On my paramedic field rotations, I'm starting to get a lot of heat from my preceptors for not being aggressive enough.
I accredit my lack of aggression to three things, the first being I'm only like 25% through my class, and simply just don't have enough knowledge. They have been expecting me to have knowledge of things we haven't been held responsible for in class yet, and although this isn't an excuse, it's just a fact. We have a new head instructor this year, and our program is not up to the historical standard of our program. Part of this is, we are just being introduced to protocols because of major changes for January 2008. They didn't want to teach us wrong the first time, and didn't want to teach us things ahead of time. So lack of that knowledge is a big part. I've rectified this the best I can by reading ahead, started memorizing the new protocols ahead of time.
My second problem is my patient exam and interview. We are also just being introduced into vectored exams, and further assessment tools, and again this is stuff our preceptors expect us to know. I have addressed my preceptors explaining to them we just haven't covered these things, and for the most part they don't seem to believe me, or the other students. To rectify this, I'm here looking for advice on vectored exams, important questions to ask every patient etc... Any advice at all on these subjects are greatly appreciated.
Last problem, is confidence, sitting in their ambulance, I feel like it's their show, and I'm only along for the ride. I have no problem doing anything when/if they ask me to but If not asked or prompted I tend to sit back and wait. This is a problem no one can do anything about except myself, and I feel I wont be able to rectify this until I'm further in the program and am more knowledgeable in all subjects of patient care.
(P.S. I batted around where to put it students or patient care. Its a student issue revolving around patient care. So I put it here simply because it will probably get more notice here, please move if needed. Thanks)
~TSK