Nursing student with ADHD, struggling in clinical! - page 3

by milksgalore

4,153 Views | 40 Comments

Hi everybody, I am struggling in my advanced med-surge clnical rotation. Although I am a really compassionate and meticulous person, I don't do well under pressure and with lots of things to balance at once on my plate. Under... Read More


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    Quote from milksgalore
    Hi everybody,
    I am struggling in my advanced med-surge clnical rotation. Although I am a really compassionate and meticulous person, I don't do well under pressure and with lots of things to balance at once on my plate. Under those circumstances, I freeze under pressure and become clueless. It's absolutely embarrassing to have my classmates see me be so clueless!

    At clinical, I have learned to manage to workload of one, maybe two patients, and the required tasks within the shift, such as taking vitals, doing an assessment, giving meds, and performing treatments. However, I do struggle a lot with being able to do this in a timely manner. I have to REALLY try to not hyperfocus, and I have to REALLY try to get things done in a timely fashion-and even when I am successful, I embarrassingly still take much longer than my classmates to do the bare minimum, while they've done that and more. Now if unexpected tasks or events occur, then I really run around like a headless chicken, jumping from one patient to the other, one task to the other, jumping all over the place. I really struggle with organizing things in my mind. And working harder does not work. It's all a complete mess. I'm a complete mess.

    I don't know if I am just really not good in this setting, if my ADD really has the better of me, or if I am just really not set for nursing because I'm incompetent.
    What do you think? Does anyone share a similar problem? What have you done about it? Does anyone have any advice that could help me?

    I've only got 6 more weeks of this semester to pick up my act or else I'll fail and be kicked out of nursing school for good. Somebody, halp!
    I feel the exact way you do! I doubt myself all the time because of my inability to effectively manage my ADD in clinical. I am genuinely interested in what I am learning and experiencing, but I make careless mistakes all the time and I have issues with time management as well. These are 2 huge issues with nursing because obviously a successful nurse can manage both.

    I was only diagnosed with ADHD about 5 months ago so its been particularly difficult for me because I am trying to cope with a new diagnosis and a tough program at the same time.
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    Hi neverbethesame,
    I have now activated my account, so hopefully it will work! If not, feel free to email me at milksgalore@yahoo.com. Thank you!
    neverbethesame likes this.
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    Quote from kld394
    I feel the exact way you do! I doubt myself all the time because of my inability to effectively manage my ADD in clinical. I am genuinely interested in what I am learning and experiencing, but I make careless mistakes all the time and I have issues with time management as well. These are 2 huge issues with nursing because obviously a successful nurse can manage both.

    I was only diagnosed with ADHD about 5 months ago so its been particularly difficult for me because I am trying to cope with a new diagnosis and a tough program at the same time.
    Yes, it certainly is a struggle. Sighhhh
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    Quote from gabriellegoss
    Adderall 30 mg XR. I'm 21 now been on it since 4th grade - and I have ADHD. Works wonders
    Have you had any off days where you are tired or haven't been exercising, so even with the medication, you ADD still takes control of you? What do you do in those cases? What else do you do to help you in clinical or in other non-test or classroom settings?
  5. 0
    Quote from 2013SNGrad
    Meds work different for everyone. ..hummm...well honestly I had to learn not to get bogged down by the useless info like percentages..I learned to focus on what the prudent nurse would do rather than how many chapters I was supposed to read. If I did not pick up the material in lecture then I would go to the text and also to pick out little things that wasnt mentioned in class such as breakfast choices for the HD pt. A lot of my teachers adk a few questions outta the reading that they didnt go into detail in clasd on. Also..if you truely understsmd the patho of whats goin..it makes it easier to remember the interventions. Its really all CONCEPTUAL...if you can think in concepts it will b easier...but the biggest reason ive done good is because Ive been a nursing assistant for 9 years, 6 in the hospitals. .so I have observed and learned A TON!!! I suggest every nursing student work at least per diem/prn..the exposure to the nursing process is invaluable
    I wish I had outside additional practice! And thanks, I will try to think in CONCEPTS. That's a huge problem of mine-that I often hyperfocus TOO MUCH, I will think too much about what's the next two steps that i must do, rather than the next seven, which is the concept. Rawr! But it will probably help if I think of it as the concept, rather than the next 7 steps, which seems easier to manage than thinking of it in steps for some reason. Thank !
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    Unfortunately many students make school harder than it has to be. So much crap is given to students to have basic knowledge it can be hard figuring out what you are really supposed to know. It's all basic just need to think through the scenario. I spent and still anything I don't understand go home and read up on. I find this easier then the mass of information the book gives. One if my favorites that I used with my students was to ask them how fast to set an IV pump for to run a 100ml of fluid in over a hour. The students would all start to sweat then ask if they could use their paper to do the crazy calculation. They would come up with all different crazy answers. So after I walked them through the common sense way they all wondered why they make it so hard for them. You need to have patience with yourself find how and what works best for you to learn. If you can get the basics then add on from there. Try not to be so hard on yourself and how others perceive you. The best nurses are those that can think it through and apply what you know. To be able to spew all kinds of stuff and have straight A's doesn't mean they are smarter.
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    Organization is key maybe you need a good brain sheet.
    here are a few.

