You sound to me like a hell better nurse than your instructor. If that nurse in hospital said "you are not as advanced as you should be" then she needs to address that to your instructor. Sounds like he/she is the one who fails at teaching more advanced skills to his/her students. About telling a nurse patient's symptoms and her telling you "he's been pain in butt since he got here". Now that's alarming. I'd bring this to supervisor altho I can understand if you want to stay low. I recently was a patient in local hospital was transferred to another hospital from ICU while still in medically induced coma. So I was waking up from coma, first thing I heard was hissing air sound coming from my neck. I did not even know I had a tube stuck in my throat. I was on such heavy meds that they made me very depressed and anxious so since I was unable to talk, nurse on duty decided that she did not want to deal with me and took away my call button away from me. I did not know yet that I had urinary catheter placed in me. So I would raise my hand and wave to anyone who'd walk by and there was my nurse walking by, looking at me and laughing and talking with her tech and just pretty much ignoring me. I tried to get up to get her attention. She came back and adjusted my bed so that I wasn't even able to raise my head to even see into hallway. I could not produce any sound since I was on vent machine. I could only wave with one arm. Feeling like I was in nursing home/paralyzed crying for help and everyone would ignore me. With lots of effort I almost got to sitting position since I wanted to go to bathroom very bad. Then this nurse rushes into my room with syringe in her hand shouting "Where do you think you are going?" Without saying anything else she injects my iv with some meds and I fall asleep for another 3 days. Those type of nurses that tell "this patient has been a pain since he got there". You sure sound to me like you'd make a good nurse ten times over that one. A world needs BETTER nurses, BETTER human beings. Ignore what others say just try your hardest. You are almost there! Don't give up mid way now. Don't let them win! Keep it up! You can do it! A world needs nurses like you!