I'm graduating in May and after clinicals my instructor has me truly doubting myself and my ability to work in med-surge for the first time since I began nursing school
. He is a good instructor and very well liked. He was pushing me hard to answer questions, but I was having trouble prioritizing what my role for the day is with a particular patient or patients after his questioning me for 35 mins on various issues. I know I need to think along these lines, but had such a difficult time giving him report on my only 2 patients in an organized manner. He asked me to begin at the head (HEENT) and move down system by system i.e. nuero, pulmonary, cardiac, GI, GU, etc. and was not allowed to skip to any system that wasn't next, like bowel sounds and abdominal tenderness before I explained any and all from systems above. I kept freezing up badly and saying "um,um" with him looking straight at me saying, "come on what's next?" over and over
and I'm typically fairly confident, but not anymore. He said I was good at the technical side of disease processes and my patient's symptoms, but that I'm not connecting those with what my priority care for my patient is individually for the day. I left feeling completely deflated after that experience and am wondering if working med-surge is really for me now, like I previously thought. For the most part I enjoy working with med-surge patients for the most and have never seen myself working as any other type of nurse except for perhaps, nursery, IMU or SICU with are still similar scopes of practice. I am also having issues with organizing my report notes, what I should write and how to write it, when I take report, along with a big fear of how I'm going to properly and adequately care for a full patient load when I begin working in the real world in a few months. I rarely cry over anything involving school, but I cried when I was trying to explain to my husband my newly found worries and anxiety. What can I do to become better at taking and giving report and exploring what field of nursing will truly be a good fit for me?