Hi all. I'm a second semester ADN student, set to graduate May 2020 if I keep on going. I always wanted to be a nurse for as long as I could remember and I made sure to get good grades so that I could get into a program my first try applying. I would watch nursing videos on YouTube, I'm subscribed to nurses on Youtube and I would feel so excited watching their videos. I loved being in hospitals--I loved the energy, seeing everyone work, the gadgets (I like messing around with technology), everything. I couldn't wait to be a nurse. I remember anytime I was in the hospital or at a doctors office or something like that the nurses were always so kind and calm and smart and it always put me at ease. I loved seeing nurses out and about in their scrubs and above all I've always felt that nurses are extremely intelligent and I've always respected the field. I've looked forward to possibly working in Public Health, NICU, OR or PACU, research nursing...even aesthetic nursing! It's such a flexible field. But now im in nursing school, and I'm struggling in so many ways. Last semester I almost failed Fundamentals, but luckily my final grade was rounded. This semester in Med-Surg I I'm doing better in lecture so far--We've only had one quiz (which was more like a test lol!) and I passed it with the highest grade I've gotten so far during my time in the nursing program. It felt good to not pass a test only by the skim of my teeth and I got a 77.5! When it comes to clinical, I find that I struggle. I get very anxious talking to patients, and when my instructor is in the room? Forget it. I feel like everything I know just flies out the window. I'm always afraid that I'm hurting them in some way and I find that I am too gentle. Lastly, I feel as though my assessment skills still need work, despite the fact that I am now in my second semester. In regards to me being anxious -- I never really know what to say when I'm with a patient. I've never been too good with small talk, but I do want to talk to make them feel comfortable and have them open up. When I get a patient that's not in the best mood (like today) I get so intimidated and flustered and I feel like I fall apart inside, even though I retain my composure on the outside. Today I had to give a bed bath with my instructor in the room and I felt so disorganized and my professor noticed it. I've always been slow at bed baths for some reason ever since I started doing them last semester and to have my professor bring it to my attention (which she did in an extremely respectful manner) really sucked because I felt like if I take so long to do something simple like a bed bath and if I get anxious so easily how could I ever handle working on the floor as a nurse? I second guess myself a lot and confidence it key in being a good nurse. Lab is stressful for me as well--I feel like I fumble when performing skills and always do better when I practice by myself or with a fellow student during open lab. When my professor watches me perform skills during lab I get nervous, forget steps...its awful. I always worry that I'm going to hurt my patient. Last semester we had clinicals in a nursing home and this semester so far I've had older patients (ranging from 70 to 80 years old). During fundamentals, it was stressed to us how elderly patients are more at risk for skin tears, fractures, bruises, etc. So anytime I have to turn a patient (for example, when giving a bed bath) I'm afraid that I'm going to damage their skin in some way. When I'm cleaning them up, I'm afraid that I'm scrubbing their skin too hard...so many things run through my mind. Its like I treat patients gentle and delicate like their infants, and I'm not sure how to break out of that way of thinking. And lastly, my assessment skills. There are times when my SBAR seems to be more empty than usual, like for todays clinical. I feel like I always miss things. Like I do vital signs (BP, Resp, Temp, Pulse, O2 sat), I listen to lung sounds, listen to bowel sounds, check the skin for turgor, capillary refill, ask them if they're experiencing any discomfort/pain, check pedal pulses, edema, etc. But theres always things that I forget. Like today, I forgot to check for range of motion, muscle strength, pupillary reflex, etc. I feel like every week I always miss something and on some clinical days my assessment skills are better but on other days, not so much. I feel as though I should be steadily progressing. And there are times when my professor asks me if I assessed for this, or if I assessed for that and it just makes me feel bad like it something that I should have noticed or thought to look for. I guess I'm looking to vent and I'm also looking for advice. Has anyone else felt this way before? Is it a sign that I should switch my major to something else? I've been thinking of getting my BS in Biology and then getting my masters in Genetic Counseling instead. That way I'm still in medicine, still helping, but not on the front lines of patient care so to speak. I'd had to prolong my education, but I'm going to be turning 22 in a few months so I'm still pretty young...