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PBDS Update

Nurses   (27,059 Views 38 Comments)
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This test is horrible!!! The Ft. Myers/Naples area!!! Travelers beware!! We should all stand up and ban these hospitals!! They trap you into coming to Florida and then they give you the test and if you fail it, they fire you on the spot!! I had 10 in my group and 6 failed!!! Nurses with years of experience!! One nurse had 15 years of experience!! Naples Community, LeeHIgh acres ALL of the hopitals in Naples or Ft. Myers!! DONT TRAVEL THERE!!!

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Is there labs, blood gases and math on it? Thank you, flora

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No math. You should be able to interpret and accuratley manage abnormal blood gases (hint - DO NOT put 'breathe into a brown paper bag" as an intervention for hypoxic patient) You also need to recgonize abnormal, yet common lab values.

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Has anyone taken the NICU version? Should I refresh on the same areas as for the other one...MI, CVA etc.

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I agree. This test is the most unrealistic thing I have ever done in my life. You have to make a diagnosis, action, anticipate doctor's orders and give a rationale as to why you did these things, and they want miniscule details and things that are basically a given that you would do. In real life you would have more time to assess the patient, access to a chart, and the ability to talk to the patient. Not to mention, I am not accustom to second guessing doctor's orders. When I have a problem that I think needs to be called about, I let the DOCTOR give the orders. That's HIS job. My job is ASSESSMENT, STABILIZATION of the patient, and then following the orders I recieve from the doctor. If there is a life threatening condition, I call a code and keep the patient stable untile the team arrives. I am a traveler from NY and have never heard of this test prior to coming to Florida. Again the Ft. Myers area. My recruiter never told me about this test and when I got my orientation packet from the hospital, it was never discussed as a condition for employment. Well, it IS pass or fail. I failed. I am a RN with 22 years of experience. I KNOW WHAT I AM DOING. I returned home to a message on my answering machine telling me that my contract was cancelled and I have 48 hrs to get out of the apartment... And go Where? I have no place to live, no job and spent most of my savings on all the crap required from the agency to start with them, not to mention the money I spent on the trip down here. I was able to wrangle a 1 week extension on the apartment while I try to find another job but I have to pay $44 per day to stay here while I am looking! Like you I will warn all travelers: STAY AWAY FROM FT.MYERS/NAPLES!!! And before you sign a contract with ANY hospital: MAKE SURE THEY DO NOT REQUIRE THE PBDS EXAM AS A CONDITION OF EMPLOYMENT! You will end up royally screwed if you fail the test. I found a web site about the test and it looks like a lot of hospital nationwide are beginning to implement this test. It blows my mind that hospitals are screaming "Nursing Shortage" and then require a test that makes it next to impossible to pass as a condition for employment.

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Just took the psych one as a traveler. Supposedly didn't pass, which I don't believe since I passed it two years ago and it isn't all that complicated.

Anybody ever get feedback on this as a traveler?

I think we have a right to it, since it affects our jobs. (I lost my placement.)

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I have no experience with this test, but I have a friend who did not get a travel job because she "failed" this test. She has 20 years of experience, has worked in OR for last 5 years, and she said it was terrible. I know facilities want their nurses to be safe, but this makes me wonder if the shortage of nurses is as bad as many areas report. I am not a great test taker, so I would be doomed.

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In oregon they trap travelers by having you move here and your job is based on passing this pbds test. they will not let you take it on paper so I hope you typing skills are better than mine. They tell you if you do not finish they the scenerios they only grade you on the scenerios you completed, this is not true this will fail you.

This test is not intended to deny you a job, but this how it is used for travelers. I had to take it twice , once was bad enough. This test is diagnosis based, we are not supposed to diagnose as nurses.

:angryfireWe should get together and not allow this to occur. It is terrible to move everything you own and your family to new city and find out you don't actually have a job. :angryfire

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In oregon they trap travelers by having you move here and your job is based on passing this pbds test. they will not let you take it on paper so I hope you typing skills are better than mine. They tell you if you do not finish they the scenerios they only grade you on the scenerios you completed, this is not true this will fail you.

This test is not intended to deny you a job, but this how it is used for travelers. I had to take it twice , once was bad enough. This test is diagnosis based, we are not supposed to diagnose as nurses.

:angryfireWe should get together and not allow this to occur. It is terrible to move everything you own and your family to new city and find out you don't actually have a job. :angryfire

Maybe someone should notify (or complain to) the AMA that nurses are required to make (and are tested on as a condition of employment) medical diagnosis. Aren't the employers promoting practicing medicine without a medical license with PBDS?

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Just curious, has any approached an attorney regarding the pbds? I am just hearing about this test, actually had an interview as a traveler and was told by the nurse manager that I would be required to take this in my orientation. Asked her what happens if I don't pass, her comment was that I wouldn't have a job. I have been a nurse for over 25 years.I feel very confident as a nurse, have never had anything against my license and practice always as a dedicated professional. I agree that when I call a physician I expect him/her to give me orders(yes, I know what sounds right or wrong when I receive an order) but that is why he/she is the physician and not me. It looks like something could be done about this legally as we have a professional license that is issued only after nursing school and final examination. I personally have been a traveler for 3 years and am currently working in a hospital full time but wanted to go back to traveling. Every travel assignment I had, the nurse manager asked that I renew my contract. Now, I am faced with getting fired on the spot before I even start if I don't answer exactly as expected. Travelers should really refuse to work in any hospital that asks us to take the pbds. I could go into many reasons, but first make every nurse manager, director, etc. take this exam under the same conditions, listed in the forum and then go from there.

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With a nurse of twenty years with travel experience and I have never had to do a PBDS. I started looking for a travel position and was told by a Recruiter she had a fit for me and that I would have to do a PBDS within the first 2 days and if I did not pass the contract would be canceled. I may want to travel but I am not crazy so I am not going to committ to any contract that is contingent on passing a test. So I emailed the recruiter the following :

With regards to PBDS I am not willing to subject myself to accepting a travel assignment that is contingent on me passing a test that is administered in the first day or two. The test is subjective I do fear the unknown and honestly think that ones credentials certifications and references should be enough. The sole purpose of this test when it was initially comprised was to assess each RN's level of critical thinking skills upon hire and then review areas of needed improvement with the results of their test. This test was not comprised to be utilized as a tool to fire or hire a nurse.

Guess what the recruiter after 3 days still has not called me back. I will not be walked on. It is a 13 week contract I make the agency money they need instead off sucking up to employers state that such tests is not warranted for travel assignments.

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Took this test end of January. The test seems HIGHLY subjective to me, and also seems that your passing is dependent upon who is sitting there grading the test. The key is to make the appropriate diagnosis, otherwise you're off and running in the wrong direction. I did pass, but I would NOT get in my car and trek across the country knowing my job was contingent upon me passing the PBDS. I also don't think that this is the type of test where "passed it once, I can pass it again". I was also told that it matters whether the test is graded "in house", or sent back to the PBDS people.

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