Do you think the Boards really mean your competent? - page 5

What was your experience taking the boards?:eek:... Read More

  1. by   Flynnstone
    [QUOTE]Originally posted by Joules

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    There are three dimensions to competency: critical thinking, interpersonal skills, and technical skills.

    __________________________________________________ __


    Yes, very true. Critical thinking is by far, in my opinion the most important part of competency.

    People can be taught interpersonal skills to some extent. People can also be trained[U] to perform technical skills but it is the eyeball assessment, that little voice in the back of your head or that twinge in your gut that is telling you "look deeper". That can't be bought or taught.
  2. by   Flynnstone
    [QUOTE]Originally posted by dstout-rn
    [B]Hey guys


    Which of these tasks would you give to a nursing assistant?

    a. An assessment of a patient?

    b. Walk a patient with a central line hooked to IVF's?

    c. Discharge patient?

    d. Shave a patient with an ET tube?

    _________________________________________________

    ugghhhh

    well a CNA could not do an assessment or a discharge, so those two are obviously out.

    I am not wild about either one but I would choose walking the patient....even though there is a risk of the central line becoming dislodged because.......

    shaving a patient requires moving their head around some. This could dislodge the ET tube.

    Remember your ABC's... airway, breathing, circulation....

    Like you said, who knows which is right but my license would go with "B"
    Last edit by Flynnstone on Feb 24, '02
  3. by   dstout-rn
    Originally posted by Franca
    I am amazed to read that nursing school instructors would tell a student that he/she is not nurse "material" with the tone it seems it was said in based on these posts. Congratulations to each of you who went beyond the teacher's erroneous assessment of your abilities.


    Yes it is very discouraging when you are being told to put nursing school above all else. I went to a Catholic university that was BIG on holistic nursing and including the family in care and all of that. My dad had a heart attack and I got a page from my fiance' so I asked my instructor if I could leave and go to the hospital she said OK call and let me know what is going on. Well the next day I had the coinstructor teaching lecture. I got to school like a half hour early so I could catch her before class and tell her what was going on with my dad, be professional. Well she first told me she did not have time to talk to me, and after I demanded she listen to me she did. Then proceeds to tell me that I made a poor choice and I needed to get my priorites straight.
    WHAT!!! Well since I was already in a not so stable state of mind I told her to Kiss my butt (use your imagination). I know not very professional but give me a break my dad just had a heart attack the day before and I have my priorities wrong? Well needless to say I had to withdraw from her class but you know I would do it all over if I had too .

    I was labled a trouble maker after that. But my work was always in on time (if not early), was in class everyday after that, but as for nursing school being the end all be all of my life.....NO! The nursing school admin were thrilled when I got married over a weekend...during the semester. Oh my, like it was ANY of their business.

    I think I'm a great nurse, still have alot to learn only been around 2 years but I look to learn from everyone everyday at work, I was a tech in school and you can really learn from them too.

    SO take your boards and then get out there and learn from the real world and don't forget about those CE's .
  4. by   Agnus
    Hmm. I would have gone with the shaving. Correct me if I'm wrong but we do move our patients with an ET. If it is anchored marked and reguarly measured, it should be ok. Besides how much moving does it take to shave. I do see you point though about ABCs.

    I suppose there might be a danger of disloging the central line but I don't think that is the issue here. There is a much higher risk of accidental disconnection, leading to an air embolism. Do to the delecate nature of the IV conection and the frequency that I've seen connections come apart.

    And I think this is the kicker, It is a lot easier to replace an ET tube than to get rid of an air embolism. Therefore the patient is in greater jepordy with an air embolism than a displace ET tube that can quickly be replaced or repositioned. Anyone?
    Last edit by Agnus on Feb 24, '02
  5. by   live4today
    Hmmmm! I think you make a good point with good rationale, Agnus! Any other takers on board?
  6. by   Brian
    Bedazzled,

    Just becase your post get reported, it does not mean that your posting privledges will be revoked, but it should tell you that you are not making friends with your first few post Just try and be a little more tactful and less aggressive in your postings. We only ban users from using the site for not following the simple rules that you agreed to when you registered, just keep the conversation civil and you wont have any problems. Thanks
  7. by   Flynnstone
    [QUOTE]Originally posted by Agnus

    And I think this is the kicker, It is a lot easier to replace an ET tube than to get rid of an air embolism. Therefore the patient is in greater jepordy with an air embolism than a displace ET tube that can quickly be replaced or repositioned. Anyone?
    ______________________________________________

    That's a good point. Hmmmm......
  8. by   live4today
    HI Brian!

