Can't help you with most of the B* you are having to put up with in school-but patient contact time is your opportunity to start thinking like a nurse without any of the scary responsibility. The most valuable tool I gained from my clinicals was the ability to do a rapid but thorough head to toe assessment on almost any patient in about 5 minutes. If you have basically said "Good morning/ how are you?" to them and they have responded, you can have assessed mental status, neuro, pain, general well-being. If you have helped them wash/ toilet/eat you have assessed skin/ wounds/ bladder/ bowel/ input/ output. A quick listen to bowel sounds/ lung sounds, a pulse check is all I add as a nurse that I wouldn't have done as a CNA. If you are allowed to do these, get in all the practice you can. Even if not, start training yourself to be observant-with all your senses. Start making those connections between what you see in your patient and their acute or chronic conditions/ reason for being in the hospital. Skin yellow? Any liver problems in the history? Extremities cold/ dusky?-poor circulation? GI bleed or C Diff? Very distinctive odor-wise. Tremor? Audible lung wheezing? If nothing else you will be in the best position to determine over the course of the day if there has been any change from the pt's baseline. Even if you have to suck it up,you can still soak it in-as much as you can! Go for it!