GodIs082010 3,880 Views
Joined Jul 1, '12.
Posts: 131 (15% Liked)
I passed! Thanks for advice.
It sounds like you have a really bad case of test anxiety when it comes to practical exams (many do). If possible, find something to help you relax prior to doing your next attempt (non-pharmaceutical). I remember flubbing up my last CPE with a bunch of self corrects that allowed me to pass (I don't see how self correction would be possible with a vital sign reading though) and drove home in my care literally wheezing from the stress. I knew it inside and out but the minute the instructor was there to check me off, brain blunder. I felt like a CVA patient with dysphasia. I new what I wanted to say be could find the darn words to spit out. Does you school offer free tutoring? Maybe practice with an instructor using the doubt stethoscope? The quality of those things are crud compared to some of the better quality stethoscopes out there so it's important to be able to hear it with the same type of equipment that you will be tested with during your exam. Also, practicing with an instructor my decrease your anxiety for the next time you do it for a grade.
If you know the correct techniques, but are unable to perform them correctly because of nerves, unless you are required to perform these procedures in a specific order, perhaps taking the radial pulse first would be the easiest to perform correctly and would help you to feel confident; you could then auscultate the apical pulse next, and then lastly, when you have built on your confidence, take the blood pressure. Do you have a family member or friend you can practice on?
Yes my instructor is listening with a dual stethoscope. Yes 're auscultating the apical. I usually count and 1 and 2 etc. I have to tell instructor start and stop
I apologize for not seeing your reply until now. For the blood pressure I am assuming your instructor is listening to the blood pressure with you. Are you deflating the cuff too quickly (more than 2-4 mm Hg per second)? Or too slowly? Where you said "apical off by 2 mm" are you referring to auscultating the apical pulse with your stethoscope? You would be counting the apical pulse rate by counting the number of "lub-dubs" in one minute.
You let yourself be upset for a little while (seriously. a very very small amount of time.) and then you shake it off and conquer it. Skills check offs are intimidating no matter how confident you are. They're rough but we all get through them. When you're testing, start with the easy stuff first, such as the brachial pulse, and go from there. You have to let yourself remain calm and focus on the task at hand. If you go in with the attitude of "I've already failed this, I'm gonna fail it again" then guess what will happen?
Confidence is key! You can do this!
Don't give up! Remember how hard you worked to get here. I felt the same anxiety regarding my blood pressure sign offs. I knew exactly how to do it, but I couldn't seem to get the clinical skill down. I couldn't find the brachial pulse, I couldn't hear anything etc. I kept practicing, I went to the school skills lab, and I used as many online resources I could. Eventually I got it and got my sign off. What is the specific problem you're having with vitals?
How are you "off" during testing? What do you mean exactly?
how exactly are you filing them?If it's the w/o makes you loosen the stop cock slowly...Make sure you deep breathe a few times before starting.When I get super nervous I tend to breath rapidly and shallow and my ears ring....
Hello, I'm a Level 1 nursing student. There are a total of 4 levels. There are a total of 3 attempts for each skill. I am on my 3 attempt for vital signs. I practice practice practice. When practicing I nail the apical, radial and blood pressure. During testing I'm off. I'm so stressed beyond words. I feel like giving up. It has chipped away at my self esteem. Other experiences?
No calculators can't be used. They will provide a writing utensil and paper. Be well.
Thanks for your suggestions😊
I start clincals this semester. It is recommended that students purchase a Littman classic II. I was wondering what other students are using/used during clinicals??
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