NICU PBDS

[newgradRN001]

I have read some of the other PBDS postings but thought I would post and see if I can get any more insight. I am a new grad who landed a dream job in the NICU. I just found out that I will be given a PBDS test next week that will take place over three days.

I am really nervous about this and want to make a good impression on my new facility. I graduated 6 months ago and haven't been in the NICU in 9 months so I am feeling really rusty. I plan on reviewing risk factors, s/s, assessment, interventions, labs, and meds for the following common NICU conditions:

-Hyperbilirubinemia

-PDA

-RDS

-Sepsis

-NEC

-TTN

-Meconium Aspiration

-SGA/LGA

-prematurity issues

-IVH

-BPD

-Apnea

Is there anything else I am missing?

I guess it also asks when you should call the doctor and what to say to the doctor. I plan on following the SBAR but just to be sure-I am calling the MD with any status change... When do you call for additional help-I would think with most of these conditions you are going to need additional help? Also, with what conditions would you anticipate an MD needing lines put in, and/or specifically umbilical, peripheral, and/or PICC?

Any advice would be much appreciated! I am beyond nervous about this...

[NICU_babyRN, BSN, RN]

You shouldn't be required to take this kind of test w/o any prior experience in the NICU. This is a test given to travelers with experience. The list of things you have is great. Add to it, abdominal wall defects, Neural Tube defects, and drug withdrawal.

[darynash]

Actually, PBDS is to assess your knowledge prior to the start of a new position and where educational opportunities exist. It is not punitive and gives your manager and preceptor guidance in planning your orientation. Many hospitals will reassess you with PBDS 6 months to a year after orientation is over to assess the progression of your critical thinking skills.

PBDS is not just for travelers, it is a tool for educators to see where you are starting from. You don't need to prepare or stress about it. Just watch the scenarios and use your critical thinking skills about what to do next. Try not to read too much into them. Just evaluate the situation you are given with the physical findings, try not to overdiagnose.

[NeoNurseTX, RN]

PBDS is the devil and I hope you type fast because it wants you to be VERY detailed.

[NewgradBM]

Hey, how did the test go?

I am a new grad as well and have to take that test next week! Any tips will be well appreciated!

Im so nervous!!!

[jpeters84]

ABO Incompatability is one

keep searching on allnurses. An old post literally lists like all the possibilities. But the only thing that I could think missing from your list is ABO incompatibility.

[southeRNsally]

I am not a new grad, I worked in a level 2 special care nursery for 1.5 years, but dealt mostly with well infants. When we had a premature/ill infant, we just stabilized them (resuscitation, and IV therapy). I am starting orientation for a level 3 NICU on Monday and have to take this. I have reviewed my S.T.A.B.L.E. certification book and reviewed Merenstein & Gardner's Neonatal Intensive Care handbook. There is SO much info that I know generally speaking, but this test sounds intense and like they want elaborate details!

How did it go?? Any further tips?

Thanks!