    mtpmedsurg.doc
    1 patient float.doc‎
    5 pt. shift.doc‎
    finalgraduateshiftreport.doc‎
    horshiftsheet.doc‎
    report sheet.doc‎
    day sheet 2 doc.doc
    ICU report sheet.doc‎

    critical thinking flow sheet for nursing students
    student clinical report sheet for one patient

    I have made some for nursing students and some other an members (daytonite, RIP) have made these for others.....adapt them way you want. I hope they help
  8. 0
    Quote from lmccrn62
    Unfortunately many students make school harder than it has to be. So much crap is given to students to have basic knowledge it can be hard figuring out what you are really supposed to know. It's all basic just need to think through the scenario. I spent and still anything I don't understand go home and read up on. I find this easier then the mass of information the book gives. One if my favorites that I used with my students was to ask them how fast to set an IV pump for to run a 100ml of fluid in over a hour. The students would all start to sweat then ask if they could use their paper to do the crazy calculation. They would come up with all different crazy answers. So after I walked them through the common sense way they all wondered why they make it so hard for them. You need to have patience with yourself find how and what works best for you to learn. If you can get the basics then add on from there. Try not to be so hard on yourself and how others perceive you. The best nurses are those that can think it through and apply what you know. To be able to spew all kinds of stuff and have straight A's doesn't mean they are smarter.
    HAHA, that is such a great point. I really appreciate that you are giving me a response from the instructor's perspective. It really gives me a different set of eyes rather compared to another student's response. Ok, so it is all fairly simple, but I am perhaps making it to be much crazier than it really is. So just get the basics! To think it through and apply what you know...yeah, that's my problem in the clnical setting! For some reason i freeze and I /don't/ know...but perhaps I do, I just need to learn to think in stressful situation. I will try to remember this post during those times. Thanks!
  9. 0
    Quote from milksgalore
    Thank you. I've used Adderall which has worked a little bit, but when I've taken it consistently, it started to lost its effectiveness. In fact, it began to make my ADD worse. It felt as it if was making me dumber! So I stopped taking it. After a few months break from it, I will try it again to see if it works. As for other med options, they were a bit pricey, so unfortunately I can't try other ones Have you tried a solution other than with medication?
    More pricey than flunking out? Priorities, priorities. Eyes on the prize, here.
  10. 0
    Quote from Esme12
    Organization is key maybe you need a good brain sheet.
    here are a few.

    mtpmedsurg.doc
    1 patient float.doc‎
    5 pt. shift.doc‎
    finalgraduateshiftreport.doc‎
    horshiftsheet.doc‎
    report sheet.doc‎
    day sheet 2 doc.doc
    ICU report sheet.doc‎

    critical thinking flow sheet for nursing students
    student clinical report sheet for one patient

    I have made some for nursing students and some other an members (daytonite, RIP) have made these for others.....adapt them way you want. I hope they help
    THank you so much! I will take a look at all of them! Although a brainsheet (I've been working with one) will help me organize my day, the problem is that everything including the day's shift and everything within is a whirlwind for me. So do you have any advice on how to calm the whirlwind in my mind DURING a time of chaos, like say...if an acute situation were to occur. WITHIN that situation, I am running around like a headless chicken, and even if I write things down, I just can't get myself to THINK CLEARLY. D: Any advice for then?


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