Hesi Exit Test - page 6

Hello fellow educators....I am dealing with a dilema which I have no control over as I am a staff member, not administration, but it is just eating away at my concious. My community college uses the... Read More

  1. by   suslastdnt
    Quote from *LadyJane*
    HERE,HERE! ANyone brave enough to put up a website with the truth????
    Everyone that I've told the situation to are just outraged- most of them are nurses or former nurses. They, too, said that we need to contact someone because it just doesn't sound right. So, I typed a letter & sent it certified mail to 8 different places: La. Governor, State Representatives, NLN, State Board, Board of Regents. By the end of it, I wasn't sure I wanted to sign my name! I'll let you know the outcome.

    In the mean time, 4 of us (we are the only ones that looked into it) did get accepted into an LPN program. It's about a 45 minute drive, but it's just until December. Not what I wanted to do, but that's 1 step closer to my RN.
  2. by   2btmanrn
    Where have you guys been????

    I thought I was the only one who has been feeling this way?
    This has been a taboo topic. No body especially nursing educators want to talk about it. I guess it will make them look bad.

    We were not told about the HESI Exit Exam until 2 months prior to graduation. It was not on our handbook, either. I and two other classmates were fortunate enough to have passed HESI but the rest did not. I think most freaked out when it came time to taking it. I mean, here you are ready to graduate than they tell you "Oh by the way, we are giving you a HESI test if you don't score 870, you cannot get your degree or sit for boards." That will scare the living daylights out of any nursing students. We all know how hard the program it to begin with.

    Well, about the money we spent? What about the 100 or so college credit hours? We completed the program. Why were we used as guinea pigs for this exam? Doesn't this exam mirror the nursing curriculum? Why are the students the only ones being punished?

    We need to posts the attrition rates of some of these schools. I agree. There is no reason why 98% of my classmates can't sit for boards. They deserve their nursing degrees. If we weren't good enough to sit for boards, than we should've never matriculated through the nursing courses and completed it.

    Now, I have classmates who have no job, no degree, and no more money to go back to school. Besides that, these nursing courses are NOT transferrable to other nursing schools. Lets not talk about the waiting list of the schools. I almost lost one of my classmates because of this. She is traumatize.

    Mind you, I don't have any quarrel about using standarized exams. Its a good idea. But, use is appropriately, NOT maliciously. If you read the HESI website it states that faculty must be held accountable.... that this exam is based on remediation...this exam through practice, will decrease students' anxiety upon taking NCLEX.

    To all those school adminstrators, help your students succeed. Use the exam after each rotation, examine their areas of weakness before they matriculate onto the next course.
    Until then, what about my classmates, and many more others out there?
    I passed my NCLEX, the other two did not. So much for HESI's probability.
    They will be re-taking it after a review course, therefore I don't want to bother them with this stress.

    Please tell me what I could do to help them? Who do I write to? Someone had mentioned a class action lawsuit. Is that possible.? I know someone out there has the answer. One step I am doing is creating a petition and having doctors and nurses where I started working sign it. I had one doctor write his own letter.

    My classmates are competent enough to take state boards. Let state boards be the deciding factor of their competence.

    Someone had mentioned that we will need close to 2 million nurses in three years. Yipes!

    I really think this needs media coverage. I don't have enough resources to do that. I think its a great assest to combine doctors, nurses, nursing educators, alongside with the nursing students who completed the programs to get together with someone. Reporter, State boards, Higher Education? This needs to be exposed.

    God Bless you all for doing whats right. Its not about not wanting to take the test. Its about mis using the test in away that punishes the students who have been successful with the program and are not being given their nursing degrees or sit for boards. Its about the programs using the students as escapegoats for their curriculum's deficiencies.

    We need more exposure. This requires a team effort.

    Thanks for not making me feel alone.
  3. by   2btmanrn
    No response? Did I offend anyone? I hope not. I am frustrated just as much as you guys. I looked on the hesit website yesterday. They offer various types of HESI exams. Entrance, specialty, midcurricular, and remediation. Why couldn't our school utilize any of these? Instead, they abandone my classmates, left them with nothing. Not even a degree. I saw one of their college transcript. Where it states Degree type, the school left it blank. Meaning... she did not recieve any type of degree. However, she did have 112 college credit hours. Most are nursing. Which we know are not transferrable.
    I am so deeply concern with this form of punishment. I can't understand why the school does not want to help.

    Well, if anyone wants to help this cause that is fine. That would be the most honorable thing to do.

