Hello everybody. I'm a second semester nursing student. I am currently having clinicals in the SNF unit. Today I had my breakdown moment....I gave a PRN pain med after the PT told me my patient was feeling pain. I told the RN. She instructed me to give a Darvocet. Now, on the patient's notes, it saids to give 1 Darvocet for pain scale 1-5, and 2 pills for pain scale 6-10. It crossed my mind to ask the patient what was their pain level. But the RN said "Just give her one, she doesn't need two" and I stupidly did that.
Then my instructor came to grill me. "So you gave the PRN med?" yes. "How much did you give?" One. "What was your patient's pain level?" *me standing there looking stupid* i don't know. "Did you do a pain assessment?" *feeling stupid-er* NO.
I just feel so stupid for doing that. We've been told...YOU are the one giving meds, YOU do the assessment. That was my breakdown moment when I felt so incompetent and questiong whether I'd make a great nurse, or even a good nurse.
Then, I couldn't get my patient to let me bathe her. She insisted she got a good one yesterday and wants one tomorrow. But not today. I told her I have to give her a bath. She just kept telling me to leave her alone and if I tried to touch her with the wipes, she'd try to move away. So I gave up.
As a student, we are expected to do the AM care, including bathing and brushing. But what do you do if your patients just refuse to even after I persisted? The instructor always says "You should've been more assertive" . What else could I do, suggestions anyone?
Thanks for listening to my complaints.