melted down in my Clinical Lab today... left crying

Published

]Three weeks into my first semester - I excused myself from doing my clinical lab test-out and snuck into the bathroom to cry. I feel so sick. Forgive me for this long message, but this is sink-or-swim for me.

I'm a mature adult (37). I'm a 1st semester nursing student, RN associate's program. I already have a Bachelors from 10 yrs ago. I currently have a 3.98 GPA, scored 99th percentile on my TEAS test, and & really love my classes. I am usually very organized, professional, & together! I can do anything I put my mind to!

]However...

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]But I am having HUGE PROBLEMS with the clinical/lab portion of my nursing classes. I posted here last week about being tested on skills that we have to learn from a book, with NO demo or teaching of any kind. We also have a very small 3-4 bed lab to practice in for a very large (70 students in 1 classroom) group. Lab is also closed weekends, and had very limited & unsupervised evening hours. I am not clear when I'm supposed to go, if I have class 4 days a week, the Test Out is the 5th day, and it's closed weekends???

We have weekly "test outs" to asses our skills. First week went ok. Second week a different teacher graded us and she really ripped me and my partner. I also have a partner who is having issues and we've never been able to meet up except just before the test. So now I have no confidence. And I'm starting to really not feel well from being in an un-winnable situation.

I'm doing very well in Nursing Lecture classes, and I could swing an A this semester. I'm also getting As in my non-Nursing classes.

However, if they gave a grade, I'd get an F on social skills. I'm an introvert. Yet their program is so dependent on me learning things from peers not teachers. I'm made to feel it's all my fault I can't find study partners or other lab partners. I ask people to study and they blow me off because everyone already has study groups. Everyone went to same pre-req classes; however, I'm the new face & they all have their cliques. It's my fault I can't find a new partner. I find them and they don't show, don't call back, or don't prepare. I was told I should not have studied so much for my lecture Exam this weekend instead of preparing for the clinical test-out (even know Clinical Lab is closed on weekends).

I am not a quitter, but I don't think I can make this work. :crying2:

I nearly broke down in tears in my advisor's office today (and I'm not usually emotional). And unlike any other major, there is this taboo at my school -- if they find out you're sick, weak, or in any other way unsuitable, they can kick you out: on the pretense they don't want to waste resources on someone who won't "hold up to the rigors of the nursing profession". So even if there's a medical reason for me feeling so sick recently, it's not a valid excuse for anything. (I'm going to my regular Doc tomorrow just to rule out any other reasons for me being this emotional & so wiped-out)

So today my partner and I approached the lab supervisor asked to be put on the make-up schedule based on us both not feeling well. Lab supervisor didn't understand, even if we both brought in dr's notes. Her comments made me feel two inches tall. I lost 4 Deficiency points for today, and I risk losing more if I mess up on the make-up Test Out Friday. She lectured us on how it "only gets harder" and how we can't "put off being prepared". I'm thinking to myself: I am an A student(!!!) I just can't 'get it' the way your lab tests are structured. I asked her for help last Thursday when I came by the lab, and it was dead-empty (i.e. nobody to practice with). She's said "go find a classmate" (as in, it's not her problem, she's busy, go away).

If I knew this is how my school's program was structured, I would NOT have gone here. It's just not a good match for my introverted-but-booksmart personality. (I like dealing with patients or professional peers, but I am not good "making friends" and depending on them for schoolwork). I could drop out and apply to another nursing school for next year, but it's going to look really bad to other schools to have started at this school and withdrew before end of semester.

I still don't understand how clinical Lab is graded, either. I have no guess of my odds of passing, even if I hung in there??? I've never been in a class where I couldn't guess what was expected of me or what I needed to do to earn an A or B.

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]There are absolutely no tutors available-- no private and no school-provided. Outsiders are not allowed into their lab, so I can't get help from my good (=reliable) friends, even if they're students of the college not yet admitted into the Nursing program.

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I don't know what to do at this point. I feel so sick. The last day or two I've felt exhausted & brain-fogged, and today I am uncharacteristically crying a lot. I should be studying tonight, but a raging headache and bellyache is making it hard. The more I think about this class, the sicker I feel. My advisor has office hours tomorrow, and I need to say something to her. But I don't know what to say?!

]

]What is the @#$@# problem here? Am I doomed?

Specializes in NICU, Post-partum.

Sounds like to me you have a case of clinical depression that is affecting your self-esteem to the point you cannot function.

Nursing is about teamwork...that is why they want you to learn from your peers. If you cannot ask for help to gain knowledge then you'll never make it in the profession once you get out.

Fundamental skills are in textbooks and they are listed step by step.

The hours for after-hours lab may be limited, but you didn't say they were not available. Nursing school is not set up to be convenient...you have to go when lab is available.

Nursing labs in schools are generally not open 24/7 because of extensive theft from the lab. The equipment is very expensive.

Your grade is based on how well you follow the PROCEDURAL directions listed in your book...if you skip a step or forget a value, they deduct points. If you know the procedure, step by step, then you get an A.

