SELFISH POST
Currently up at 3:30 am when I have sim Lab at 11:30 am agh. I’m stressing over my most recent skills lab.
Anyone with nursing experience, please help. Calling Flueks?
We practiced taking vitals in skills lab on Wednesday. Most of this went fine for me. We practiced on our partner. All was going well, it’s not hard to take a temperature or put a pulse ox on a finger, and she had a nice strong radial pulse. But then it came time to take her blood pressure. She warned me in advance that it would probably be low. Okay, that’s fine. But I could barely hear a thing when I tried to take her BP. I had the instructor use the teaching stethoscope to try to help me out, because I legit couldn’t get a reading. With the teaching stethoscope, I heard a total of 3 beats, one at 86, one at 60 or so, and one at 40. Wtf. So I told the instructor my best guess would be 86/40, and she said she got 88/46, so I wasn’t super far off, but I should definitely have heard more than 3 beats total, especially considering I was lowering the pressure about 2-3 mm Hg per second. Her HR was 58 and regular at her radial artery when I checked before taking her BP, so although it’s on the lower side, I still should’ve heard a regular beat, and I didn’t. The beats I did hear didn’t even sound like proper beats. My partner had no problem telling me my BP was about 110/70, though she said her second time taking it (I went from lying down to sitting up) she couldn’t hear well because people in the room were a bit loud but she was guessing it was about the same. I don’t exactly have a cheap stethoscope, I have a Littmann Classic III, so that’s not the problem, and besides, we were using the Littmann teaching stethoscope when I only heard 3 pseudo beats. When she tapped on the diaphragm to make sure it was set to the right side I nearly went deaf, so you’d think it wouldn’t be my hearing. I wanna know what exactly the instructor was hearing so I can know how badly I’m not hearing it. Anyway, I’m super stressed out that I couldn’t hear the blood pressure, and midterm practicums are in 2 weeks agh! I’m gonna go to open labs when I get the chance to try to work on it. But agh I’m freaking out.