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| |  Physical Assessment lab sign off?
We have to do lab sign offs for our complete physical assess. (head to toe) withOUT any flow sheet at all! Has anyone lived through this experience!  I'm about to wet myself thinking of someone standing there, glaring at me, listening to the heart sounds with me, making sure I check the head, eyes, etc.. We have to do the neuromotor, heart sounds, lung sounds, find all peripheal pulses, etc..
Anyone have any "tricks" on how to get through this and remember everything without a check off list?  I can do it to my friends, dh, kids, but the minute I get in front of our lab instructors I clam! 
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| | Advertisement Sponsored Links | | | | No. 1 | 
Feb 09, 2003, 09:46 PM
Just take your time...and think through what you are doing. The more worked up you get, the more easily you will forget things.
Also, if you do forget something, I'm sure you will not be the only one. It probably will not be as bad as you are imagining it will be.
Good luck!
| | No. 2 |
Feb 09, 2003, 10:24 PM
Have to agree with Mandy on this one........I forgot a couple of things on mine, but it worked out.....
| | No. 3 |
Feb 09, 2003, 11:29 PM
Practice, practice, practice! The more you practice, the more natural you will become at performing your assessment.
In our program, we were testing on physical assessment by videotaping an exam on another classmate...we even had to do breast exams, find femoral pulses, and palpate inguinal lymph nodes That was a little awkward to say the least!
Just perform your assessment with confidence. I'm sure you will do fine!
| | No. 4 |
Feb 09, 2003, 11:54 PM
We had to do this too. Are you allowed notecards at all? I remember just practicing it a zillion times with my lab partner until we both had it down.
| | No. 5 |
Feb 10, 2003, 01:51 AM
We had to do this with no cheat sheet and really its a piece of cake. Have you been in clinicals at all?
Just truly do it from head to toe, think of the body systems.... like start at the head, do the pupillary response to light thing, palpate lymph nodes, ask a few questions, palpate pulses peripherally, heart/lung sounds, bowel sounds, neuromuscular checks, etc.
If you develop a method, and perform it systematically, it will help.
| | No. 6 |
Feb 10, 2003, 04:44 AM
I thought this was so horrible to have to do this, but trust me it's not that hard, all of us were freaking out about it and it was a piece of cake, you'll need it trust me, eventually it just becomes natural.....just practice practice practice, whenever you have free time take a blank piece of paper and draw a stick figure, and start at the top, and start assessing! Do it until you get it right, this is how i practiced...once i knew i had the techniques down, then i went to memorizing....
| | No. 7 |
Feb 10, 2003, 05:36 AM
Thanks ladies, I guess I just have stage fright. I am prepared and praticed as far as the assessment goes, I just get wigged out with them saying "no, I can't find the S2 there, are you sure you found it there?" type junk! At our program they double check to see that we've found each area of the anterior thorax sounds (vesicular, etc..) and then the atrial, pulmonary, erbs point, etc. .and which heart sounds are louder, then they get their steth out and check too. Its just a very intimidating process is my only defense for being nervous! LOL
Nikki, we can't even have a piece of scratch paper! If I had some cues, that'd be cool, but they're not even going to cough if we miss something, they just put "unsatisfactory" ! Ack!
Oh well, I'm gonna get through this, I have no choice! 
Thanks for cheering me on! I'm sure it's not near as hard as I perceive it to be. Esp. since I'm prepared, right? | | No. 8 |
Feb 10, 2003, 05:39 AM
You'll be fine.
All check offs are sort of nerve-wracking because your instructors hover over you waiting to pounce on any mistake (or mine were). Did they teach you the ape to man heart auscultation?
(aortic, pulmonic, erb's point, tricuspid, mitral)
Remember to breathe, don't let them rush you, and you'll be great. Good luck!
| | No. 9 |
Feb 10, 2003, 08:29 AM
I had to check off Assessment students last week and one ran out and threw up b/c she was so nervous!
My best advice...calm down!!! Take your time. Practice, practice, practice!! It's like anything else....if you know it you'll be more confident!
Good luck to you!!
Kristy
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