Stinky, you should've heard me ranting and raving a while back, saying the EXACT same stuff that you are saying now! I'm sure there are many, many EC students who would give you a high-5 and say "right on!!"
BUT. Let me tell you guys something that no one told me when I was in your positions. I am glad no one told me this, because I most likely would've laughed my butt off at them and told them to move on with their NCLEX studies and get out of my face. :chuckle
Being that I have gone through it I will say this--- something that it took me a long time to figure out........ I think the CPNE is right on. I figured this out just prior to taking it, which I think actually helped me pass.
Yes, you're right, it doesn't concentrate on skills as much as it could. But do you know why? Because during the CPNE we are to perform as brand spankin' new graduate nurses. Learning skills comes with experience, and we're not supposed to perform skilled nursing procedures like we are experienced. But here is what we ARE supposed to be able to do..... this is what the CPNE is all about.
It tests our mind. It tests our will to follow to rules we might not understand or agree with, and it tests our ability to frequently adapt to change. Why? Because that's how a life in nursing is.
Yep--- they take your a$$ out for forgetting to wash your hands, not gloving before taking an oral temp, and laying dirty linens on the floor. Some of these things seem petty, but nosocomial infections rage through hospitals and healthcare facilities because of behaviors such as this. They are no-mercy when it comes to infection control, which is how any school of nursing should be.
Slip up and forget to count something little, like a measly 50CCs in your intake? 50CCs could mean an pt. who is NPO vomiting from anesthesia and aspirating, causing pneumonia and eventual death. That 50CCs could be a very big deal.
Forget to chart something minor, like that the left pupil was just more sluggish than the right?slightly
? There goes your real world elderly hospital pt. who fell and got back into bed without any staff knowing about..... dying due to a head injury that no one knew about because someone forgot to chart a tiny little detail.
Ok, these are probably stupid examples, but this is how I see it. I talked to a few other people who were also hit with the realization of what the CPNE is trying to do. It hit them either during their preparation or after they were done. I'm not saying that everyone comes to this realization--- I'm sure there are some people out there who will forever think that it's a whole bunch of bull and they're sorry they ever put themselves into the position they're in. But this is my view on it, and I hope you guys will at least think about it.......it's a whole lot easier to go through this with a positive outlook on it all, rather than a negative one.