Successful as a nurse

[satnam]

Hello. I am registerd nurse. I have been working as a RN from 1 year. I am intelligent in learning things and remembring them. while doing something practical I fail. I will assess the patients nicely if i am by myself. but if there is someone with me. I will panic and I won't do my best. even other nurses have started calling me hopeless. I can't understand the problem. I am very stressed due to that.I do not want to share this with family as all peoplr think I m perfect. Some times junior nurses wil be telling me what to do.I myself realise that I know that in theory but I fail in doing practical. Even my facilitator told me in placements that I am task oriented and I don't think. I think to slower down but actually when situation comes I fail. I am thinking to change my carrier now. I do not what to do. I have shaky hands when I do any procedure in front of other. don't know what happens.

[Ruby Vee, BSN]

I am not a mental health nurse, and perhaps one will chime in and let me know if I'm way off base, but it sounds to me as if you have an anxiety issue/disorder.

No one is perfect -- the pressure of trying to be is probably setting you up to fail. Consider getting some counseling and see what they recommend.

[lhflanurseNP, APRN]

Have you been often criticized in the past for performance issues...outside of nursing. Were you, or did you feel, that you were not competent prior to becoming a nurse? If, as you state, you do fine when you are alone, then there are some other deeper issues you need to work on. Good luck!

[satnam]

No i am good at all other things. very talented in other fields. Was one of the top student in schools. passed with good marks.

[NuGuyNurse2b]

I think the anxiety issue needs to be addressed with some professional help. But the one sentence that caught my attention is the one where you were told you were task oriented and not thinking. That's actually a very serious criticism and you need to reflect on that because patients can be harmed. Do you give meds simply because they're due to be given? Are you giving insulin before the meal trays actually come because it's on the task list? These are examples that come to my mind because they actually occurred at my facility and it's because those nurses were task oriented and weren't using their critical thinking. Sometimes MDs order BP meds without parameters...it doesn't mean they should just be given without checking the patient's vitals. But that is exactly what happened to one of our patients. So I don't know if you're doing things like that that required someone to inform you that you were not thinking, but it's something to consider if you are.