I am in my second semester of an ADN program.
This semester we are performing care for 2 patients... that is, head to toe and focused assessments, all meds, any necessary treatments such as dressing changes, neuro checks, in and out/retention catheter insertion and removal, basically anything they need with a few exceptions. We can hang IV primary and secondary bags but we cannot start IVs or give meds IV push (those are second year skills). We can change tubing, d/c IVs, that sort of thing... empty drains, care for PICC lines (no central lines yet, though), etc. Each clinical day we also create care plans
for each patient, for at least 2 nursing diagnoses with 3 interventions each for each patient. We are currently on an orthopedic and oncology floor. (No chemotherapy or blood transfusions, of course)
For this rotation, we have a client profile and care plan paper and a therapeutic communication paper due, plus journal entries for each clinical day, self evaluations, etc.
(Oh, did I mention this is only a 6 week rotation?)
Our other rotations are community health nursing, pharmacology (which is *just* giving meds in a nursing home for 2 days... that'll get ya used to the 5 rights of med administration), and 6 weeks in OB. (And a boatload of other papers!)
I feel really good about the progress I've made so far and all the things I can do....
The single most important thing you can do is be proactive. Let your primary nurse and all of the other nurses know that you are eager to learn new skills and will help them in whatever way you can. They will seek you out for interesting things that you may not have seen. For example, last week I went with a nurse while she was accessing a portacath and administering blood to a cancer patient. She found me because she knew I was interested in seeing as much as I possibly could.
The only thing you can do to feel more comfortable is perform the skills more often. If you don't feel like you're getting all you need from your clinical instructor, TELL THEM. After all, you are paying for this experience.
Good luck! :roll
(Sheesh I had a lot to say)