Practical Skills Test Issues

Hello all, okay so currently I am studying Nursing and am loving it! I do well on all my tests/exams and assignments and always try to put in my best effort. I acknowledge I am weak in some areas (mainly in clinical) but I feel that I have improved & nobody is perfect.

I tend to spend too much time with pts. and have a lot of trouble saying no. One time I spent a good hour and a half just talking with my patient. Honestly, I have had patients confide in me about things that were pretty personal and I feel that this can both be bad and good but it really made me feel good that they were able to trust me with such personal information (they willingly told me things - I did not in any way shape of form force the info out :) I also tend to be a bit "too nice" and even my fellow classmates have told me that I need to not get so involved with the patients. They are constantly reminding me that it is a job and I should not feel obligated to go out of my way and make more work for myself. I truly feel that it doesn't make any extra work for me and being a student, I tend to have some time to shoot the breeze with my patient(s) while working rns don't always have the time to do that.

I had a really rough clinical experience followed by an amazing one. But I will only discuss for bad experience because that is what I feel has caused my nerves to get so bad. My clinical instructor was abusive - verbally. She called me stupid in front of my patients and lied to me to make me feel bad about myself. I used to dread getting up every morning for clinical, especially knowing that I was going to be stuck with her for 12 hours. She never missed an opportunity to make me feel like crap and long story short, I ended up dropping it and retaking it with an amazing instructor:)

But after this experience I became a nervous wreck when it came to practicals. I just cannot seem to get my head on straight for these because I am so worried about messing up. When I go to do a practical skill I just freeze up and I miss a lot of important stuff that I know but its like, I cant even think when someone is sitting there, judging my every move and the clock is just ticking, its awful. I have set up IVs in clinical and have given meds on numerous occasions but its just practical evaluations that seem to get me every time. I shake a lot too and imagine having to perform an IM injection while shaking? Awful:(

Any advice for me would be greatly appreciated - I have a practical this Tuesday for NG intubation, feeding, suctioning, etc, Oxygen therapy, Trache suction/care and catheter insertion. I feel like I know this stuff like the back of my hand but I wont lie, I am nervous!!