Assessment Demo Rant....

  1. I had my second assessment return demo. Basically head to toe minus Neuro. The whole thing is worth 30 points. I didn't expect to be perfect and I wasn't, but I was surprised at how many points I lost. I got 5 points deducted... one point for each of 3 technical errors, one thing I forgot to do, and one she didn't see because she was writing. It doesn't seem right that I got 20 percent taken off on the assessment when about 98 percent of the assessment was done smoothly, efficiently, and correctly... so I am just frustrated.:angryfire I of course am upset with myself for forgetting anything at all, but I realize in our assessment demo environment I have a level of performance anxiety off the charts, though in clinicals I am getting less anxious.
    I might even feel less frustrated if it weren't for the fact that my partner forgot nearly half the assessment, used the wrong technique for most things they did remember, and was just generally very nonfluid (stopping and thinking to remember, or saying oops I forgot....), and got only 8 points off.
    Remember ladies and gents... this is just a rant (no need for flame throwers ).... I now return you to your regularly scheduled forum:spin:
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    About OnTheRoad

    Joined: Feb '06; Posts: 180; Likes: 23

    12 Comments

  3. by   Natkat
    Well sunshine, suck it up and try again.

    I failed my first assessment because of forgetting to check for edema even though I performed everything else flawlessly. My instructor had suggested that she didn't see me perform certain things, so what I did was announce what I was doing next. For example I would say "I'm going to assess capillary refill. Now I'm going to listen to lung sounds" so there would be no question about what I was doing and she couldn't claim that she missed it.
  4. by   lovingtheunloved
    I always announce what I'm going to do, because they'll try to say you didn't do something otherwise. We have to do the return demo absolutely perfectly or we fail it. Not nerve wracking at all!
  5. by   OnTheRoad
    Quote from Natkat
    Well sunshine, suck it up and try again.

    I failed my first assessment because of forgetting to check for edema even though I performed everything else flawlessly. My instructor had suggested that she didn't see me perform certain things, so what I did was announce what I was doing next. For example I would say "I'm going to assess capillary refill. Now I'm going to listen to lung sounds" so there would be no question about what I was doing and she couldn't claim that she missed it.
    I may be frustrated, but it is sucked up, unfortunately there is no trying again here; so it is more suck it up and move on. This isn't the every class demo... rather the test demo. Only 3 of these in the whole assessment clas, I guess you would call it the lab midterm

    Would you literally announce everything you did? Like the one thing she didn't see me do was check skin temp of the upper extremeties.. I cannot imagine pausing to say... I will now check skin temp, but if that is what it takes then that is what it takes.
    Now in real life application Personally I have never had a nurse describe step by step what she was doing when she assessed me, and I would think someone describing in medical terms everything they are doing even if it will take them 5 seconds to do would make me feel like they didn't quite know what they were doing. Like please exhale and hold your breath vs I need to listen for bruits now so exhale and hold it. Or take edema.. have you ever had someone say "I am going to check you for edema now"? or did they just do it? etc
  6. by   Natkat
    Quote from OnTheRoad
    I may be frustrated, but it is sucked up, unfortunately there is no trying again here; so it is more suck it up and move on. This isn't the every class demo... rather the test demo. Only 3 of these in the whole assessment clas, I guess you would call it the lab midterm

    Would you literally announce everything you did? Like the one thing she didn't see me do was check skin temp of the upper extremeties.. I cannot imagine pausing to say... I will now check skin temp, but if that is what it takes then that is what it takes.
    Now in real life application Personally I have never had a nurse describe step by step what she was doing when she assessed me, and I would think someone describing in medical terms everything they are doing even if it will take them 5 seconds to do would make me feel like they didn't quite know what they were doing. Like please exhale and hold your breath vs I need to listen for bruits now so exhale and hold it. Or take edema.. have you ever had someone say "I am going to check you for edema now"? or did they just do it? etc
    No, I didn't use such formal language to announce what I was doing, and no you wouldn't do that in a normal situation. I would say it more casually or announce my finding. For example I might say "her skin turgor is good. The mucous membranes are pink" as I am actually performing the assessment. Then, to the patient, I might say "I'm going to check your legs for edema" as a way of signaling my instructor what I was going to do.