You are also falling for rumor. I heard that my nursing program was "impossible" to get into and that they would "kick you out" over nothing. I found none of it to be true.

However, if you THINK that it's true, then your perception becomes your reality.

You have to grow a stronger backbone is you are going to stand up to a physician and be an advocate for your patient...it doesn't get any easier, it just gets harder.

I completely agree with the tough love posted above.

Don't take it as a personal attack. This is incredibly good criticism that will make you a great nurse if you can apply it to yourself. Nursing school is based on a lot of criticism. The point of it is for you to grow, not for you to take it personally.

That said, I'm sure most of us have cried at one point or another during school! I know I have :p

Specializes in NICU, Post-partum.
I completely agree with the tough love posted above.

Don't take it as a personal attack. This is incredibly good criticism that will make you a great nurse if you can apply it to yourself. Nursing school is based on a lot of criticism. The point of it is for you to grow, not for you to take it personally.

That said, I'm sure most of us have cried at one point or another during school! I know I have :p

Absolutely!

All of us have bombed an exam at one point or the other in nursing school and many tears have been shed.

I remember showing up for my return demo for vital signs...I couldn't hardly feel my partner's pulse because my hands were shaking so badly.

However, by my last return demo...I could have cared less. I had done so many of these that the fear was gone. I always practiced as much as I could...so when I went in to take it, I knew I was going to nail it.

Specializes in IMCU.

Hugs to you! I am beginning to think that this is not so unusual. We get next to no demos and certainly none from start to finish. The prescribed videos have no sound or are messed up in other ways and the school IT can't get them fixed. Much of our lab time is wasted bumbling through and finding an instructor (if we are really lucky she is there) for multiple questions. We are also behind by at least a week right now. Also, no two lab instructors do a check off the same way -- I overheard one yesterday with two of my fellow students and it nearly made me ill how tough she was on them.

Sometimes I think if I get through nursing school it will be in spite of the rubbish that goes on. It doesn't help that most of my class are type a overachievers. I am one too but having a roomful is more disturbing than I thought.

To get a lab and study partner I finally threw myself at the mercy of a group. I think it shamed them. Essentially, I sucked it up went over to them and said I really needed their help and why. I am not really shy outwardly but inwardly I have much less confidence than I project -- it was extremely hard for me to do this.

So you are right,perhaps some of this is a twisted process used by nursing schools. That doesn't make it right. I have been very "on the edge" emotionally since I started NS. I don't have any advice but I really do wish you well.

Specializes in IMCU.

Oh yeah...a previous poster said something about N Schools not being in the business of failing people for no reason or stupid reasons. I completely agree.

I do think it is great that you went to one of the college counselors. Maybe you need to make a plan with them to get you on track. They know about all of this stuff and it is unlikely that you are the first person to experience this (I know it may feel like it though).

Big hugs from your sister and brother nursing students.

Specializes in LTC, Med/Surg, Home Health.

Yes, I agree with post above go online and look on youtube. I am a recent excelsior grad and had to be creative in my own home. Made my own lab room had a fake pt with a hanging drip and even practiced on a dummy for injections and so on an so on. although I have been an lpn for 7 years now it may have helped but I reccommend looking on youtube it will give you a mental picture. Oh, and one thing that might help would be to take a deep breath.!;-)

Specializes in ER, ICU, Education.

OP, I must say I completely disagree with some of the postings in this thread. I am an instructor. When I see weakness in my students (and they all have them, just as I do), I am thrilled. Not because I am sitting and waiting for a chance to crush them but because this is the perfect chance to encourage and teach. It's the entire reason I chose this profession.

There are few things more exciting than watching a student come from a place of frustration and feeling like a failure, to learning, and to finally feeling competent and proud of their achievement. I love it!

Be cautious when you hear others make sweeping generalizations about any group of people. It is not helpful or particularly accurate. What you need is determination and assistance. As another poster mentioned, consider watching online skills. Seek out all resources. Just because a tutor isn't allowed in the lab doesn't mean you might not be able to find one elsewhere. Find a senior student buddy and offer to pay them! Find a practicing nurse and watch their technique. You may have to step out of your comfort zone.

Fear can be paralyzing. If you are doing well overall and want this, then you can do it. It's a shame that your instructors aren't spending time with you one-on-one. This is my favorite part of our program. If you aren't getting what you need at your school, consider finding one with more individualized and caring instruction. They do exist. But before you reach that point, keep working to see if you can learn the skills on your own. For example, Lippincott makes a great visual atlas to basic medication administration (ex- injections, IV, etc).

THANKS to everyone for your ongoing support. Sometimes just having that shoulder to cry on is therapeutic.

My dr put me on antibiotics for acute sinusitis, which was wearing me out. Pain + lack of sleep + stress + the crazy way this school does things = the end of my rope. He also referred me to someone for anxiety coping skills, which may not hurt to look into.

I submitted the Dr's note excusing me from school that day, but they didn't care. Oh well, too late now to do anything about it.

