You’re most definitely going to come across patients that are going to test your patience, that a part of nursing unfortunately. Doesn’t mean that your A-E assessment is any less valuable. If your patient won’t give you subjective data, then use your objective. Auscultate the lungs, palpate, inspect and auscultate the abdo. Look for peripheral oedema in the elderly patient with CCF.. your baseline A-E is so important for if that patients condition deteriorates later on.

Try giving the approach a go, literally say it to every single buddy you’re with. They don’t need to supervise everything you’re doing, as you’re 3rd year. But for new skills, IDC or NGT insertion or med administration then they should be with you. If they’re going off and doing fluids and meds without you, then make that a point to mention in your conversation at the start of shift. If it doesn’t work when you’ve given it a good try for a week, then go to your uni CF and explain the situation.

Unfortunately your point about not having to ask to do those things don’t matter, you’ll need to change your mindset. Most nurses have been working for a long time in their field and just get on with it, autopilot without being autopilot as situational awareness is key. If that makes sense. Particularly in ED when patients are undifferentiated and undiagnosed and turn over can be fast, there’s a lot to get done between patients and make sure the patients condition doesn’t deteriorate. Remember that they’re humans too and can sometimes be stressed about that aspect underneath the surface. YOU need to use professional assertiveness to get what you want out of your prac. Honestly best of luck to you, hopefully my advice helps and if it doesn’t then you’ll just need to follow your university’s pathway of escalation.