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Nurse's Final Exam! This product was produced in 2003 and is in compliance with 18 U.S.C. Section 2257 It comes that time of year when the nursing students have their final exams. Having done their clinical practicum at the Public Health Department with Dr. Albert Fish, Sabrina and Anna have dreaded the day when they must exhibit their skills in order to pass. Dr. Fish is both old fashioned and modern in his ways. Normally a student would have to demonstrate their ability on patients, but Dr. Fish likes to have the students at his clinical site demonstrate on each other! What could be better than to have one student show that she is competent and have another student experience the humiliation of being the patient! When the day has finally come, Anna and Sabrina are surprised and pleased to learn that Dr. Fish is too busy to be present but will rely on the honor system. The students have to grade themselves on a specific list of skills that must be performed. Both students must demonstrate the ability to take vital signs, including the use of the old fashioned rectal thermometer. Each girl, after donning the hospital gown finds herself face down on the exam table with her bottom exposed and the glass tube inserted into her rectum. Dr. Fish is very adamant about a properly executed rectal exam. Each girl must show that she can do them in various positions from knee/chest, bending over the table, and the Sims position. Doing a proper pelvic exam requires the palpation of the uterus and ovaries by inserting a finger into the vagina and feeling for abnormalities through the abdomen. Abnormalities of the uterus can be felt by a bi-manual exam with a finger inserted deep into the rectum and vagina. Both girls must endure the dreaded metal speculum and show that they can visualize the cervix. Enemas are never a pleasant experience but Dr. Fish knows the importance of a good, clean rectum especially when a proctoscope exam is deemed necessary. Anna and Sabrina must endure the insertion of two inflatable nozzles and two large volume soapy enemas. While the doctor usually performs the proctoscope exam, Dr. Fish wants his nursing students to be able to visualize the rectum. Both girls feel the embarrassment of having the white plastic proctoscope inserted into their bare bottoms. Finally each girl must demonstrate the proper technique for administering an intra-muscular injection. While Sabrina has some practice giving injections, poor Anna has failed to perfect her technique and performs it with fear as she plunges the needle into Sabrina's exposed bottom. Joking all the while that Dr. Fish much be recording all this or how would he know that they were doing this right, the girls give each other passing grades on their clinical practicum final. Little do they know that their performance is recorded in great deal for his later perusal and yours!
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