Okay before I go into details I just want to let you know I do plan to practice; I'm just looking for information to help me improve and to change up my technique so I can practice that and succeed.
Today we had vital signs check offs. I passed everything BUT pulse rate. I am retaking this class and I also failed that part last time. I have a make-up lab I think in a month (need to check the syllabus). But anyway, I'm not a 100% sure what/how I did it wrong. You'd think counting would be easy? Well apparently I can't count! This morning tested my skills on my husband 72 pr. When I tested it with a mechanical cuff, also 72. But every now and then I started counting to fast usually when I was tired or nervous and got way higher than the mechanical reading. I practiced this skill more than anything else. This morning I reread and found a new technique; bend the elbow at a 90 degree angle. Did it and I match the machine right on. Well in our vital sign check off lab my partner had to rest his hand on his lap because our chairs had no arm rests. I couldn't bend his elbow and hold it while I took a pulse.
If I was in a clinical setting (hope to someday be) I'd bend it at a 90 degree angle and support it on a table. I saw the instructor just deal with the awkward angle so I thought "oh ya so can I". Does the angle make a huge difference?
Also when I felt it never went away but it's like my fingers went stupid and they felt as if they were pulsing (my thumb was not included when I palpated). I have one more shot at this I don't want to waste my money again and I told myself if I failed again I'd never continue with nursing. I just feel like the huge disappointment is just too costly and devastating (I'm on student loans too). I just really want to be a nurse; I've studied and worked soooo hard! I'm not use to giving my all and failing over and over. I feel so silly since everyone else can do it with no sweet. I just don't understand why I can't feel it or distinguish it from each wave (separating them from one another). I feel it, I can find it. I'm not pushing super hard. Do you think the angle I was tested at probably is the culprit? If that's truly the case I'll ask to support the arm.
I just want some advice, any advice on your techniques and how you passed it. I'm failing compared to people who also never have done pulse rate, practiced 10 minutes in the lab and passed. I've spent 30 minutes to 2 hours a day in the lab practicing this week. The weeks before at least once to twice a day on my husband. I've practiced soooooooo much and I still can't compare to other students who just stayed the day before for just 10 minutes. My partner who does it for a living even failed. So I keep going back in my mind the angle or my nerves made it so I couldn't count and felt my own pulse; I honestly don't know.
Please don't say practice more; I obviously plan to. Please give me tangible explanations or advice. I really really want to pass. I've worked so hard not to fail so soon. This honestly has me questioning if I'm even nursing material it's just really hard to watch myself fail on something that sounds like it should be so simple.