omg! Bad day! Failed my AcLS recert....

  1. 0 So my certification was exp in Nov 2012. I was late to get my recertification b/c I was on maternity leave. So after being up for more than 24hrs and having my dtg in the hopsital I decided that I would try to block all my issue and go to class. After all this was nothing new to me. Wrong! I started out fine. During my mega code my instructor pointed out that she could tell I was nervous. Told me to take my own pulse and breathe. It was over from there. End result... I failed. So on top of ot all. I just transferred to the ED from a CCU. I went and paid for my ACLS recert and got it before I even was scheduled back to work. I emailed her and told her my situation, not trying to make excuses. She told me that for know until I should be independently transfering or caring for pts with cardiac issues. Ugh!! I'm not even off orientation and feel like I def didn't portray a good impression to my mgr. I feel so stupid and am feel like she may think she made a bad choice in hiring me. Worry she may think now I am not cut out for the ED. I know I have a lot to learn and "was" confident that I would do well. But my confidence has been shot.... I am always tough on myself when I fail!! I even worry I may lose my job. Am I being to hard or is that a possibility! ! What now !!!
  2. Visit  jalws profile page

    About jalws

    Joined Jun '06; Posts: 9.

    12 Comments so far...

  3. Visit  JeanettePNP profile page
    1
    I've never heard of anyone failing acls. Usually the instructor will give you some remediation and give you another opportunity to pass. Kinda unfair.
    prnqday likes this.
  4. Visit  ckh23 profile page
    2
    Quote from Jeanette73
    I've never heard of anyone failing acls. Usually the instructor will give you some remediation and give you another opportunity to pass. Kinda unfair.
    I don't see how failing someone that did not meet passing standards is "unfair". By passing someone that has not met the minimum requirements is not only doing a disservice to the person taking the course, but also the patients that person will be caring for.

    OP: I don't think you will lose your job, but you do need to get that recert before you come off orientation or it is going to cause a real headache for your co-workers to juggle patients and assignments to accommodate who you can care for.
    prnqday and Altra like this.
  5. Visit  CodeteamB profile page
    0
    They didn't give you a second chance? My first time the instructor told us almost everyone (her included) needs their second mega code to pass. Maybe they are harder in recerts, regardless, that sucks.
  6. Visit  jalws profile page
    0
    With a recert there is no remediation. I did get my recert a couple days after. Paid for it and had it before I even went back to work. Just feel "stupid" and lost my confidence. And more concerned that my new manager may look down on me not a good impression
  7. Visit  jalws profile page
    0
    Also now worried about all the other certifications I need. PALS, ENPC...
  8. Visit  ChristineN profile page
    3
    I don't think your failing has as much to do with your not knowing ACLS protocols as it does your lack of sleep. I can not imagine being up for 24hrs and then trying to do a mock code. Of course you were nervous, you were exhausted. Tell your manager that you were pushing yourself too hard and that you will study for the next time you take it, which will be on a good night's sleep.
    Armygirl7, SoldierNurse22, and prnqday like this.
  9. Visit  jalws profile page
    0
    Thank you Christine... I believe lack of sleep, stress, worry of my lil one in the hospital and nerves has a lot do to with it. Because I did pay to re-take it 3 days later and passed. But now regardless, I feel like my mgr may think I'm an idiot for not passing and her first impression of me is "failing something I should know, especially working on an ED....
  10. Visit  SpaceCoastRN profile page
    0
    http://medicine.iu.edu/residents/ind...e/view/416/94/

    Study guide by IU Health. Very well put together. Hopefully it will help.
  11. Visit  jmll1765 profile page
    0
    Aww..OP don't be so hard on yourself! You had a lot going on at the time and I just impressed that you went to the recert at all. I would have rescheduled. Good luck in the ED!
  12. Visit  neverbethesame profile page
    1
    Quote from jalws
    worry of my lil one in the hospital
    Wait, your new baby is hospitalized???? If that is the case, that "fail" is not legit at all in that no wonder you couldn't concentrate! I hope all works out ok!!!
    SoldierNurse22 likes this.
  13. Visit  SNB1014 profile page
    1
    Quote from neverbethesame
    Wait, your new baby is hospitalized???? If that is the case, that "fail" is not legit at all in that no wonder you couldn't concentrate! I hope all works out ok!!!

    im glad to hear OP passed the second time around after sleep and stress reduction.

    THAT SAID, the fail is absolutely legit. i hate to say it, but if her baby takes a turn for the worst and the pedi nurse is sleepy and grabs the wrong acls med or whatever, i highly doubt telling any grieving mother their baby died because you were sleepy and screwed up will be acceptable or any source consolation.

    i dare you to try to tell a grieving family your compressions were not fast and deep because your hubby snored all nighT and kept you from 8hrs of shut eye.

    this is why we retest, because life happens and usually performance anxiety makes us weak whereas adrenaline during an actual code keep up on point.

    but please, i hope you arent really that nonchalant and forgiving, Neverbethesame.
    ckh23 likes this.
  14. Visit  Armygirl7 profile page
    1
    Don't beat yourself up! Prepare yourself for many more "fails" in nursing! Humble yourself - as previous posters said it's better to legitimately fail than be passed ahead and potentially hurt someone. No one was hurt because you failed ACLS. You were prevented from being around cardiac patients for a short period and you took the initiative and went back and passed the class! Try to breathe and let it go. I am just finishing my 2nd year in the ER - I spent so much time the first year beating myself up over every little mistake - what I learned from that is 2 things: #1: the beating myself up is NOT helpful - it adds additional stress and makes me susceptible to more errors - #2: I transferred that intensity of feeling to learning the lesson and dusting myself off and just plain doing better! There isn't a nurse alive who hasn't made a mistake. If no one was hurt count your blessings, learn the lesson, and trust that those hard times are making you into a better and better nurse, seek remediation, mentoring, keep studying until YOU understand, and move on!
    sandyfeet likes this.


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