Book worm vs. skill set

First of all, I wouldn't worry too much about nurses preferences for students. Floor nurses especially would prefer a naturally skillful student because it makes their teaching job easier. Slow students slow things down. That's fine, but you can only do what you can, at the pace that you can. You're there to learn :). Eventually new skills will become routine and it won't affect your ability to be an awesome nurse at all.

I'm a fantastic knowledge base student, and a bit lame on the skills side. I read all the material on skills beforehand, ace the pretests, etc, but in the end I learn how to do something by doing it. Not by watching someone else do it (in person or on video). Not by listening to lectures. Not by reading. But by actually doing it. So while some people come to lab and perform skills the first time flawlessly, I'm kind of starting from ground zero. I passed meds in the hospital yesterday for the first time in maybe 3 months. You'd think I'd never seen and MDM the way I was fumbling around. Oh well.

I've found (as with everything else in nursing school) knowing the why cuts out the need for memorization. The steps are there in order for a reason - an IMPORTANT reason - and wrapping your head around that can reduce the feeling like your trying to remember a list of 10,000 steps.

So I started practicing skills in my mind before lab always thinking "I do this now because..." and things go much easier when it's time to actually do it. If I forget a step, I look at why skipping that step could have caused harm and I'll probably never forget it again. I don't know why, but I have way more confidence that way, versus obsessing over a checklist.

To the OP: it is easier to train a person with strong clinical skills, but if they don't understand the theory, it doesn't work out. It is also doable if the person has average clinical skills and average theory knowledge. The surprising combo that doesn't really work is great theory knowledge but minimal clinical skills...usually these people "can't see the forest from the trees". Example: super smart newer nurse learning IABP with her preceptor...they were reviewing the pump and monitor in the room. The RT in the room says "I don't think they're breathing" and after the nurses ignore the RT because they are so focused on the patho, I hear the RT screaming loudly from the room "the patients not breathing and i don't think she has a pulse". I run into the room where the RT is bagging the patient and the two nurses are still ignoring the patient; I pushed both nurses out of the way and start CPR after calling a code blue. The two nurses where still oblivious as the code team ran in to help.

Oh, wow! Talk about situational awareness! Thank you both for the info and advice. I'm so excited and motivated to do it all right, but I'm also so afraid of missing something or making a mistake, too. It's just all overwhelming at times, and I think I let my head get in the way. Anyways, I'll do my best to sharpen my skills and take what I can from the experienced nurses. I'm sure it takes much experience to be aware of every little detail, in a given situation. Sometimes, I feel like I'm looking at the forrest and not seeing the trees. In my opinion, this can be dangerous, too.

I think skills tests are harder than the procedure is in real life. Because yes, in lab, when you test out on things they want you to do it their way, and as accurately their way as possible. Some people find it easier to do things differently than taught in class (like me), but they don't always like it that way. Granted, there is a difference between doing something differently and doing something wrong, or that can increase chances for infection, etc.

Be excited but be safe! Sometimes you need to step back to see the "big picture" but details can be important too!

Skills lab seems to be very particular, and I've been hearing a lot of things about things being different in the real world. I just want to get past the point of obssessive behavior in doing everything exactly as planned and to the point where common sense, thinking, and procedure all come together. I guess it all just comes with repetition and practice.

Skills lab seems to be very particular and I've been hearing a lot of things about things being different in the real world. I just want to get past the point of obssessive behavior in doing everything exactly as planned and to the point where common sense, thinking, and procedure all come together. I guess it all just comes with repetition and practice.[/quote']

It also comes with actual clinical experience. Skills labs are designed to reduce the number of variable so you can simply do what you're told, rather than think critically. When you start clinicals things will start to come together. Cut yourself some slack :)

speed is not the priority. Critical thinkers (book worms) may be slower, but they understand what they are doing better and may "see" what needs to be done faster than the task-doer. Just work at your own pace and do not worry about what others think. You are in school to learn, not compete.

Thank you guys so much! I really do appreciate your words of wisdom. :)

What's the difference between a nursing student with a C and a Nursing student with a A? Nothing they both can test on NCLEX.

At my school, you need to have a balance. If your book smart and not good in the lab, you will get dropped. If your good in the lab and not goo with the books, you will get dropped. You need to have a balance and stay on top of your game. That's how my class went from 80 to 40 on my first semester.

IMO, you can teach a monkey to start an IV or put in a foley. What makes a nurse a nurse is critical thinking, being able to look at a patient and understand WHY you are doing something, not just doing it because it was ordered.