PBDS rules

diprifan · Jun 5, 2011

When I took the test I used abbreviations and passed. The abbreviations I used were ones for labs and such.

Perpetual Student · Jun 5, 2011

When I took the test I used abbreviations and passed. The abbreviations I used were ones for labs and such.

This. I stuck to the common abbreviations that are basically universal (e.g. SpO2, and ABG)

I just barely passed though. I kept running out of time because if I want someone to be able to read my writing I have to write s . . . . l . . . . o . . . . w . . . . l . . . . y.

As far as post-operative complications go, all of the ones you listed are great. A few other potential post-op complications include DVT and PE, which is why most surgical patients receive some form of mechanical or chemical prophylaxis. All of the obvious complications specific to the procedure need to be considered.

CrazyCatLadyRN, BSN, RN · Jun 5, 2011

Thanks! I had those complications for post-op too. I'm really worried about this whole time thing, because I keep messing up while I'm typing them out. It says we only have 5-7 mins to type our response and I've been doing about 6.5 for all of the one's I've timed. What was the format of your responses? This is what I have for one... interventions on the left, rationales on the right (this is for dig toxicity)

Version:1.0 StartHTML:0000000182 EndHTML:0000008247 StartFragment:0000003060 EndFragment:0000008211 SourceURL:file://localhost/Users/rebeccalowe/Desktop/Official/PBDS%20SG.doc

Ensure airway patency
Assesss

-LOC

-BP, pulse, Respirations, O2 sats

-Headache/ changes in visual field (halo, yellow), N/V

3. Stay with pt and call MD STAT; inform of assess data

4. Anticipate orders

-Hold digoxin

-Digoxin level drawn STAT

-cardiac monitoring

-Digibind STAT (if warranted)

-BUN/ Creatinine

-Cardiac Enzymes

-IVF

-Oxygen

5. Ongoing

-Bed rest

-Reassure pt and family

-BP, pulse, respirations, O2 sats q 4 hours

assure pt manages own airway
-May be decreased for toxicity

-assess pt status

-side effects from digoxin toxicity, tell MD

3. MD needs to know this to write orders

4. -this is the cause of symptoms

-further assessment of issue

-may cause electrical problems in heart

-the antidote for digoxin

-assess kidney function

-assess heart function

-Replace fluids and electrolytes

-incerase oxygenation

5. -safety; decrease metabolic needs

-decrease anxiety

-assess for status change

CrazyCatLadyRN, BSN, RN · Jun 5, 2011

so the format didnt come out quite right.....basically I assessed immediate life threatening issues first, performed life saving measures, then called the MD STAT , wrote down what they might order, then I wrote down ongoing nursing actions

Perpetual Student · Jun 5, 2011

Wow, you get to type it out? I am soooooo jealous! IIRC we had some pre-printed answer forms that were formatted similar to yours. Something like columns for assessment, intervention, and rationale. They gave us those forms with the practice videos.

CrazyCatLadyRN, BSN, RN · Jun 5, 2011

Yeah, no practice videos for me. I haven't really gotten anything. I just hope I'm answering it in the way and format that will let me pass . Some people I've seen call the dr first then just include the assessment stuff within telling them that, I've just always been taught assess before implement. So I've been writing down assessment first then calling the DR. I guess thats just how I think.

Perpetual Student · Jun 5, 2011

Yeah, no practice videos for me. I haven't really gotten anything. I just hope I'm answering it in the way and format that will let me pass . Some people I've seen call the dr first then just include the assessment stuff within telling them that, I've just always been taught assess before implement. So I've been writing down assessment first then calling the DR. I guess thats just how I think.

Your way makes more sense to me. Before calling the doc of course you will figure out what's going and intervene in ways that don't require orders or for which orders are already available.