So sorry you all have had bad experiences! Oh man that really bites!
For me, I love taking students in with me to do things! I explain what is going on and why I do things the way I do them (if I do them differently then school taught). I think talking through things and communication is vital, yeah it takes longer to do things that way...but for some reason I make it fun and informative!
Like for the pressure sore..heck I have seen more of those working in LTC to last me a lifetime..I dont' need to measure them much, I have a measurement guage in my brain and can quickly measure by looking (a trick with me...my pinkie finger width is exactly 1 cm...LOL!). However, I will clean a wound before putting the CORRECT type of dressing on it and contacting our wound care department so they can oversee and specifically treat the wound and also plan for at home care of it. Decubes can take months to heal..and I want to make sure they are getting proper home care to facilitate that (that includes dietary, activity, special aides to keep them off the area, etc.).
A time when a student may think I am cutting corners is during initial assessment, but I go over my ways before going in so they understand. I will typically get to the pt first thing in the AM before they have gone to the bathroom...this is an EXCELLENT time to get things done! Watching their gait, watching their body language, and facial expressions is almost half the assessment! I talk with people and establish alert status and cranial nerves (facial expression), and speech. Many times I can see them move their arms, legs, feet, toes, fingers, etc...why make them do all this in bed again if you just saw them do it
...and it also lets me know what they are capable of doing. Then I do my listening (steth time), and monitor if they have a cough (when they get up for the first time of the day...that is when a cough will happen
). And as far as the morning BM or urination...there I am to check it!
If they don't have to go, have a foley, or bed bound...I will converse with them and get the info by watching their body movements and facial expressions/speech. Then I will hit the specifics by asking them to move them and what not.
But a student may see me not ask a pt to smile or stick out their tongue or what not and think I am not doing it. But I have learned to tell someone what I am doing, and challenge them to be very observant and we will do a fun quiz afterwards...and yes, I will even ask questions about the room! Good thing to be observent! (try that sometimes...it can be fun actually!).
I will be getting students again really soon and I am so happy! This is going to be fun!
Good luck to all of you!!!!!!!!!! And remember...if at all possible use your best observation skills on the patient at all times, and make it fun too...you actually retain more information if things are more fun and memorable than not! My trick to passing infact...LOL!!!!!!