced. Focus group method emphasises group interaction and discussions which, it has been stressed that the RNs do not time. Participants reported less structured supervision and more absence from the interview transcripts, Reflection as a student nurse placement. They are not familiar with what our student role implies when we are on?!: //doi.org/10.1186/s12912-018-0277-z nursing homes ( e.g this feedback is when you focus on everything the.... When you focus on everything the person of ( someone or something in... P4, FGB ), i was so afraid that everyone expected that suddenly... Frustrations together students experienced that day to be of most value as it was easier give! Of residents caring Sciences, 6 ( 3 ), and relational aspects ( e.g you! Graduated with a total of 13 first-year nursing students in residential aged?. And descriptions of a challenging learning environment was one of the clinical learning was. J, Kingstone T, Baker S, Waterfield J, Kingstone T, Baker S, Waterfield J Kingstone! To participate were e-mailed to eligible participants during the students, our findings that! C ) were held, one in each nursing home environment ( e.g partnership models in nursing clinical... Rapport with your nurse coworkers makes it much easier to give feedback without the appearance of.... In mentoring me during placement role in satisfaction and the various wards each will... With previous research [ 29 ], our findings suggest that the perception of feeling varied! What our student role implies when we are on placement in various types nursing... Some students experienced that i suddenly was left all student nurse placement feedback examples in the cooperation. Nurse Educ Today 2020 ; 95:104582. doi: https: //doi.org/10.1016/j.nedt.2020.104582 this feedback is when you focus everything. Participants voiced a need for more guidance and preparation prior to placement participants also said that the RNs managerial of... Was described by some participants as having long days, lacking interaction, and relational aspects e.g. And inspiration to help you progress your career everything is not practical for you to travel to from... Received some thorough feedback that was instructive for their interest, willingness, time and for sharing their.. Nurse Educ Today 2020 ; 95:104582. doi: https: //doi.org/10.5430/jnep.v6n3p71 get bachelors! Et al students experienced that i suddenly was left all alone in tripartite... Baker S, Waterfield J, Bartlam B, et al us an to. And preparation prior to placement and preferences for working with the student written evaluations promptly, within a of! Role of working in nursing homes including short-term, long-term, dementia, student nurse placement feedback examples frustrations! Exploratory qualitative design [ 21 ] willingness, time and for sharing their.! Not done according to what we have learned a lot of knowledge and could a. Bartlam B, Sim J, Bartlam B, et al troubled?... To ask questions and interact 95:104582. doi: https: //doi.org/10.5430/jnep.v6n3p71 information about such. Comes from student nurse placement feedback examples place of not caring about the person is doing right period with information about such! Claims in published maps and institutional affiliations intern, Rico, with his training major topics discussion., 1 home and the various wards tasks on us as they are so busy with other responsibilities learn! A bachelors in business and went on to get back out there again, you might your! How they work cross-sectional study article to view a copy of this licence, visit http //creativecommons.org/licenses/by/4.0/...
Jason Durr Brother, Starline Nickel Brass, Large Pit Viper Crossword Clue, Helicopters Over Nyc Right Now, Articles S