    I am thankful to read your advocacy in the manner.
  4. by   *LadyJane*
    The people who failed HESI and subsequently were denied graduation need to go to the college as a group and ask the nursing department for any remediation opportunity. If they are denied this, then they really need to see an attorney and explore filing a class action lawsuit so that they might be able to force the school to make some sort of accomodation so that they might be able to remediate, graduate and go on with their careers and lives. I feel very sorry for them in their situation.

    It's really rotten that this happened, I wish I could help you more, but I am not a nurse attorney, and will have my hands full when the school starts in the not too distant future. Perhaps they should gather all of their pertinent information and see a nurse attorney. If there are a bunch of them, like you say, then they should be able to split the cost of a consultation (or it could be free) to talk to one of these, to see about any possibilities. I can't give you legal advice, just this idea.

    I hope this helps them in some way.

  5. by   2btmanrn
    According to HESI Scoring if you receive the below scores, it predicts by percentage if you will pass the NCLEX RN examination the first time

    Greater than 900 predicts 98.3% that you will pass NCLEX the first time
    850-899 predicts 94.8%
    800-849 89.18%
    700-799 76.28%
    less than 699 49.1%

    This is what the colleges are looking for. They want basically a guarantee that you will pass the NCLEX examination the first time. So, the program can continue to have their accrediation and continued funding from other sources. They do not care if you successfully completed the program, or waste your money, or any other sacrifices you've made. It's all about the program and not the student. It doesn't matter that you accumulated all those non tranferrable nursing credits, and you don't have a degree or license to show for it. The accountability is on the student and student alone.
    The difference between the HESI exam and NCLEX.

    HESI Exit exam is designed to determine students readiness, for the NCLEX Exam. Thats verbatim from HESI themselves. Also, verbatim from HESI is that faculty must be held accountable.

    NCLEX examinations are designed to test the knowledge, skills and abilities essential to the safe and effective practice of nursing at the entry-level. That is verbatim from NCSBN.

    Again, I want to state that I do not have any quarrel over the use of a standarized exam. As long as it is with good intentions, helping the students and the nursing curriculum.

  6. by   2btmanrn
    My classmates carefully, followed through with the chain of command. All the way to top. One thing that was accomplished was that the chancellor would think about that the students repeat second year. But if the students were to do that, they would have to audit their current grades. Audit their current grades? Most of them have A's. Why would they want to audit those grades? According to the policy book the only reason a student was to audit a grade is if they recieve a grade 'D'. None of my classmates have that. Does that sound fair to you? Plus, they would have to spend close to $9000 and six months more months. I don't know what to tell them about that. What do you guys think? The chancellor said, he was thinking about doing that. Its not written in stone.
  7. by   suslastdnt
    With our school, following the "chain of command" starts with our instructor & ends with our instructor. The Dean & her are 1 in the same. She says the Dean basically does what she says. I am not planning on going back and sure wouldn't be able to after the letters I wrote to State Board, etc. She would make my life a living Hell & be sure I failed! If your classmates are allowed to start back, will they still have to chance failing again because of the Hesi? My classmate called our sister school & they use the Hesi for what it is meant for- not to keep anyone from graduating. That doesn't make much since to me- but then again, none of this does!
  8. by   *LadyJane*
    Oh if I had paid 9 grand and a year of my time and I was not prepared to take and pass HESI and NCLEX, and the school had no plan to help the students remediate, then I would seriously begin to believe that the school was only out to help the school, and not the students one little teeny bit.

    If that "offer" was extended to me, not only would I be angry, but I would seriously doubt that the school had the capability of teaching the students and preparing them for the test. For all of them to be earning A's, and then to fail HESI en masse, well, there is something majorly wrong there. They could not all have severe test anxiety.

    Didn't you say that your instruction was lacking, and that you basically had to teach yourself?

    Unreal. I'd see an attorney if I were them.
  9. by   valmor1984
    We have successfully used HESI for a number of years. In the beginning, we gave specialty exams each semester, which were used to provide students with assessment information (were not tied to a course grade). Students did not take them seriously, despite being told that good effort would give them an idea of areas that they needed to review.

    Because this method did not appear to be working, we did two things: we now give only midcurricular and exit exams. The midcurricular exam is worth a (small) percentage of the second medical-surgical course grade. If any student does not achieve an 850 on the midcurricular exam, faculty in that course meet with each student and create a study plan that will help them for the exit exam.

