I am looking to receive some advice. I am in my final semester of a BSN program. Thus far, I have done well. While I have struggled here and there as everyone has, I have always been successful. I have never failed a class or had any significant issues at clinical rotations. My GPA is a 3.4 and I have received academic honors for my grades. This seems to all be changing now, as I am wrapping things up. For my senior practicum, I have to do over 300 hours of hospital time following the same preceptor as well as complete dozens of lengthy ATI tests where the passing grade is 80%. Additionally, I have numerous papers to write both for my practicum class as well as another online class I am required to take to graduate (plus I have to take this class to carry a full time credit load for financial aid). I work part time in a hospital and I am working the minimum amount (5 shifts every 2 weeks). What it comes down to is that I am drowning. I feel I'm doing very well in the clinical portion. I feel comfortable and I receive nothing but positive feedback from my preceptor and the professor who oversees me. But outside of the hospital, the rest of my semester is falling apart. I am completing assignments late, failing ATI tests despite studying, and having 10 hour panic attacks (literally) on a regular basis. Outside of school and work, I am dealing with family issues as my parents are both sick. I fear that I won't get my hospital hours done on time, but I find myself cancelling clinical shifts left and right and calling in sick at work just to keep my head above water with the rest of my school work and dealing with my parents. I recently went 8 days without a day off and that is taking a toll on me. I am always either at clinical, at work, or sleeping (I do clinicals overnight).What can I do to survive this semester? I just can't seem to balance everything. Should I cut back on my clinical hours? Working at my job less is not an option as I have no vacation time and I need the job (they will also likely hire me as an RN). Any advice would be appreciated. Sorry this was so long.