So I failed my friggin' skills check. And it was bullshit.
First, let's start off with what I did right. I interpreted an ABG based on a case study. I selected the probable cause of my tracheostomy patient's respiratory acidosis as an airway obstruction and selected suctioning as my intervention. Passed.
After selecting this intervention, I gathered the required suctioning supplies, established a sterile field, and suctioned the patient with no issues. Passed.
After suctioning, another skill I had to demonstrate was tracheostomy care. Basically just cleaning the neck, cleaning the inner cannula, replacing the gauze, and replacing the ties. I set up and performed tracheostomy care perfectly. Passed.
So where did I go wrong? When I set up my drape, I accidentally covered a pair of scissors. I told the proctor, a new instructor that's approximately my age (28), that I broke sterility and needed the scissors so I needed to restart. I lifted the drape, moved the scissors, and redid everything. Perfectly. So what happened?
The instructor stated that I moved the scissors with my sterile hand, broke sterility, and continued anyway. Really?
I mean when I said I had to restart, I feel that it was implied that I was regloving. I mean, I knew that I touched these damn scissors, but I kinda thought I was like on a "time-out" if you know what I mean. I didn't know she expected me to completely reglove. In the past, calling your sterility break, moving things around the table, and then restarting has been acceptable. I think it's just petty. I mean I did the procedure perfectly.
So what does this mean? Not too much fortunately, but I'm still mad. I need to redo the sterile setup of tracheostomy care; that's all. I also get minus two points from my lab grade, which I'm not too concerned about because I have points to spare. I've gotten an 84% on nearly every test except for one.
I feel like it was just petty. A few students have gone so far as to think that maybe they are trying to weed people out so that the school gets a higher NCLEX-RN pass rate. I've even suggested that the particular instructor who got me on such a stupid technicality needs to get laid; just not by me.
Anyhow, sorry for vent/rant. It's just that when you put in hundreds of hours in a class (since September) you get a little pissy when you think someone takes points off a grade you've worked your ass off to get.
P.S. I'll never be a nursing instructor! I don't care if you are an instructor, or you are a student, why in the hell would you ever want to come back to this nightmare!