I am a second semester 1st year nursing student and this sememster I have had the hardest time with my clinical rotations. I feel like everything I do is wrong and that I'm not performing as well as my clincial classmates. According to my CI, I don't know the aspects of patient care, I'm unable to manage my time well and I don't know how to prioritize care, I'm not doing complete focused assessments. Now, in February I was placed on a clinical action plan with the nursing school and I worked really, really hard to be deemed satisfactory so that I could join my other classmates on the hospital floor and I'll admit in the beginning, I had real problems but as I've stated I've worked really hard and I feel like all my hard work is going down the drain.
Today for instance, I had two patients, one with pneumonia and one with gastroenteritis. I went into the patient's room with gastroenteritis and did a first look (checked her IV site and what was hanging, asked a few questions) for the patient with pneumonia I listening to her lungs and asked questions about chest pain. I thought I had done well for a first look, well my instructor said that I should have done a focused assessment as a first look which I wasn't aware of; so I think I got a U for that. She said I should have asked about cough and checked the patient's pulse ox but I usually do pulse ox with vitals and all the other stuff with my assessment when I do my head to toe. I feel mixed up because I don't know what she wants or expects. When I said that my patient was on an antibiotic, she asked about the patient's WBC and when I said she was receiving potassium and Lasix, she asked for the lab levels which, of course I didn't have because I wasn't aware that I had to have that info. I couldn't even remember the normal pulse rate. My instructor also said that I stand around a lot like I don't know what I should be doing but when I ask questions about how I should prioritize my patient care; it's like why are you asking this you should know it, so I feeling stupid and there's another U. I don't feel like the enviroment is one where it's easy to ask questions. The instructor keeps saying "I'm here to help you," but in actuality I feel like any questions I have will just fuel her to think that "I'm incompetent." I know I can do this but my self confidence is shattered. I'm trying so hard. I've only had seven clinical days (my own fault because of clincial remediation) compared to the fourteen or so days my clincal classmates have had and I'm trying so hard to get everything to click and I don't know what to do. We only have four more clincal days left and I'm afraid that I'm going to fail. I'm not saying that anyone is setting me up to fail, but it's kind of hard to know what to do when you don't know what you're supposed to do. I start the day optimistic and by noon my confidence is shattered and I feel like crying. Someone please give me some advice.