    We didn't have practice assessments. We sort of practiced once on each other but we weren't tested on it or anything. As I recall they never even came over to see how we were doing. I practiced my assessment at home on family members, much to their irritation, until I felt comfortable doing everything when I finally got around to assessing an actual patient. I also practiced on patients in the nursing home (our first clinical site) so I could get used to doing them on a complete stranger. So by the time I got around to getting checked off on assessment I sort knew my way around everything and didn't miss any steps......or so I thought until I forgot to check for edema. Also, we have five chances to get checked off, so I felt okay not passing the first time. I knew I had a few more chances to get it right.

    But it is unnerving to do anything on a patient with your instructor watching you. Even though I had done some practice assessments I was still sweating from head to toe while my instructor was watching me.
  7. by   OnTheRoad
    I would kill to be able to get more than one chance to demo (ok well not kill but you know what I mean). We get a 30 minute slot on appointment to do these demos for our 2 person partnership for these first two demos... one try and that is it. Our next and final demo (first week of november) we have to bring someone in "off the street" (family or friend non nurse) and we have 20 minutes to do head to toe. I think the biggest thing that I need to work on right now is remembering to drape the person. I have had only 2 clinicals thus far and only one of those had a need to drape which I did, in class we are all pretty much comfy in sports bras and shorts, so I don't think about it LOL
  8. by   Halinja
    I remember my first year, doing a demo of medication administration. I was announcing what I was doing. I got to the part where I check the arm band (this was on a dummy). The instructor was standing up against the bed, half blocking the arm of the dummy that had the arm band. I said, I'm checking the name band to verify the patient's identity, reached over the dummy's body to the armband, and then went on.

    When I finished the instructor said, I'm going to fail you, because I didn't see your fingertips touch the armband. Well, maybe the reason you couldn't see was because you were so close to the armband you couldn't see past yourself to see what I was doing...just perhaps...your (edematous?) abdomen was blocking your view???

    Luckily for me, when I checked with the lead instructor and told her what had happened, she checked with the person that failed me, and they decided to pass me after all. (after asking me if I understood why I would check an armband. ARGH...DUH!)

    And that was with me announcing every step of the way!!!
  9. by   Natkat
    Quote from Halinja
    I remember my first year, doing a demo of medication administration. I was announcing what I was doing. I got to the part where I check the arm band (this was on a dummy). The instructor was standing up against the bed, half blocking the arm of the dummy that had the arm band. I said, I'm checking the name band to verify the patient's identity, reached over the dummy's body to the armband, and then went on.

    When I finished the instructor said, I'm going to fail you, because I didn't see your fingertips touch the armband. Well, maybe the reason you couldn't see was because you were so close to the armband you couldn't see past yourself to see what I was doing...just perhaps...your (edematous?) abdomen was blocking your view???

    Luckily for me, when I checked with the lead instructor and told her what had happened, she checked with the person that failed me, and they decided to pass me after all. (after asking me if I understood why I would check an armband. ARGH...DUH!)

    And that was with me announcing every step of the way!!!
    Oh wow, that is rough!

    I think our instructors are pretty liberal with us - and I am grateful. I've heard so many horror stories. Some things they have passed me on I would have flunked me! I think they understand how nerve wracking it is to have someone standing over you while you do an assessment. No matter how many times I do it, if my instructor is watching me I'll be shaky and sweaty. On some things they will prompt us "don't forget to do......." or something similar. I think they realize there it is practically impossible to do something perfectly if you've never done it before or only once or twice. I think they understand that we'll get more experienced doing things once we actually take care of patients. At least, that's what I think is going on.
  10. by   Natkat
    Quote from OnTheRoad
    I would kill to be able to get more than one chance to demo (ok well not kill but you know what I mean). We get a 30 minute slot on appointment to do these demos for our 2 person partnership for these first two demos... one try and that is it. Our next and final demo (first week of november) we have to bring someone in "off the street" (family or friend non nurse) and we have 20 minutes to do head to toe. I think the biggest thing that I need to work on right now is remembering to drape the person. I have had only 2 clinicals thus far and only one of those had a need to drape which I did, in class we are all pretty much comfy in sports bras and shorts, so I don't think about it LOL
    Geez, they are tough!

