Performance Based Development System (PBDS) - page 3

by VickyRN Asst. Admin

59,347 Unique Views | 36 Comments

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 was "seeing" them as an overview nursetime - as in "competency exams" which are various exams (similar formats). I wasn't addressing them from a company based perspective ... is there some reason why you feel it
    should be addressed somewhere else ...and why that might be? I didn't do a search under testing companies or nursetesting.com and I take no issue with them as a company. As I understand it (and I'm always open for correction) they are simply another company that uses competency testing in an online/computer-based format.
    Sassy RN likes this.
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    After 50 years in nursing, I want to share with y'all, that things come and go in the medical worl, except for the needy constantly excreting patients.....

    This month's competency tests are tomorrows deletions..... However in the interest of having the most competent nurses in the world, we lose many nurses whose skills aren't measurable but bedside competence is appreciated beyond belief, by patients.

    As soon as anyone graduates from a master's program, their brainchildren that took up reems of paper and countless trees, are put to the reality test and (almost always) found wanting...... :smackingf

    The tried ands true test of competence is time, within which the most important nursing measures are done reasonably correctly, in a timely manner without offending anyone's "sensibilities" too much (which most of those tools do), or making too many errors, especially the lethal ones.
    10MG-IV, Sassy RN, and TechieRN like this.
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    Hello, the posts are helpful and I'm hoping the study guide for the PBDS is going to help. I'm a re-entry nurse and have been out of the hospital for almost 13 years. The re-entry review was completed in 08 and it's taken a while to find a job. I don't test well and am very nervous and anxious about this PBDS as it takes 6 hours? I'm reviewing like crazy and my experience is 13 years old too. Any advice? Am I to diagnosis and write a care plan? I've read where I'm to prioritize interventions with rationale behind for what I am to do first, within my shift and then later on. I've also read where nurses with much more experience than me fail it. Oh my....any suggestions on what else to study? review? Thanks so much!
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    I am studying to take the PBDS test. I've read where I'm to prioritize interventions with rationale behind for what I am to do first, within my shift and then later on. I have practiced what I would type if I was to diagnose a problem. I have practiced typing what assessment I would do, listing nursing interventions, call the doctor, antisipate orders and treatments. It is taking about 9 minutes on average to type this information for a given diagnosis. I don't see how I would have time to also type the rationale for nursing assessment or interventions. For example: confusion, anxiety and restlessness could be a sign of hypoxia. If I have to give the rationale for everything that I assess for, I want have enough time to type everything. I would appreciate any help that you have to offer. Thank You
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    Quote from dwrobleski
    I am studying to take the PBDS test. I've read where I'm to prioritize interventions with rationale behind for what I am to do first, within my shift and then later on. I have practiced what I would type if I was to diagnose a problem. I have practiced typing what assessment I would do, listing nursing interventions, call the doctor, antisipate orders and treatments. It is taking about 9 minutes on average to type this information for a given diagnosis. I don't see how I would have time to also type the rationale for nursing assessment or interventions. For example: confusion, anxiety and restlessness could be a sign of hypoxia. If I have to give the rationale for everything that I assess for, I want have enough time to type everything. I would appreciate any help that you have to offer. Thank You
    In nursing practice, you never have all the time you need for everything, which is why quick prioritization and hence drills on fast rationale and response to situations are necessary.
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    Can you tell me more about the first part of the test where there is about 15 questions that are to be answered in 30 minutes. Can you give me an example? Are you given chooses and they are to be ranked as to must,should and could and then you give the rationale for the must?
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    **** posted a thread about the PBDS she recently took. The posting is no longer available. I would appreciate hearing about your experience. Could you post it again so all of us who are preparing for the exam could learn from your experience. Thank You for taking the time to help the rest of us.
    Last edit by VickyRN on Feb 5, '11 : Reason: removed poster information
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    Quote from dwrobleski
    ***** posted a thread about the PBDS she recently took. The posting is no longer available. I would appreciate hearing about your experience. Could you post it again so all of us who are preparing for the exam could learn from your experience. Thank You for taking the time to help the rest of us.
    It is against copyright laws for the PBDS for anyone to give out information about this test after taking it. To request such information is also considered an illegal activity. Thank you for respecting the copyright laws concerning this test.
    Last edit by VickyRN on Feb 5, '11
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    I took the PBDS test- the ICU one today and failed it. What I don't understand is why they gave me the ICU version instead of the med/surg version? Granted, my I would have been assigned to PCU for post op bariatric patients. But how could I possibly know whtat ICU does. I tried being very thorough, bt ICU and Med/surg are .different I talked to the recruiter to see if I can take the Med/surg one and she says they dont normaly do that. But I think at least try. Any comments or advice would be appreciated!!
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    i believe this is yet another example of the highly educated/degreed nurse who has been away from the bedside too long trying to tell bedside nurses how to do their jobs...and hospital administrators love this stuff. Without really examining the testing tools they jump on the bandwagon so they can promote how innovative they are in implementing new tools to keep nurses up to date and educated etc. etc.,, blah, blah blah.....in reality, having educators for departments and using experienced staff to train and evaluate nurses is really the best option. I can tell by having a conversation with a new traveler whether or not she/he is worth a flip...and i don't need to administer any test. Just by the content of conversation of a group of nurses you can tell who know what the heck they are doing and who doesn't. And most times everybody in a unit KNOWS the folks that need to be refreshed, updated, re-educated or whatever. And in a group with strong minded people like the ICU settings peers usually have no problem telling each other or going to management about an unsafe employee. I don't care what the traveler really scored on her assessment test. All I want to know is that when I'm in a sticky situation they will know what to do to help me out. Whether or not they have team building/player skills is one thing when you are sitting around chatting or need help changing a bed full of poop, but when it's crunch time, I don't know many true ICU nurses that will not jump in and help whether they like the team member or not. And if they can jump in and help out in critical situation that tells me the have critical thinking skills....some people are not test takers, especially the kind of tests that are trying to trip you up so the author can prove how great the program is by "weeding" out all these bad nurses. Its a shame actually that nurses feel the need to do that to others in their profession. After all we all started wearing little white uniforms and shoes and scared to death of our first clinical rotation. Just because some choose to become Masters and others prefer to stick with the heart of true nursing at the bedside doesn't mean the Masters prep nurse is a better nurse when it comes down to what nursing truly is. There are many nurses I've known over the years who were LVN's that I would prefer take care of my loved ones than if the MSN educator or manager came to the bedside and said I'm going to be working on the floor today and I'll be your nurse..!!!! AAhhhhhh!!!!
    The point is that we have got to stop this nonsense of competition between the "classes" in our profession or we will continue to make less money, have less benefits and have less say in our daily work routine than other Professions. Let's just all play nicely in the sandbox and try to help other nurses rather than show off their flaws so we can look smarter...


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