Competent??? - page 3

Has anyone else been "tested" by "PBDS" or Performance Based Development Systems??? What was your experience? Very bad experience here! I've been a nurse for over 15 yrs, lots of competency... Read More

  1. by   prmenrs
    old thread warning!!!
  2. by   Town & Country
    old thread warning!!!
    and this means.................?
  3. by   prmenrs
    It only means that the thread was started in 2001, last post prior to Daveddrn was 2002. The Original Poster is unlikely to see your response. That information may or may not influence the discussion. It's just an FYI.
  4. by   Mark612
    I took this exam a few years ago for ICU. When I was called in to review the findings I made very little since. Was presented small quotes I had given, but never any reason for why it would have been wrong. I have worked ICU for 15 years. This poor presentation exam is not a real test of any nurse's knowledge.

    When I asked what the instructur felt the correct answer should have been she could not tell me. She just stated that she had never taken the exam. I failed only one area and was told I would be coached for a retake.
    I got one 8 hours shift by a coach. Spent perhaps the first 2 hours telling the coach how to fill in the papers. Then the remaining 6 hours helping the coach to treat his own patient. Thirty days later I sat again for the exam and again was scored low on the same section only, but since the person giving the exam kept telling me to make sure to write the basics I was then criticized on the exam for reduncancy. Well gees "damned if I do damned if I don't".

    Anyway, what I was told was that when the old lady grades the exams she just works down a check off sheet. If you have it is credited, if you don't you just plain miss the question. I fould that the pathetic video scenerios were of such poor quality that I could not read the ventilator alarms. So I had no idea if I was trying to treat high airway pressure or high resp rate. Either way no one at this hospital system had a clue.

    I questioned the lack of training and the lack of appropriateness to this exam and got no where. Was told to leave the position dispite having had a great track record.

    Honestly, I feel shamed by the exam and wronged by not being allowed to challenge it. Who does this person writing this exam think she is by not allowing anyone to challenge her decisions. These decisions affect the lives of hard working nurses with families. What makes her so SPECIAL? I have yet to hear her name on any break through of nursing practice. Nor is she printed in any magazine as the "know all = be all" of nursing. This is truely high price we as nurses are paying for hospitals to just single out nurses.

    This same hospital was considering giving the exam to all current employees and managers. It decided that no managers would take the exam as they were confident that a vast majority would not pass. The current nurse were also given exemption once the numbers of those failing as new hires were posted statiscically.

    Oh, the full-staff new hires were given a prep class for the exam and extra time to complete it. Myself being PRN staff was not allow to the prep class. Gees that is just another model to move more nurses into full time positions and cut the PRN and agency high $$$ nurses out.

    This exam is creating more problems than it is helping and the old lady who created it is taking it all the way to the bank at our expense. Just another example of nurses eating their own.

    My opinion only!
  5. by   SeanyRN
    Quote from ovr40
    Has anyone else been "tested" by "PBDS" or Performance Based Development Systems??? What was your experience? Very bad experience here! I've been a nurse for over 15 yrs, lots of competency exams, tests etc. This one was ridiculous--watched a 20 second video and had 7 minutes to make a MEDICAL DIAGNOSIS, decide what orders needed to be done 1st, 2nd etc what outcome was expected. There was one RIGHT answer!! No room for discussion!!! Now I'm being "remediated" for 6 weeks! Very humiliating. Has anyone else had a similiar experience??
    Lol!! I had the same type of test this week.
    Last edit by SeanyRN on Jul 13, '06
  6. by   unimpressed
    In my hosp. their idea of remediation if you don't pass this idiotic test is to have you fill in some care plans. No classes no discussion, I have never felt so incompetent in my life and i wonder if i have made a serious mistake. How exactly does this test make sure we4 should even touch patients EVER?
  7. by   Sylv
    Haven't taken it yet, but am not looking forward to it after hearing the stories here on this board.
  8. by   DevelopmentRN
    Quote from Mark612
    I took this exam a few years ago for ICU. When I was called in to review the findings I made very little since. Was presented small quotes I had given, but never any reason for why it would have been wrong. I have worked ICU for 15 years. This poor presentation exam is not a real test of any nurse's knowledge.

    When I asked what the instructur felt the correct answer should have been she could not tell me. She just stated that she had never taken the exam. I failed only one area and was told I would be coached for a retake.
    I got one 8 hours shift by a coach. Spent perhaps the first 2 hours telling the coach how to fill in the papers. Then the remaining 6 hours helping the coach to treat his own patient. Thirty days later I sat again for the exam and again was scored low on the same section only, but since the person giving the exam kept telling me to make sure to write the basics I was then criticized on the exam for reduncancy. Well gees "damned if I do damned if I don't".

