Can someone please explain to me what is expected for an initial assessment when you are at clinical (or nursing) at the hospital?
My first clinical where we were supposed to learn assessment, the instructor didn't seem to know what he was doing, and he didn't teach us anything much (except he taught me how to make a bed once). Mostly we just hang around the nursing station and studied the patients charts and practiced blood pressures. It wasn't until near the end of the semester that we had a substitute and she was shocked at how little we knew. She asked me to do my assessment and I didn't understand what she was even talking about. Then I realized she must want me to do assessment (so that's why we were taking that assessment course! duh) so that I could fill out the flow sheet. SO I figured it out from there.
My next clinical I had an awsome instructor but she was busy finding time to teach us to give meds and stuff so there really wasn't time for her to teach me assessment which I was already supposed to know. So I did my best to come up with my little assessment plan, which works to fill out the flow sheet and get information, but I think I'm disorganized.
Over the summer I got a job as a nursing attendant. I was able to learn the stuff an aide does from that job. I wish I had known how to do everything before I started working there though. Guess I could've read my textbook more...
And one question I still have is, are we supposed to be doing the COMPLETE head-to-toe examination when we are at clinical? Or is it just a shorter version of that? I am assuming it is a shortened, focused, assessment. Is this correct? Also, do we do the health history and general survey too? Is there anything else that goes along with it? (Some of this I think I might know but I'm craving clarity!)
And any advice for doing assessment you have for me? What's the most important thing that you would like a student to know about assessment?
Last edit by Yalith on Nov 10, '08