Clinical – near fainting??

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This topic contains 5 replies, has 6 voices, and was last updated by Profile photo of Rachael_Winter Rachael_Winter 2 years, 3 months ago.

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    Profile photo of jds1985

    I had a clinical experience this weekend.
    I was pretty nervous about the patient I had been assignment because there was a colostomy, bedsores, and seizures to deal with.
    Pressure ulcers truly disgust me. There are many things that disgust me, that I try not to look at, but I have never actually felt “sick” when seeing gory things. I just don’t like them 😉
    Anyhow, I had to change a colostomy bag, clean the site, remove surgical sutures and change the dressing of two pressure ulcers (stage II and III– requires packing the wound) all in one visit with my patient. I was nervous, and mildly grossed out, but tolerated it well– and remember thinking to myself “that wasn’t so bad after all!”
    However, AFTER we finished, and I was getting ready to reposition the patient, I remember thinking it was SO HOT! I continued to wrap things up in the room, but then felt overwhelmingly dizzy/light-headed, and HOT. It was all I could do to turn around and bend over to put my face right over the air conditioning vent.
    Thankfully my instructor had already left the room. My clinical partner was still in the room so I told her “I’m just SO HOT, I feel sick, give me just a minute to cool off?” and I stood there with my face over that vent for a good five minutes, positive I would vomit or pass out any second. I remember telling my clinical partner “DO NOT get our teacher” because I was sure I looked like hell.
    I am so glad I had a wonderful clinical partner who finished up with my patient and waited for me to feel a little better. I was SWEATING PROFUSELY, I had to go to the bathroom to dry my face because sweat was seriously running down like I had just run a mile! I thanked my partner for her extra assistance while I pulled myself back together, and we went about our day. I never mentioned anything about how I was feeling to my instructor.

    But seriously, WHAT WAS THAT?!?!? I was DONE with the patient care, I did it well, and surprisingly was not nearly as grossed out as I thought I would have been…. but then felt SO SICK when I was done!
    I’m horrified it will happen again, or that I will actually faint, at a clinical now!? 🙁


    Don’t stress … will just make things worse … don’t think about making things worse … it will just make things worse … I’ll shut up now.

    Back when I first started volunteering with an ambulance, pre-EMT, pre-nursing, I was watching the ER doc put sutures in an obese knee laceration. It was very deep and fat was hanging out. I was standing there with my legs locked and started sweating and turning green. I felt I was going to hit the floor, so I walked out. The paramedic I was with followed me, mentioned I was pretty green looking, and gave me a bunch of crap for being a wimp, because that is how men bond, and we went on our next call.

    That was the only time I have felt that way, and I have seen MUCH worse things since then … MUCH WORSE. Many people have one event like that and never have another, so stay calm and don’t worry about it … you will adjust.

    Profile photo of cybusterMS

    Don’t stress. I almost passed out my first day of clinical seeing a blood draw from a central line and my instructor was right there. Yeah, not good. Honestly, I’ve seen a lot worse working on the floor as an aide (C. Diff poo all over the floor, anyone? How about open, festering diabetic foot ulcers?) and I’m not bothered by it. It’ll pass with time.

    Profile photo of agRN

    I actually did pass out at clinical, and I felt exactly the way you did. One suggestion I can make is make sure you eat something before clinical that will last until you get another chance to eat. When I got to the ED (yep, they took me down the hall in a wheelchair), my blood sugar was way low. Another thing that sounds crazy but actually works is compression socks. They help circulation when you’re standing for long periods and can prevent syncope.

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