freaking out about skills checkoffs...

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I'm a LPN student, in my second year (I chose the part time track). This year, I have clinicals, skills class, and med-surg. I'm a 4.0 student (even in my RN prereqs), have worked as a CNA, clinicals are going well...I am doing fine at the hands on stuff. Except for when it comes to my actual check off in lab, with the instructor.

I start getting anxious as I am doing the skill, and today I forgot a major thing. This is a skill I had done at least 5x with my group, correctly. I passed, nobody really fails the checkoffs, but we do have a final exam in Dec that can consist of 1 of a variety of scenarios. They are obviously a lot less forgiving of mistakes in the final, and I am completely hung up on the idea that I could mess up one thing, not realize it, and fail. And then would have to either repeat the whole year (b/c I can't continue this year) or switch out of nursing completely.

I just feel like my whole stupid career is hinging on some detail like breaking sterile technique, being too many points off on BP, etc... I'm 38, this is a career change for me, and I need to be working-I can't afford to dink around and try another year of nursing school, hoping I make it that time, if I flunk this final.

Any advice on keeping calm during checkoffs? I'm seriously thinking of asking for a xanax prescription... I know the material, I just need to keep calm and think clearly during these checkoffs.

So, SO glad we're done with check-offs. Those were a major source of anxiety for me. I would literally shake, turn pale, and sometimes would "cry" involuntarily. Boy oh boy, I would be a mess. Sterile field was the worst for me. And wouldn't you know it, I got sterile field as part of my final-case scenario during my fundamentals quarter.

During my second quarter, I decided to I wanted to learn how to center my anxiety. At times I faked confidence. But I think, most importantly, I truly believed in myself. I had to learn to be okay with failure and realize a lot could be learned from it.

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