I do not know how schools nowadays let out nurses who literally do not know ABCDs of pathology and pharma and how these nurses successfully pass NCLEX in droves and get employed without having the slightest idea of what they are playing with.
Oh, bother....
Schools teach to the NCLEX because of the all important pass rates needed to stay in business. Students don't get the same education that I got 30ish years ago, that taught me to learn in depth and develop the critical thinking skills needed to adequately care for patients once I left school and got my license. Nowadays, they depend on facilities to fill in the blanks, which is proving to be detrimental to nurses, as well as patients. Not all residencies are good, and not all new nurses get the training and support that they need. I don’t blame nursing instructors, per se, they are hired to teach a class by the model the school wishes. I blame the schools that take these students money and leave many of them grossly under prepared.
It sounds like a wonderful experience due to your planning on an unplannable clinical site. It is so beneficial to perform a high level skill such as assessment with an expert present and then perform one independent but still having access to the expert. And then to add growth and development which is really hard to incorporate when peds census is low (except in respiratory season!). Our campus has a child care center and I asked if we could consider nursing students doing physical and developmental assessments. One instructor said we would need to have the signed permission of the parent(s). I was not proposing anything invasive but since this is not my area I accepted her objection. More than 45 years ago, I learned the norms of children when we shared a clinic experience with the university dental students. It was a great experience (I can still recall it) A side benefit was I learned to recognize gross caries and used that skill when I worked at the Boys Club.
You mention both juniors and seniors. Do you have both level students in a clinical group? Thanks for telling your experience. With creativity and ingenuity including persistence we can meet the course goals in non historically standard settings.
Also, I think your idea to have students do assessments on child care center patients is a good one and getting parental permission doesn’t seem like an insurmountable obstacle. Not all parents will give permission but if even a few do that’s a great opportunity for students.
Specializes in Pediatric Private Duty AND Child/Adolescent Psych.
On 8/12/2020 at 6:39 PM, macawake said:
”Someone with a BSN is more at an advantage than someone with an ADN/ASN vs a diploma certificate. How is this form of NCLEX testing even remotely fair??? I was asked a host of questions on the NCLEX placing me into the role of ”Charge RN” and needing to make decisions regarding staff, policies and budgets. How is this relevant to my ASN degree? I’m not a nurse manager. I didn’t get exposed to those educational resources.”
To me the wording ”even associate degree nurses” in llg’s response seemed logical considering the above quote. Only llg’s can say what she intended, l’m just sharing what her words conveyed to me. I read them differently than you.
You’re suing because you keep failing the NCLEX? That’s a new one.
I wasn't going to engage in any more of the dialog on this thread but your comment requires a reply. YES! Graduate Nurses should not be failing the NCLEX multiple times. I recently read an article here on "allnurses.com" pertaining to an individual who posted on Feb. 16, 2017 that she failed the NCLEX "11 times". That's right "11 TIMES"! The number of blog sites with people complaining about the methodology behind this testing is horrific.
As of last week, a legal action has been filed against the NCSBN, placing them on notice they are being sued in Federal Court under the Class Action Fairness Act of 2005, 28 U.S.C. § 1332(d) pertaining to "Testing Malpractice" and the inability to administer its NCLEX examination without fairness or without prejudice.
I'm sick and tired of the "hazing" it takes to pass this exam. It is unnecessary and unwarranted and ITS GOING TO STOP! On June 22, 2020 a group of parents, on behalf of their minor children, have sued the Educational Testing Services along with The College Entrance Examination Board over Advanced Placement (AP) and the Scholastic Assessment Test (SAT) results and other conditions. What really pissed me off was the most recent audit report from 2018 revealing the College Board has $1,152,226,448.00 in Cash and Investments. GIVE ME A BREAK! How much to you think the NCSBN is holding onto since it costs $200 per attempt at the NCLEX, followed by individual State BON fees to receive an Authorization to Test (ATT) letter? These numbers make me sick. These agencies, including the NCSBN are creating unorthodox testing standards intentionally. Testing should not be designed to "trick" a student, it should be done in a manner that allows the student to demonstrate their core knowledge of information they can obtain from resources provided to them with the opportunity for remediation if they fail.
When a nursing student fails the NCLEX, they get a pathetic Comprehensive Performance Report (CPR) indicating if you were "Above, Near or Below" the passing standard. That's it! No more, no less. There is NO remediation to know what you did wrong. I fully intend to bring this fight to the Courts, to the media and all the way to the Supreme Court of the United States (SCOTUS) if I must to finally say...enough is enough.
Even during the period of a Pandemic, the NCSBN fully support returning the NCLEX testing standard back to its original format of max vs. min questions with 6 hr. limit. The United States is facing a MAJOR nursing shortage and we keep making it harder and harder for students to reach their goals because of a single testing standard. This is not only ignorant, it is reckless.
When the opportunity comes for those of you, who at one time or another, failed the NCLEX at multiple attempts are asked to participate as a "Class Member", if you're to proud to ADVOCATE for a system of change, then please...OPT OUT! I don't want any of you receiving any compensation if you have lost your spine to advocate for change. Shame on you and shame on you "CommunityRNBSN" for insinuating I'm only suing because I failed. It's about principals and values, if you don't understand those concepts as an RN with a BSN...get out of nursing now. I'm not embarrassed by my failure(s), I'm embarrassed by the NCSBN setting such an unorthodox standard and obtuse methodology in testing.
Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.
The most important thing a school (of anything) can teach their students is to expect to be life-long learners, be curious, always look for new information and knowledge. If you can do that, then your grads will always get better at whatever they do.
Students and new grads, if your schools didn't make that a priority, resolve right now to make it yours. Nobody knows everything they need to know to be a good nurse right out of school; that's why they call it "novice to expert." Any good nurse will still want to learn new things, buy new books, attend conferences and inservices.
I don't understand. If the large majority of people pass, how is your suit going to defend that it's unfair? Unfair to whom? Just the small minority that fails? Put this energy into studying and take it over.
s of last week, a legal action has been filed against the NCSBN, placing them on notice they are being sued in Federal Court under the Class Action Fairness Act of 2005, 28 U.S.C. § 1332(d) pertaining to "Testing Malpractice" and the inability to administer its NCLEX examination without fairness or without prejudice.
Can you give us any info on how to follow the progress of your case against NCSBN?
When I approached the desk to speak with the nurse I asked for clarification why my niece could not get the shots today and she absolutely parroted the same information to me as she did to my niece. Sarcastically, I said, "You are an RN right?...and you're telling me not only can you as an 'RN' not adm. a vaccine but you're alleging she can't receive both in the same day?"
There are some sources that do not recommend that both vaccinations be given in the same day. Glad you found the CVS Hospital of "if you pay for it we will give it" School of medicine.
HiddencatBSN, BSN
594 Posts
Also, I think your idea to have students do assessments on child care center patients is a good one and getting parental permission doesn’t seem like an insurmountable obstacle. Not all parents will give permission but if even a few do that’s a great opportunity for students.