    Thanks for being such a good administrator on site here! You are too real to be true! Hope you enjoyed your weekend, and may this upcoming week be everything you desire it to be in your life! Just thought I'd send you a little "good morning cheer" and a "thank you" for all you do for us here at Allnurses.com, even when we tend to "get out of line" a little...just a little!

    Everyone needs an occasional pat on the back for a job well done, and so today I am giving you yours! (((HUGS to ya!)))
  9. by   live4today
    Hi everyone!

    Part of being a competent "anything" in life, is knowing when to recognize our own "special qualities" that we share with others each and every day whether in our private lives, or in our professional lives as nurses, or whatever else our career choice may be right now. It's also important to "stop and smell the roses" that are "freely given" to us from mere strangers or a simple acquaintance that comes into our life for a moment, a season, or a lifetime. Here is my own personal thanks to all of you:

    Here's something I hope will brighten all of your days in the coming week ahead of us:

    "I've learned that sometimes all a person needs is a hand to hold and a heart to understand." -- Andy Rooney


    It's important for me to "stop and smell the roses" once in awhile, and show others how very much I appreciate them for simply being a part in someone elses "everyday world". None of us really ever know the full impact of our lives on one another, but somehow we mean something to someone who will never have the opportunity of knowing how very much their caring has truly meant to someone else and has really "touched other people's lives, and caused them to grow".

    Thank you all for "holding my hand, as well as other's hands" who are members or visitors here during those times we needed it most. Thank you all for having "hearts that understand" the needs and concerns of others on the Allnurses BB. (((HUGS))) AND :kiss to you all! May God bless each and every one of you and your families!

    Okay, now that I'm starting to cry here, I think I'll go fetch myself a kleenex or two and have a good heartfelt healthy old cry! No, I'm not PMSing today, I just woke up this morning with a very good feeling in my heart and soul about being alive here in America! Have a wonderful week everyone! :kiss
    Last edit by live4today on Feb 25, '02
  10. by   dstout-rn
    That's one thing for sure the boards can't tell.....is a nurse going to have compassion. I even see it in the NICU, nurses who I wouldn't want to take care of my dog let alone my baby.
  11. by   lever5
    Be careful when you quote Del beuno, her statistics are limited to a small population, and she has a test for competency that she markets (makes money from). Her competency test finds 68% of all nursing populations lacking. I am putting together a website to let other nurses know about this test. How to take it, and what to expect. The test is easily passed if you know what to expect. But it can catch you if you have never taken a test like it.
  12. by   VickyRN
    Thank you, Lever!!! Great idea!!! Let us know when the web site is up and I'll pass the word along to every nurse I know
  13. by   Q.
    Hi - just had to add my opinion.

    I don't think the boards mean you are a great nurse; I do however think they mean you are mininimally competent in that you are granted a license and are able to practice in the real world. True competence comes with experience and, and I must stress the word AND, an open mind. You can have all the "experience" in the world, but if you close your mind and don't allow yourself to learn new things, your competence comes to a grinding halt. Simply seeing the same types of clinical cases over and over again with years of experience doesn't make one competent in my mind.

    I think the boards are meant to demonstrate a minimum level of competence; that you are "competent" in nursing theory and basic nursing knowledge. I don't think you need 200+ questions or days worth of testing to establish this. Test questions that are written well, but in smaller amount can be more valuable at assessing someone's knowledgebase than hundredds of poor quality questions. Less is more.

    Finally, I believe that learning never stops. During the very early years of establishing higher education, the Bachelor's degree was so named because it prepped you for your "real" education, which was graduate level work. I think passing the boards and obtaining a diploma or ADN is only the beginning of one's education. There is so much more out there.

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