Calling experienced rn's!

[g61j]

I just took a mandatory hospital new grad computerized exam to test my basic nursing competencies. It basically consisted of watching several videos (you just got one chance to look at each video) and had to point out what was taking place in the video. For instance, one pt was having a heart attack, another pt a stroke, PE, there was a diabetic pt experiencing hypoglycemia and so forth. There was a total of six scenarios. After watching the videos you had to first write what your interventions would be; then anticipate what the dr. would order; and then write nursing diagnosis for each one. Needless to say I didn't do so good. Could someone please clarify what to anticipate with these problems - particularly when it comes it notifying the dr.

[Lucky0220]

It sounds like you took the PBDS exam. Do you get remediation and then a chance to retest? I just had to take this exam for my new job a few weeks ago. Out of about 30 nurses in orientation, only 2 passed. One was an RN with 14 years of experience and one was a new RN, but had been an LPN for several years. They told us that they expected us to fail since we were new nurses. But we then go to classes (a minimum of three) to go over the scenarios, learn how to apply our answers, etc., and then we are set up to retest. We even get a practice test the day before our official retest. So, what I am saying is if you have to do this over, do not worry, because the instructor at the remediation explains everything to you, gives out handouts, practices with the class and I can say that it has helped so much. I retest next month and feel pretty confidenct with what I need to know. Hopefully you will get the same help.

[g61j]

did you have questions about the correct way to address abusive behavior by a dr? What is the best way to handle a dr who is demeaning?

[Care4U391]

Abusive doctors are not to be tolerated and should be reported. At our hospital you can report the doctor. I would talk to your manager and fill a complaint against that doctor. Abusive behavior by a doctor is not professional and should be reported, they are held to a higher standard.

I would also re-focus this doctor and tell him to focus on what needs to be done for the patient. Make sure you do this in a private area away from patients. I would also have someone with you or listening to the conversation if it is on the phone. You need to have a witness to this behavior.

[lilmisstiger94]

Sounds like the PBDS test to me, also. We don't use the test anymore - but when we did new grads hardly ever passed ~ don't sweat it - just learn from your classes and and ask questions....you'll be fine!

[classicdame, MSN, EdD]

basically the remediation is to teach you how to interpret the video, but that does not always transfer to real life. If that many fail the first time then the video is not getting the message across, IMHO

As for calling MD - in a crisis you would not be alone. SOMEONE needs to call the MD whenever there is a change in condition, especially if it creates a need for new orders. Moving to another floor requires new orders, for instance.

[noreenl]

Can someone tell me what the PDBS exam is? I have never heard of it before.