    The exit exam is part of the course requirements in one senior course. Students are told before they enter the program that they will be given this test,and are reminded of this each semester that the exit exam is tied to graduation. Students have three attempts within the last semester to achieve an 850 on the exit exam. Historically, about 5% of the class does not achieve an 850 after 3 attempts. This year (very unusually) 17% of the class did not get an 850 after the third try.

    Students who do not get achieve 850 receive an “I” (incomplete) and may walk in the graduation ceremonies. Then, they must attend a six-week remediation course facilitated by faculty. After that, the students take the HESI for a fourth time. To date, we have not had a single student fail to achieve an 850 on the HESI. Of those students who completed the HESI the fourth time, >85% pass NCLEX on the first attempt.
    Generally, the students who do not achieve an 850 on three attempts are those who were consistently just at passing in most/all of their nursing courses. Using the HESI in this way assists us in identifying those students who needed additional remediation, and providing the small-group time and attention that they may need to pass NCLEX.

    The net result? We have an excellent (>95%, usually 100%) pass rate. This was an important but secondary consideration in our decision-making, and it does keep the administration and the SBON happy.
    Last edit by valmor1984 on Aug 21, '08 : Reason: smilies appearing from nowhere
  10. by   *LadyJane*
    Another result? I imagine that the students that failed HESI but passed when they got additional chances to remediate were also happy. Your college sounds like it has a reasonable plan for remediation, and it also sounds like you care about your students being successful in graduating as well as passing NCLEX.

    Now if only the school that 2btmanrn attended. He said that he was the only one in his class who passed HESI even though most all of the other students had been earning A's all along. There is a major disconnect there.
    Last edit by *LadyJane* on Aug 21, '08 : Reason: clarity
  11. by   valmor1984
    Well said! Unquestionably, we want all of our students to be successful. Our philosophy has always been that students/graduates will ultimately be happiest if they are successful in passing NCLEX the first time, and starting their careers, even if they did not enjoy some of the road they had to travel to get there.

    It is undeniable that the process can be a very difficult one for students, but I think the results show that the method works for everyone involved. It provided us with a quantifiable way to show that some students needed more time/remediation/guidance to prepare for NCLEX.

    Certainly, I can attest that our reason for using this method was to help our students; all other concerns were secondary.
  12. by   2btmanrn
    There were three of us who passed HESI. The rest are being offered to audit there second year. Yes, they have to pay for the entire 6 months, new text books, and the school decided to change their uniform color.
    I would never audit my grades. Why? They were all A's, B's and one C.
    What I fear most, is more of the abuse the instructors will inflict upon my classmates. My classmates and I were so traumatize by it all. I can never attend a classroom setting again. I will be getting my bachelors on line.

    I did realize something. Something to ponder about. There were three of us who passed HESI. But, I was the only one who passed NCLEX the first time. The school posted all over the place that they had 100% NCLEX pass rate.
    They didn't count the two who didn't pass the first time. I thought they had, but they didn't.

    Here is the kicker, my classmate took NCLEX for the second time and passed last week. I don't know why she took it so quickly, but anyway.
    Today, I went to try to get my degree at the school. Guess what? They had fliers all over the place. "NCLEX pass rate 100% for the second time this year "

    How is that possible????

    I wanted to grab some of those new students and tell them to run, get away from that school.

    A few of my classmates are seeking legal counseling. Since I am working now, I offered to financially assist them. Its all I can do. We were all very close. After three years, how can you not?

    I am interested, however, in knowing if someone out there is or will be filling a class action lawsuit. This story needs to be told. Can we please help future students, ourselves, or classmates through this selfish act?

    Again, I don't have any quarrel for standarized tests, just utilize accordingly. Both faculty and students must be held accountable

    I know it won't be easy. But, I pray that someone out there has the knowlege, know how, resources, connections to start this endeavor.

    I know you are out there somewhere. Please step up to the plate. PLEASE!

  13. by   *LadyJane*
    Since the school is publishing an untruth by it's 100% pass rate, may I humbly suggest that the students might want to talk to a reporter at your paper and tell their stories. I'd be surprised if the college would be thrilled at the prospect of former students going public with their stories, especially where it might impact their cash flow from prospective students. Of course, they need to check with their attorney first. They could easily "paint themselves into a corner" if talking to the paper first, and then something that they said isn't completely true, it would kill their veracity in court later on, if their case went to trial.

    In the meantime, be sure you tell people about your experience with that school, and make sure you tell them the name of the school.

    I feel sorry for the new students entering this fall who think that they will be prepared for NCLEX.