Performance Based Development System (PBDS) - page 2

by VickyRN Asst. Admin

Few subjects have stirred up as much controversy within the nursing community as the performance based development system (pbds) nursing "competency" assessment. What exactly is this test and why is it so controversial? ... Read More


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    I had to take this for my first (so far only) travel assignment. I did not do well (I flunked) I have A.D.D. and was given special testing considerations in nursing school (timed tests are given differently) as well as on the nursing boards. I was an A student in school and passed the NCLEX with the minimum number of questions. As a traveller, I was given no recourse and my agency discouraged me from claiming discrimination (I told them before the test I was worried about the testing format). I did get another assignment (worked per diem and finageled a contract) but will never be tempted to try the PBDS ever again. It is a dysfunctional test that only certain people will pass and it has nothing to do with competency. If someone passes the NCLEX in the last year or so but fails the PBDS, what does that say about the NCLEX? Which test is more valid? As for the question about the staff nurses taking the PBDS, I've heard if they fail, they have to take "remedial nursing" (orient until they pass; they may stay on orientation for six months or more!) and frequently, the person orienting them still doesnt' know how to help them or even address it! The people who grade these tests can be anything from HR (not a nurse at all!) to someone who grades these, but hasn't done floor work in years. I went to a university nursing program instead of online because I was afraid of being graded by someone who didn't know me and who I didn't know.
    VickyRN likes this.
  2. 0
    The other "oddity" with PBDS is that it was designed by a Dr!
  3. 0
    Quote from jazzymom
    The other "oddity" with PBDS is that it was designed by a Dr!
    Del Bueno is a doctor - she has a PhD in nursing. She is not a physician, but a doctorally-prepared nurse.
  4. 0
    Quote from jazzymom
    I had to take this for my first (so far only) travel assignment. I did not do well (I flunked) I have A.D.D. and was given special testing considerations in nursing school (timed tests are given differently) as well as on the nursing boards. I was an A student in school and passed the NCLEX with the minimum number of questions. As a traveller, I was given no recourse and my agency discouraged me from claiming discrimination (I told them before the test I was worried about the testing format). I did get another assignment (worked per diem and finageled a contract) but will never be tempted to try the PBDS ever again. It is a dysfunctional test that only certain people will pass and it has nothing to do with competency. If someone passes the NCLEX in the last year or so but fails the PBDS, what does that say about the NCLEX? Which test is more valid? As for the question about the staff nurses taking the PBDS, I've heard if they fail, they have to take "remedial nursing" (orient until they pass; they may stay on orientation for six months or more!) and frequently, the person orienting them still doesnt' know how to help them or even address it! The people who grade these tests can be anything from HR (not a nurse at all!) to someone who grades these, but hasn't done floor work in years. I went to a university nursing program instead of online because I was afraid of being graded by someone who didn't know me and who I didn't know.
    Thank you for sharing about this test. Sounds like a very humiliating experience.
  5. 0
    FYI ...... B/4 I get my two cents out ...please be aware that I'm an older "newer" nurse with a background in IT and business who went back to school (BSN) at a major university to go ALL the way through a traditional program b/c I value my education and it's results in my practice in the clinical setting. I am an older individual (life's experience should rate for something right??) ..... so please be informative and kind when responding b/c this nurse cratchit WANTS to know what she did wrong - why and how I can do it better for the individual(s) I'm caring for..... (what WAS I thinking when I invested that 50 grand???)............

    Ok - I've got 2 years experience in cvicu with great background in cardiology. Now I'm called by an agency to interview ....three interviews later they make me go through REPEAT ACLS classes (my certification was good) AND they make me take myriad tests online from nursetesting.com. I was not notified of the "time" element in the exams and was in a hurry to get ....yet another exam out of the way to get some work in (some of us need to work to support our hips - ok, that was sarcastic - I have basic rent to cover as a single mother).

    So I hit the test, take it and then it shuts down on me. I am told that they will "put it up again" it must have been a malfunction. So I take it and pass it (ccu) at over a 90% scoring.

    Next day I take the cvicu test and pass it at 75% and am told after doing everything necessary for the "agency" (Jacho certified) that I failed the 2nd test .....even after passing the previous 5 tests that they've given me: Core mandatories for 2009 and 2010....then other "specialties". They then inform me that they will "go over the missed questions with me"; and everything will be "ok" to work for them.

    Then - I get a call from them and THAT person tells me that she doesn't "know anything" and will have to have someone from the testing agency call me to discuss the "missed questions" with me. The questions were ambiguous and frankly I was so disturbed by some of the obvious mistaken questions that I reached out to two other icu nurses, a 25 year cvicu nurse still in practice and our "go to" person ....and a physician (trauma doc who teaches for the major university's medical school and is still in practice) to go over the "missed questions" with me. WOW .... scary was the over-riding response.

    Scary for me b/c I value my learning b/c of the level of compassionate skilled care that I provide (and want to continue) and scary b/c I felt the 2nd person at the agency was putting me off.... particularly when I read on the website that they do not "remediate". YIKES ..... what in the world is up with these "competency exams" - Really???

    Could anyone help? The testing site states that I passed the CVICU exam but the agency has told me that they need an even higher score to put you in the field - even after they "hired" me and made me go through a not-necessary ACLS class. I'm frustrated - menopausal and confused Can anyone help?? I'm headed for the quart of ice cream looming in my freezer as I'm told that they will get back with me "sometime soon".............
  6. 0
    I was extremely unimpressed with the use of PBDS at my last hospital worked. Staff identified outdated content and questioned it's value. In addition, orientees on several occasions had difficulty with PBDS despite performing extremely well during orientation. Others doing poorly in orientation sailed through PBDS. I agree with the comments above requestion validation of this 'dated' method of assessment....
  7. 0
    One of the questions was as simple as:

    After extubation, your pt is assessed for s/s of upper airway obstruction. This is a concern b/c the narrowest part of the airway is the:

    a. trachea
    b. larynx
    c. esophagus
    d. bronchii

    Anyone care to answer that question? .....
  8. 0
    I am not a cardio nurse , but the narrowest part shoud be the larynx?
  9. 0
    Scary, isn't it? Also cardiac scenarios where you were supposed to request lidocaine for dysrhythmias.......
  10. 0
    The test you took is from nurse testing and is not PBDS. So why not take your complaints with the right company


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