Passed out on first day of clinical!!!

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This is my first post here, and I just wanted to share my story about my first day of clinical, which was yesterday. I did have clinical last year at a nursing home, but this was my very first clinical in a hospital setting. Anyway, my 1st rotation was in the PACU, I got there at 7:00 and we didn't have a patient come in until almost 8:00. Anyway, my preceptor got her first patient and I was just standing there watching the patient start to wake up, and all of the sudden I feel very hot and dizzy. I thought maybe it would help if I sat down, but I started to feel even worse and my vision was getting blurry, so I told my preceptor "Ummm, I don't feel so good," and a few seconds later, everything was black but I was still conscious (I think). So, to make a long story short, about 4 nurses came rushing over and got me onto a stretcher and put a BP cuff on me. Well, my blood pressure was only about 80/40, so they wheeled me down to the ER on the stretcher. After 2 hours and a blood and urine test, I found out that I had a UTI and I was also dehydrated. My instructor wouldn't let me go back to clinical today because she wanted me to get better, but right now I am feeling like a failure and I can't believe this happened to me on my first day of clinical. Anybody out there have a story like mine, or has heard of one, or has any advice for me? Help!

Well, the bright side of your experience is it just can't get worse...can only get better after this. ;)

Specializes in med/surg, telemetry, IV therapy, mgmt.

Infections do a number on some people. My mother who is 85 gets UTIs with some frequency. Recently she had an abdominal abscess that caused a whole lot of trouble. Her only symptoms of these things is that she gets drowsy. Weeks before the abdominal abscess was diagnosed I kept telling the doctor that she was tired and sleeping all the time. I have also seen her the same way when one of her UTIs went septic. We thought she had had a stroke! She never had any burning with urination which might have been a tip off. Are you sure you weren't septic? Guess you have learned the "hard way" that a UTI doesn't necessarily show any physical symptoms.

You're not a failure, darling, you are ill. There's a difference. Research sepsis and report on your experience with this symptomless UTI and dehydration to your fellow students at your next clinical conference.

Specializes in Med/Surg.

You are not a failure. Like other posters stated lots of people pass out in the OR. When I did my OR round last semester they told us to stand next to the wall if we felt queezy and to just not pass out in the sterile field..LOL..my best friend passed out on her OR rotation so I was nervous I was going to also, but I didn't I was ok. However, after being a CNA for 20 years and giving Lovenox SC to her mother when she had a clot I felt I was ready to give my first insulin shot my first semester in clinical. I got everything ready, my instructor asked if another student could watch me..I figured this would be ok...we get in there..I turned to my instructor and barely whispered I think I am going to pass out..she laughed at me...I told her I was serious...well I gave my injection then had to sit down for about 15 minutes before the color returned to my skin...however...the other student who came in with me...well she had to go home she got so physically sick from just watching me give my injection she couldn't even give hers....now this semester we have to start IVs and I am a nervous wreck...I have given lots of injections since that one and I am ok with them now...I have nightmares every night before clinicals though that they are going to make me drop an NG tube...that I am sure will definately make me pass out....sorry guess I got off track...LOL... :lol2:

OMG! The EXACT same thing almost happened to me in the PACU, but I got out of there before I passed out!! I apologized profusely to the nurse for bailing on our first patient, but she was cool with it. I hadn't felt like that since my very first day on the my sophmore year. I am now a senior, so I've had my share of clinicals, and I work PT as a tech, so I thought that was past me. Apparently not! Both time si had eaten breakfast, so I don't know what happened. It's nice to know I'm not the only one!! The funniest thing is neither time I didn't see anything gross. One lady was dying of cancer and the other one was a kid who had just had a tonsillectomy. I don't get it!

....now this semester we have to start IVs and I am a nervous wreck...I have given lots of injections since that one and I am ok with them now...I have nightmares every night before clinicals though that they are going to make me drop an NG tube...that I am sure will definately make me pass out...

I am also notorious as the student who started crying when I tried to start my first IV on a real classmate and missed. They wanted me to fish around and I couldn't/wouldn't. I still get teased by the people who were in class with me that day, and I can honestly laugh about it now. FYI - NG tubes aren't so bad (for the nurse, anyway) - just be prepared for lots of gagging from your pt . . . You'll get through it!

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