Quote from ready4cpne
Congratulations! Can you give us a detailed account of what you experienced? I'm sure many here would love to know everything you can share.
You are testing in a hospital. Remember that. In real life, if you work in a hospital, you have at least 5 patients and possibly as many as 10. In this test you only have one. This is a test to prove that you can work as a HOSPITAL RN. Also, people are in a hospital because they are very sick. You are assigned areas of care on a very sick person or child. Your patients will need LOTS of nursing care, but you are to ONLY do what you are assigned to do and get out of there.
You should do your GRID first. Then look for patterns of care to form your Planning Phase care plan. You will end up changing this care plan during the evaluation phase. You need to be able to do all of this in 30 minutes.
You should be able to organize your plan of care to be finished in an hour. There were more failures for the 20 min checks and vital signs than anything.
Allow yourself 45 minute for the evaluation phase and documentation.
The extra 15 minutes is breathing room.
Also, remember that Excelsior students are guests in the hospitals. The nurses and respiratory therapists and doctors have a job to do and the fact that you need to take vital signs when they need to do other care is not the priority. You make sure you respect that and negotiate some extra time if you feel you will need it. Patient Jeopardy!
Do NOT let them see you sweat.
Know your critical elements and know what "BEST PRACTICE" is for each area of care.
Do not make excuses. Do not try and envoke CDM because something is difficult. If you are an RN in a real hospital making a real paycheck and you are assigned your 5 patients, you are expected to perform certain duties on those patients. When the Dr comes on the floor, he doesn't want to hear an excuse as to why your were not able to do a blood pressure or assess bowel sounds. Same mind frame goes for this test. YOu are given an assignment and unless the patient refuses or it would put the patient in physical jeopardy, you do your assignment.
Do not argue with the CE's or the CA except in private and then be professional and be respectful. These CE's teach in local college nursing programs. They have LOTS of experience. Most of the CE's I had/had been teaching for 30 plus years. On my best day, I don't know all they do.
If you do not already work in a hospital and are planning to take this test, go apply tomorrow at a hospital and get a job there. The exception is if you have at least 2 years experience in a hospital in the last 5 years.