Hi All, kinda new and feel frustrated for flubbing an interview ?

  1. Hey, I have alot to be greatful for: Passed my Nclex, just 2 weeks ago! Got an interview with a hospital right where I live. I came in dressed well, and exuded confidence. The prob is I was asked a "scenario ? It was a pt. who had surg and his pain wasn't being managed, and their temp of 100.9 and something else, which was irrelevant. I chose the infection (temp)as priority. One of my instructors told me the pain would have been the priority. I feel soo frustratrated b/c Kaplan came to my school and told us how pain would not take priority over something like infection. I just need clarity on when the pain is the priority. tks
  2. Visit Shari1565 profile page

    About Shari1565

    Joined: Nov '06; Posts: 18; Likes: 2
    from US
    Specialty: 3 year(s) of experience


  3. by   Clementia
    I've been working in ortho/surg for the past six years, so there are times I see the scenario you're discussing in real life. A low-grade fever is actually pretty common in surgical patients, especially those who've had a joint replaced; it's the body's way of reacting to the new piece of hardware in the system. If the temp were high-grade (103 or so) then it would be a higher priority. You're right that infection does take priority, but this temp is low enough that it likely is not a sign of systemic infection. Given this scenario, my first step would be to deal with the pain, and then give Tylenol for the fever. And keep assessing the incision, the pt's lung sounds and breathing, etc., in order to catch any developing infection.

    I'm sorry to hear your interview didn't go well. I know that can be scary! Good luck with your next one.
  4. by   GitanoRN
    welcome to the cite...as i wish you the best in all of your future endeavors...aloha~
    Last edit by GitanoRN on Jan 4, '13
  5. by   Shari1565
    Thanks. I beat myself up, cause Im brand spanking new and Im still learning. This is obviously a learning moment for me, and I will know how to better answer these types of questions as I journey on to my new job! Tks for your reply!!
  6. by   whd13b
    100.9 is still considered a low grade fever and is not an emergent situation that needs to be treated in most cases immediately. Pain however, is immediate and should be treated first in this situation.
  7. by   GitanoRN
    Quote from shari1565
    thanks. i beat myself up, cause im brand spanking new and im still learning. this is obviously a learning moment for me, and i will know how to better answer these types of questions as i journey on to my new job! tks for your reply!!
    unquestionably, life is continuous learning path that all of us have to go through. therefore, i wish you the very best always as i send you a hug from across the miles...aloha~
  8. by   caliotter3
    and welcome to the site! Better luck on your next interview!
  9. by   caliotter3
    System duplicate!
  10. by   llg
    How do you know that the people interviewing you would think that your answer would prevent you from being hired? Just because an instructor thought the other answer was incorrect is not sufficient to assume you blew the whole interview. Interview questions are not exactly like test questions -- and the situation is not the same as taking a test where you need to score 100% to pass.

    When people interview you for a job, they are often looking for more than just whether or not you gave the textbook answer to a specific question. They are looking for how you handle yourself in the situation, whether or not you are "teachable," and whether or not you are the kind of person they want to work with. The situation is more complicated than the answer to any specific question. You can give a "wrong" answer and still get the job.

    Focus on the big picture in your job hunting process and don't blame one little detail if you don't get hired for this particular position. You might end up missing the forest for the trees.
    Last edit by llg on Aug 9, '12
  11. by   Jess_Missouri_RN
    I wanted to add also that when you have a post-op patient with a low grade fever having them deep breath and cough and use their incentive spirometer will also decrease the low grade temp. As others have stated the interview is more than right or wrong answers. You are new, they know this. Hang in there.
  12. by   Starfish2012
    Congratulations! Does that mean you got the job?
  13. by   needshaldol
    Agree with Jess. Give them the incentive spirometer and instruct them on its use. It has amazing working qualities. But yes, you are a newbie. Low grade temps are normal after surgery. Treat the pain first if all other systems are ok. It takes years to figure all this out so don't stress.
  14. by   doczorro
    I agree with llg. Just because you blew a scenario doesn't mean you blew the interview, they want to know how you think, and what YOU prioritize as most important. They also want to know what you learned in school.

    Having said that, let me stress for me, Pain is a huge concern because infection or not, Patient Comfort is number one with ME. First thing I take care of is my patient, then I handle the problem. If his pain level is a 7-10 I need to manage that first because anything I do for the infection or anything else could drive his pain scale even higher. It all depends on the scenario.
    For my school, Pain is a huge priority followed by infection, then everything else. Once the pain is managed, then the infection can be managed. Being it was 100.9, and not 101 or higher, Pain would be my choice followed by inspection of the incision site, followed by inspection of the lab values (hence assessments) to see if the pain is being caused by a infection.