Quote from Wade21
I am about to start work at a hospital and I will be taking the PBDS(Performance Based Development System). I had taken this before at another hospital and I thought I did well but I found out, on the job, that I did not. In this process you are presented with a number of senarios and then you respond to what you would do. Is there a certain way to taking this test? Is it a trick to doing it?
I just took the PBDS on March 7...and I passed, but just barely! For the part where they show you the IV scenarios, try to solve the problem without disconnecting it from the pt (source of infection). For example, they show a picture of an IV with air bubbles. Instead of disconnecting the tubing from the pt and priming it, the answer they were looking for was to aspirate the air out of the nearest port with a syringe. For the part where they show the little videos, know what you would do in the event that your pt had :
3.) Acute Abdomen
4.) Acute Renal Failure
5.) Urinary retention (a girl just coming back from surgery and all she does is squirm in the bed rubbing her lower abdomen)
8.) Dig toxicity
I can't remember anymore situations right now...but if I do I will repost.
Your #1 Should be maintain patent airway. And ALWAYS call MD (rationale: collaborate further care).
Make sure you put the anticipated MD orders. For example if the pt had an MI, you would expect orders for oxygen, morphine, nitrates, and aspirin, cardiac monitoring, coag studies, poss cardiac cath, etc.
Hope this helps!! Good Luck!!