Just finished my second semester of nursing school. One of my clinical weeks I had a patient who was admitted with chest pain, shortness of breath, and a severe case of gout. Pt was morbidly obese & along with the gout was completely bedridden & on a lot of pain meds. Needless to say pt had not had a BM since being admitted (over a week ago). So my instructor decided we needed to check for impaction, it was my first time! Of course pt was impacted!! After me & a fellow student got the pt situated in bed one of the Docs comes in the room. Mind you my instructor told me to inform the pt's RN & Doc of the impaction so they could possibly order an enema. So i say to the Doc, in front of my fellow nursing student "I checked pt for impaction and pt is impacted, has not had a BM since ..., my instructor was with me while I checked". Doc looks at me and says "Well, I think we should have some one with more experience check pt". So you want to move a pt who is in excruciating pain, again, to have someone with "more experience" check for poop?!? It's either there or it isn't! It doesn't take a whole lot of experience to know an impaction when you feel one! So in a non-disrespectful way (as best I could any way) I said to Doc "Well would you like to check since you have more experience than me?" Doc said "Oh, no!! I, ummmm, I will have a real nurse do it."
I know I'm not a REAL NURSE yet, but I am learning as much in the clinical setting as I can by asking questions & observing & participating (in skills I am allowed to participate in). I know there is a lot we nursing students don't know yet & we will learn most of what we need to know on the job, but please don't discredit our hard work by basically telling us we don't know what the heck we are doing!