    Anyway, what I was told was that when the old lady grades the exams she just works down a check off sheet. If you have it is credited, if you don't you just plain miss the question. I fould that the pathetic video scenerios were of such poor quality that I could not read the ventilator alarms. So I had no idea if I was trying to treat high airway pressure or high resp rate. Either way no one at this hospital system had a clue.

    I questioned the lack of training and the lack of appropriateness to this exam and got no where. Was told to leave the position dispite having had a great track record.

    Honestly, I feel shamed by the exam and wronged by not being allowed to challenge it. Who does this person writing this exam think she is by not allowing anyone to challenge her decisions. These decisions affect the lives of hard working nurses with families. What makes her so SPECIAL? I have yet to hear her name on any break through of nursing practice. Nor is she printed in any magazine as the "know all = be all" of nursing. This is truely high price we as nurses are paying for hospitals to just single out nurses.

    This same hospital was considering giving the exam to all current employees and managers. It decided that no managers would take the exam as they were confident that a vast majority would not pass. The current nurse were also given exemption once the numbers of those failing as new hires were posted statiscically.

    Oh, the full-staff new hires were given a prep class for the exam and extra time to complete it. Myself being PRN staff was not allow to the prep class. Gees that is just another model to move more nurses into full time positions and cut the PRN and agency high $$$ nurses out.

    This exam is creating more problems than it is helping and the old lady who created it is taking it all the way to the bank at our expense. Just another example of nurses eating their own.

    My opinion only!
    You can RUN and you can HIDE, but you can't run and hide from PBDS!!
  9. by   Mulan
    Some of the people in administration can be really insulting about it, "just because you've been a nurse for 20 years", doesn't mean you can take care of these patients, that's why we give pbds.

    It is insulting.

    My question is how many of these people in administration have had to take it, or the nurses that have worked at a place for 20 years, that doesn't make them competent either and they don't have to take it.

    If their staff is "competent" by virtue of having worked there for 20 years why is someone else not competent that's worked somewhere else for 20 years?

    Those scenarios are so bad you can't really tell what the heck is going on and no, it is not like real world, real world you can make an actual assessment and look, and feel, and ask questions, and yes, I did well on it. It still makes me mad.
  10. by   mojofla
    Quote from DevelopmentRN
    You can RUN and you can HIDE, but you can't run and hide from PBDS!!
    man...what is your problem? you have posted this ridiculous comment on several of the PBDS threads. Can't you be supportive? I guess you must have taken the test and passed with flying colors. Be nice!!
  11. by   sexyaqr
    I also had to do the horrid PBDS test. I did pass but hope that I never go through that again. I did the critical care portion of it. There were 10 scenarios. If you want more info send me a PM
  12. by   nursingsux04
    PBDS is a disgrace to all nurses. I haven't quite researched Dorothy de Bueno or whatever her name is, but I'm sure she is a "Dr." as in PhD and not a "MD" with a chip-on-her-shoulder manifested by proving her thesis by launching it as a test to "measure" the competency of "new" nurses.

    I just don't see the need for competency testing beyond the NCLEX. If they want to measure the "competency" of RNs in practice, if they ("they"=corporate hospitals ---face it, this is a matter of $$$ spent on orienting/training, not "patient safety")
    want to tailor our orientation, they should really make us recertify and take an abbreviated version of the NCLEX every x-amount of years like physicians do. I would hate to do this as the NCLEX is comprehensive of EVERY type of nursing and we pretty much master our own specialty and only know other areas of nursing by textbook/theory learned in school. I just think that if a PBDS-like test were to be administered and required of physicians, they would pitch a fit and it would be completely obliterated....but nurses have to endure this crock. Unfair!

    I have to take the PBDS for a new job...I took it 3 yrs ago and passed it. I just felt uncomfortable having to write medical dx and orders as my answers. I am currently in my third semester of PA school, so I should be okay tomorrow....but only b/c I've spent the last 9 months learning the MEDICAL model. Honestly, I love the "ideal" nursing profession. But, after several years of nursing, facing PBDS 3 yrs ago, having CNOs & nurse managers bully me around, and facing so much inflexibility in scheduling (even when hired to work only three 12 hr shifts/week) and the abuse from other members of the health team, I decided to cross over to the PA field. Nursing doesn't exist anymore....Florence Nightengale would be insulted by the horrible treatment of nurses today and shove PBDS up Dorothy's rectum.
    Last edit by nursingsux04 on May 6, '08
  13. by   CHATSDALE
    this is an old thread, are these tests still being used??

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Competent???