    Do you have someone in your life that you can practice on and then use in your demo? I think that would be great.

    Hahahahaha! Remembering to drape the person. I know what you mean. I got "dinged" because when I was giving a bed bath I had the patient in a gown but didn't cover them up while I made the bed. Who knew?
  11. by   GeminiTwinRN
    this was so funny (and stupid!) that I have to share!

    I'm in my last semester of school (yay!) and we had ped's check offs. I went through the whole NB assessment with no problems. I got down to almost the last thing, and I was footprinting the newborn onto the birth certificate. I applied the foot to the inkpad, and then onto the document. When I had finished the second print, the instructer couldn't hide her smile anymore. I asked her what I had done.. "Was I supposed to go heel to toe? Toe to heel? What? What?" She busted out laughing! I was appalled. I had no idea what was wrong... I had to ask her again and again.. what did I do?!?! She said "think about it..".

    Well, after I ran what I had done over and over in my mind, I remembered. I had placed the INKPAD against the birth certificate for both prints! DUHHHH!!! :smackingf :selfbonk:

    I passed anyway. I'm sure she'll be using that one for years to come.


    ETA: just had to tell ya'll that this was all just "pretend" footprinting, cuz I definitely would've noticed had there really been a rectangle of ink on the document.. I'm not quite THAT dumb. :lol:
  12. by   OnTheRoad
    Quote from Halinja
    I remember my first year, doing a demo of medication administration. I was announcing what I was doing. I got to the part where I check the arm band (this was on a dummy). The instructor was standing up against the bed, half blocking the arm of the dummy that had the arm band. I said, I'm checking the name band to verify the patient's identity, reached over the dummy's body to the armband, and then went on.

    When I finished the instructor said, I'm going to fail you, because I didn't see your fingertips touch the armband. Well, maybe the reason you couldn't see was because you were so close to the armband you couldn't see past yourself to see what I was doing...just perhaps...your (edematous?) abdomen was blocking your view???

    Luckily for me, when I checked with the lead instructor and told her what had happened, she checked with the person that failed me, and they decided to pass me after all. (after asking me if I understood why I would check an armband. ARGH...DUH!)

    And that was with me announcing every step of the way!!!

    Oh that is horrible.... I wouldn't have been a happy camper
  13. by   OnTheRoad
    Quote from Natkat
    Geez, they are tough!

    Do you have someone in your life that you can practice on and then use in your demo? I think that would be great.

    Hahahahaha! Remembering to drape the person. I know what you mean. I got "dinged" because when I was giving a bed bath I had the patient in a gown but didn't cover them up while I made the bed. Who knew?
    I have run through my list of possibles... Hubby can't come in because his work wouldn't allow us to be certain he will be off. My mother... works also and I doubt she would be comfy in a sports bra and shorts. My child care provider would do it, but he obviously has to watch the child LOL. A friend said she would be willing, but now she is going to have to work. So I am now courting a school aquaintance who isn't in the program... only problem is she is such a big self talker I don't know if she would screw me up by trying to talk to me or the professor through the whole thing I am thinking of putting up a sign at school this week and see if I can get any bites LOL! Well at least having this problem means I am almost done with the semester... it will work itself out and I can't wait for winter break. I need sleep!!!
  14. by   OnTheRoad
    Quote from leslasic

    Well, after I ran what I had done over and over in my mind, I remembered. I had placed the INKPAD against the birth certificate for both prints! DUHHHH!!! :smackingf :selfbonk:

    I passed anyway. I'm sure she'll be using that one for years to come.


    ETA: just had to tell ya'll that this was all just "pretend" footprinting, cuz I definitely would've noticed had there really been a rectangle of ink on the document.. I'm not quite THAT dumb. :lol:
    LMAO!!!!!:lol_hitti :roll

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