Introductions in Nursing

One of my favorite classes of this semester is definitely Clinical/IEL. It is similar to a lab session in other science classes where knowledge is put to practice. In fact, IEL stands for Integrated Experiential Learning. It is also considered Clinical, because after learning the "nursing basics" we are sent out to clinical sites to practice what we know in a safer, less controlled setting.

This week in IEL we have started practicing patient admission assessments which includes taking vital signs and auscultating lung, heart, and bowel sounds. The reason I enjoy IEL is that as we are role-playing and practicing, we can question and constructively instruct each other while maintaining the educational atmosphere characteristic of a normal class lab. Occasionally, the role-playing goes awry and students are detracted from the purpose of the exercise. I will be honest - tonight I was in a giggly mood. My poor partners were making the most of it, but I still feel horrible about my behavior. When it was my turn to assess my "patient," I could not remember several steps on my own and had to check and be prompted. Needless to say, the experience was discouraging.

The process reminded me of rehearsals for a show I assistant stage managed for, Fifth of July by Lanford Wilson. New to the process of collegiate theatre, I was unprepared for the abruptness of line-calling during rehearsals. The stage manager interrupted frequently with the right lines and right phrases immediately if not before the actor finished calling for the line. As one of the people who constantly counts her mistakes, I reminded myself of the reason I was not an actor. During the remainder of the IEL process, however, I became more determined to remember the steps not simply as I was taught them, but as their overall significance in the admission process.

As my clinical advisor told me, every patient interaction will be unique in some way. Thus, the order of the assessment process will deviate slightly, but the process will always be the same. There is no script for this act, but the act always has the same events: introductions, recording vital signs, auscultating body sounds, and so on.