Quote from hopefulmidwife1
No she just told us all we were the best group ever and she didn't really watch us at all. Neither did the nurses. It was sorta go for it yourself...with the wound care she told us what to do and had us do it (unsupervised though, but we had done it on the sims...once...in lab). It was basically "go take care of them" and the nurses on the floor didn't speak to us hardly at all. Only one did and she wasn't even with any of our patients. She just let me follow her around a little.
This is just unacceptable in my opinion. Your instructor should be there guiding you. Being shown in sim lab is one thing. You should be checked off in the lab and on a real patient before being left to perform these tasks alone. No wonder there are those threads surfacing where nursing students are having to retake the NCLEX numerous times.
There should be someone there to show you where the PPE (personal protective equipment) is located. Lots of actual nurses wear masks during wound care. I, personally, do not because I've been at this long enough to not be phased by the sight or smell.
My weakness is sputum....cannot stand it at all! Trach patients do not phase me, but sputum that is produced from a non-trached patient just ruins my life for the duration of the encounter. I mean, singing birds choke, sunflowers die, thunder roars, you name it. That's how I feel if I see it. But, I learned to turn away and begin a conversation during those 'special' coughing episodes so that I can't see or hear it.
If you stick with this, you won't have to endure these types of things every single day. But do realize that if you are assigned such a patient, you may have to view those wounds more than once during your shift, even if it's at the request asking for your assistance to help hold the patient over while patient care is being performed. And be forewarned that these folks are sick. It may be a Stage IV wound today, and something entirely different tomorrow that'll make you wish for the Stage IV wound patient...such as a colostomy patient with diarrhea. This is the reality. I'd much rather change that wound dressing once on my shift than empty a colostomy bag 4 or 5 times (your CNA will have far more patients than you'll have and therefore, won't be available for each diarrhea episode).
Now, if you cannot stand adult urine (which I believe is the most basic of patient excrement), you are pursuing the wrong career because those bodily fluids, well, let's just say that you ain't seen nothing yet; but even those, too, are things that one can adjust to.
I'm not trying to discourage you. These are things your instructor should be telling and showing you; these are things that you really need to come to terms with before sinking thousands of dollars into a major that you may not be cut out for. Your instructor should be holding your hand during this introduction to the real world of nursing. It is not a neat and tidy career path in the beginning. That part comes after you've mastered the art of the 'dirty work' and are able to give testimony (so-to-speak) to your time in the trenches; then move up, over, or on to more appealing areas.