How not to barf during assessment

  1. That is the question!
    I practiced on my mom tonight and I was still nervous. I went over it by myself and thought I had some sections down by heart and still found myself having to peak! And my test is Tuesday! AHHHH. I am so nervous....any of you think public speaking is horrible..... For those that recently did their assessments, how did you do and if you did well what tips can you give (and don't give me that take a deep break junk! LOL)
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  2. 15 Comments

  3. by   augigi
    What is involved with the assessment?
  4. by   HeartsOpenWide
    Quote from augigi
    What is involved with the assessment?
    Head to toe, everything but breast, genital and rectal exam...
  5. by   Lisa CCU RN
    I have one tip. Instead of trying to remember Inspect, Auscultate, palpate, for abdomen, just remember
    Look,
    Listen,
    Feel.
  6. by   HeartsOpenWide
    Quote from CRNASOMEDAY25
    I have one tip. Instead of trying to remember Inspect, Auscultate, palpate, for abdomen, just remember
    Look,
    Listen,
    Feel.
    What about percuss? I am lame when it comes to that.
  7. by   michar
    Do things in the same order everytime (with room for prioritizing)

    Will you be given a scenerio to work off of? Have they given you any sample scenerios?
  8. by   OnTheRoad
    I have an assessment checkoff on monday and we are not doing head to toe. We are doing skin, nails, and hair, lungs and thorax, cardio. We were told to make note cards to refer to, but not to refer to them unless we need them. Practicing I haven't needed them, but writing it down helped and I wrote down more like look listen and feel with reminders ie: fractile=99 or no air in lungs =carotids. I also noted positional changes to request when needed ie: front back, supine, etc.
    If I am remembering correctly you are in 1st nursing classes... try to remember that you are learning, and your instructor should know this. if you screw up at some point, just try to get back on track and if you forgot something and remember it later, just try to insert it smoothly later in the assessment. If you were doing this on a client, rather than a partner you would worry about getting a complete assessment and looking competent more so than the numerical order in which you do things right? just don't say "oh crud (or the expletive of your choice)" when you forget, if you do forget something... work it in like you meant to do it that way and it will probably go a long way in your instructors eyes.
  9. by   c_loveya
    I was sooo nervous for my head to toe assessment too! So much to remember but just tell your instructor what you see on your partner and you'll likely fly through it in plenty of time.

    Best of luck to you. It is very nerve-wracking! :uhoh21:

    Love - C
  10. by   Lisa CCU RN
    Quote from HeartsOpenWide
    What about percuss? I am lame when it comes to that.
    Oh, sorry. I'm in second semester and we learned the percussion last semester. In the hospital, rarely, if at all will anyone percuss.

    Anyway, I guess you could say

    Look,
    Listen,
    Tap, and
    Feel!
  11. by   Lisa CCU RN
    Quote from c_loveya
    I was sooo nervous for my head to toe assessment too! So much to remember but just tell your instructor what you see on your partner and you'll likely fly through it in plenty of time.

    Best of luck to you. It is very nerve-wracking! :uhoh21:

    Love - C
    What is your avatar?
  12. by   Sunshine0425
    We have to do our head to toe in under 12 minutes.

    Talk about nerves...I'll be so glad when it is over with on Thurs.

    Keep us updated and let us know how you did.:wink2:
  13. by   augigi
    I agree with keeping it systematic. You should always assess everyone in the same order, and do the same things (allowing for alterations according to what you find).

    You are not going to fail the assessment, as long as you are safe and know your stuff. This tyope of thing ONLY gets easier by repetition, repetition, repetition.

    Sounds like you are on the right track practising on your mum!
  14. by   BoonersmomRN
    It's going to be OK. NO ONE is a percuss expert in the 1rst semester. Heck, a lot of NURSES aren't great at percussing ( or dr's). It's an art. In 1rst semeester I am guessing tha they want to see that you can do it, in the right order, in the right areas, not diagnose an enlarged liver ykwim?

    I ALWAYS got and STILL get a horrible upset stomach for skills testing. Last week for trach suctioning I was so nervous I almost smacked the mannequin across the face w/ the catheter. Nerves suck BUT they DO make us think about what we are doing.

    Good luck!

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