I got caught up on sleep and did this week's test out much better. The testing is set up crazy (I'm just shrugging it off better). I did a pre-exam prep with one of their helpers and she taught me one way. I go into the test-out and the woman testing me has a cow I'm using two hands and making the "wrong" pattern. It's apparently typical that I'm going to get scolded no matter how well I prepare for a Test Out, since every teacher has their own little spin on things.

Next week is Clinicals. It can't possibly be any more frustrating than Lab test-outs, can it? :chuckle

I am still a bit sick and am still on antibiotics, but I'm coping better.

I learned a valuable lesson about humility: I grew up believing people who do turn weepy are weak, immature, crazy, or not worthy of respect. Then one day for the first time ever, I was one of those people. At that moment in time nothing I could do would let me "suck it up". I feel like I survived it and am a better person for it. Next time when I see someone else really struggling emotionally, I'll pause to hug them instead of turning my back. Maybe I'll be a better nurse for it.

And I also learned: if this didn't get rid of me, nothing will!

Thanks again for the advice & words of encouragement. :loveya: Love ya!

P.S. First big lecture exam was graded, and I got an A. I think I'm starting to figure out this maze known as Nursing School.

funny-pictures-cat-fills-in-for-ceiling-cat.jpg

If I may make a suggestion? Go for a walk and forget about school for an hour. Nursing school was the highest stress I have experienced in my life.

Specializes in being a Credible Source.
I am one semester away from graduation.I am going to sound very snarky and I am sorry but truthfully this is nursing school. Nursing school sucks no matter what school. You have shown your weakness to your instructors now and they are going to use it against you, that is definate.
To whom it may concern: Don't believe this propaganda. I just graduated from nursing school and it most certainly did NOT suck. It wasn't all roses but for the most part, we were treated very well by our instructors, the staff nurses at our clinical sites, and our fellow classmates.

Some schools do suck but it's not a given by any means.

Specializes in Rehab, Geriatrics.

Welcome to Nursing School... NS is a *****. First, I would advice you not to cry or show weakness because they will use that to fraustrate you. Go on YouTube to search for the skills and if you don't find it, practice on someone. I know this may sound crazy but I watched a demo and practiced catherization on my teddy bear. Dont give up, it gets better. Now you know how their BS works, keep your head focused and trust me, once they have nothing against you, it makes things easy. One of my professors (did not teach skills class) advised that practice, practice, practice, on anything you can find. Family members, couch pillows, anything... I believe you will do good. Just hang in there, it gets better. Cheers!!!

Specializes in hospice, ortho,clinical review.
To whom it may concern: Don't believe this propaganda. I just graduated from nursing school and it most certainly did NOT suck. It wasn't all roses but for the most part, we were treated very well by our instructors, the staff nurses at our clinical sites, and our fellow classmates.

Some schools do suck but it's not a given by any means.

Ceiling...

I'm sorry you're seeing the ugly side of nursing school. Like the above quote, that was pretty much my experience, (my school didn't suck) along with the one above that said it was the single MOST stressful point in my life. And to add to the nursing school stress, my mom ending up passing away suddenly at the beginning of my last year,(last Sept) so I know a bit about what I'm talking about juggling stressful issues.

It's a shame that you are on our own for the most part for labs. We had clinical days scheduled that were taught by instructors in different bays. They gave us a point by point check off paper to memorize the steps, it was still stressful but at least we had the support of the majority of our instructors.

I agree with the point you have to have somewhat of a backbone for doctors and of course being the pt's advocate. But I draw the line that we need to develop such a thick skin to interact with each other. Teamwork is the key and part of that I feel is the golden rule....do unto others, and treat others as you want to be treated. Anything less is a travesty to who we are as people let alone nurses and and those that think it's okay to be overly critical really ought to cause pause for thought as to why they chose to be in a profession built on compassion.

My experience with instructors was much like the one that posted in this thread. They saw our weakness and used that to build strength and confidence from within. Too bad it's not a prerequisite for all instructors.

If I find when I'm really out there that it is the norm, that nurses eat their young and to expect more days than not to be stressing b/c of nasty co-workers. Then I'm outta that particular unit and maybe even beside nursing and I'll find other opportunities. I by far have much to learn but I expect to be taught what I don't know with respect and positve guidance. It's out there, I know it is I've experienced kindness from many nurses.

I've worked many years in a place surrounded with negativity and high stress and being treated like crap and I won't go back to that. No how, no way will anyone ever convince me that ....well that's just nursing, buck up and deal with it :rolleyes: That's the beauty of nursing, there are many avenues to fulfill what your mission may be.

I've been told by those that are close to me, even when I doubt it myself that I will be an excellent nurse b/c of my heart. I do hold onto that when things get rough (right now waiting on a job) I can see in your post that you indeed will bring much needed compassion into this field. As I always say, anyone can be taught the skills....you can't teach someone to have a heart :redbeathe

Good luck to you.....soon this will all be a distant memory ;)

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