Feeling incompetent...need advice

Nursing Students General Students

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I'm a second degree ABSN student in my 3rd month of a 12 month program. While I'm doing well in lecture, the practical skills are KILLING me! Everything seems so much harder for me to learn than it does for everyone else. For example, I'm STILL having problems getting accurate blood pressure readings. I've ordered a new stethoscope (which I can't afford, btw, lol), but I'm not certain that will help much. I've practiced relentlessly on my boyfriend and occasionally on my classmates when I'm able, but without someone going behind me to tell me if it's right, the practice seems somewhat futile. The program I'm in doesn't help much, either. We learned on manikins (which is deceptively easy...not at all like real people!), and never had the chance to practice on real people with a dual stethoscope (like I've been told they do regularly in many CNA programs!!). The difficulties don't stop with blood pressure, though. I have a hard time finding pedal pulses, and today when we learned to do IM and SubQ injections I struggled with bubbles in the syringe and bent a needle! To put it simply, I'm clumsy, anxious and disorganized learning these new skills, and I feel so stupid! I try to watch You Tube videos in an attempt to self-tutor, but that only goes so far. As of right now, we've only had clinicals in a LTC facility, but I feel so incompetent in that setting, I'm terrified that it will only be 10x worse at the hospital.

Any advice that anyone could give me would help. I just don't want to be a horrible nurse, and I'm afraid it's looking like I might not be cut out for this. I don't want to give up, but I also don't want to try to force a square peg in a round hole at the expense of the patients, you know?

Thanks in advance, everyone.

I don't mean to imply that my instructor is "bad"; however, I don't agree with the way she "teaches" in the clinical setting. For about 8 1/2 of our 9 1/2 hour clinical days, you can be assured you will find her behind a desk somewhere, not out on the floor helping the students. While I understand that there is no way she could be with each of us every day, is it unrealistic to think she could be on the floor with at least one of us for at least part of the day? If I wanted to practice assessment skills without anyone to go behind me and check my work, I could just as easily do that on my friends on my own time. When I brought this up to her, she asked me, "can you not find what you need in the chart?", implying that I should be able to "check" my work myself by looking at the patient's chart. In the LTC facility, they do not document heart sounds and lung sounds (at least not in the information we are able to access), and I still have no idea what I'm listening to when it comes to that stuff. Feeling like you're having to teach yourself is just a very frustrating thing...

Whew! Enough of the negative stuff (thanks for letting me vent!). Thank you very much for the tips. I will definitely experiment with using the bell! I did use the pulse obliteration technique on my last clinical day at LTC, and I did find it to be helpful in terms of validating what I was hearing :)

Dirtyhippiegirl, thank you! Yeah, confidence is a big issue, I know... out of curiosity, are you practicing as a nurse now? If so, do you feel more capable/confident? I'm so afraid of being "that nurse"--you, know, the one that makes their patient's arms black and blue due to sticking them a million times. lol

Oh, and by the way, our local hospital won't allow us, as students, to practice IVs on the patients. So my only "experience" with that when I graduate will be on fake arms (and possibly other students, if they'll let us...). Very scarey thought :-/

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