I'll be graduating from an ADN program in 11 weeks and I had my Simulation lab rotation this week (in lieu of clinical, that's how my school does it). While I am grateful for the safety aspect that SIM lab affords me to make mistakes on a mannequin and not a real patient, I find that I get so much more nervous and flustered during the scenarios than I do with an actual patient.There is pyxis(similar but not real thing) machine that has some drugs in it, but others have to be pulled from an old fashioned drug cart. The lab director and instructor does a great job and is super nice so I don't know why I become so nervous. I could not remember how to calculate flow rate for 50 ml bags to be infused in 30 minutes and felt like an idiot when she asked me what the rate should be for the IVPB's. I did catch some things I was supposed to, like I couldn't run both IVPB's (incompatible drugs) with separate flush bags in a CVC line because my SIM patient had a high BUN level and pulmonary edema and was on 2 diuretics and she told me, "awesome job". Nevertheless I now have this overwhelming fear and feel very inadequate to fully care for 5-6 patients at a time, in 4 months time after I pass NCLEX and begin working.
I am normally much more confident in my abilities to provide adequate patient care and have always loved my clinical days when I'm working and caring for real patients as opposed to SIM, but now I'm so fearful and truly worried about "real world nursing". What I can do to be better prepared?