Don't be afraid, it is so much fun! I am in my first med-surge clinical and I was so scared and not looking forward to it. Now I absolutely love it! Let me tell you about mine so you get an idea from a new student perspective. I am in my second semester of school.
I have already learned how to pass meds on a meds rotation for one week, then came back to this facility to take care of my patient and pass her meds. We only have one patient this rotation. Most students have two but not with our teacher this time. I go in early in the morning and get my pt's vitals and ask about pain level. do an assessment. Then it is usually time to pass the trays (breakfast) in between we answer call lights. Very busy in the morning. cleaned up two people the other day before I could even get in to see my pt. All the students help each other out, especially if the pt is large. We need to know when was the pt's last BM. We need to give our pt a bed bath or help someone else give a bed bath.
Today I was the first student on our rotation to get to do a TWE. Everyone asked if they could watch! LOL! I had plenty of help! The teacher stood way back so as not to get hit
Well that didn't occur but everyone was very excited to participate LOL Our instructor stands right with us to check our meds. We have to go in the day before to read the pt chart and get a list of their meds. Then we have to look them all up and write everything down. On clinical day I have my list ready and ask the nurse to unlock the cart and I pull the meds and put them all in order. The instructor comes by and we check them off together in the MAR and I crush what I can and put them in applesauce, the liquid ones are mixed in with orange juice. We go together into my pt room to give them. Then we go back to the MAR and sign off that they were given. The instructor is always available. I've done blood glucose checks and given injections of insulin for coverage. Also heparin, and darbepoetin alfa. Meds need to be passed by about 9am but its ok to go a little early or a little late.
There are CNA's that work there and they are a great help to the students. And they really appreciate the students being there and making their work load a little easier. The nurses love us too. They are always asking us to go do an Accu check for them (blood glucose). I was with an RN today and she showed me and the rest of the students how to change the dressing on a PICC line which was a sterile procedure. Every student has to do a care plan on their patient due every week.
There are a lot of older people as patients. Many have wounds. Some have had falls and gotten a hip fracture. The wounds are taken care of by the wound care nurse and they have a vacuum attached to them to help heal them. Yesterday the wound care nurse came in and removed the dressing and sponges from my patient's sacral decubitis ulcer and it was soooooo large. Definitely a stage 4.
You will do lots of things for lots of people and you will stay busy.
What fun! After this you will be able to do anything!