Goal Setting

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Jon Haws
BS, BSN,RN,CCRN Alumnus
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Study Tools For Goal Setting

Survival Guide for Nurses (Book)
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Outline

Obtaining your RN requires a tremendous amount of effort. To effectively reach that goal you must learn some tips and tricks about how to effectively set goals.

When applied correctly, these tips will help you reach your RN and complete all the small goals along the way.

What is Your Why?

You must identify your “WHY”.

Why do you want to be a nurse?

What is your reason . . . that is stronger than any difficulty you will face?

 

It doesn’t matter what your WHY is honestly. I have met incredible nurses and students with heart-wrenching backstories that motivated them to be a nurse to those who went to nursing school just to be able to go to CRNA school and make a great salary.

The point is, it doesn’t matter what the WHY is. All that matters is that your particular reason is strong enough to help you get through the tough times in school.

You should print out your WHY on a large sheet of paper so that you can refer to it often.

This WHY becomes your DREAM. The underlying reason for everything you do.

90 Day Sprint

Ever wonder why you don’t follow through with your New Year’s resolutions?

Your ability to realistically see goals into completion is limited to about 90 days.

Essentially, the feedback loop on long term goals is just too far away and we are never able to close it.

With shorter-term goals (90 days) we can close these loops and focus solely on one task and build confidence.

Rather than setting long term goals that will be too far out and possibly leave you depressed that you are not achieving them, you can build confidence in yourself by setting concrete 90 days goals.

This works perfectly for school as semesters are about 90 days.

Here’s how you do this:

  •  What is the MOST important thing that you can accomplish in the next 90 days that will create the most positive impact in your life?
    • Limit this to one skill or goal.
    • This is your outcome goal.
  • Devote the largest portion of your energy to achieving this one goal.
    • What we like to do as humans is to focus on what we are already good at . . . this is flawed. You need to downplay all other skills and goals and focus the vast majority of your time and energy on the ONE goal for those 90 days.
  • Break it down into 2-week performance goals.
    • It is important that you do not focus so hard on the outcome but break the outcome into two-week chunks of attainable goals.
    • These goals answer the question: What are you going to improve?
    • Achieving our outcome goal becomes inevitable as we reach our short term performance goals one by one.
  • At the end of the 90 days . . . Reassess and Reset.

Example:

Outcome Goal: In 90 days I will improve my average score on cardiac NCLEX practice questions from 40% to 85%.

Performance Goal 1: I am going to increase the amount of time I read cardiac lectures from 0 hours a day to 1 hour a day (M-F between 2 pm – 4 pm) in my study area.

Performance Goal 2:  I will increase the # of cardiac NCLEX style questions I take a day from 5 to 20 (M-F from 2 pm-4 pm in the school library) using NPQ by NRSNG and study the rationale for every question I get wrong making a list of those topics and questions.

Do you see how this works?

If you continue this process with improving your cardiac NCLEX question scores for 90 days broken down into two-week sprints it will become inevitable that your scores will improve.

With these performance goals in mind and focused on for the next two weeks, you will then reevaluate and set new performance goals in two weeks.

How to Set Performance Goals:

Formula: W+W+W+W=C+M

WHO is going to do WHATWHEN, and WHERE this will equate to CLARITY and MOMENTUM

Notice how on the performance goals above there is a WHO, WHAT, WHEN, and were in each goal. The goals are not ambiguous but they are highly targeted and measurable. Having them so specific allows you to have clarity about what you are doing and the motivation and momentum you need to work on the goal.

The biggest enemy to confidence and momentum is confusion and uncertainty.

Because you haven’t reached your goals doesn’t mean that YOU are a bad student, nurse, or person. It just means you need to fix your model. These process goals give you control and allow you to reach those goals and gain confidence in yourself.

SCRUM

Scrum is a project management methodology that was originally developed for software development, but it also works well for goal setting.

Utilizing scrum is a great way to keep your 90 Day Spring in check and staying on track.

It works like this:

Product Backlog: a list of everything that needs to be done . . . everything!

Sprint Planning: you pull the most important projects that need to be done into your sprint section. These are the things that you plan to do in a short time frame.

Sprint Iteration: these are the short two week projects that you will work on.

Daily Sprint: this is what you will work on today to complete your sprint.

While SCRUM and 90 Day Sprints don’t align perfectly, do you see how you can use SCRUM to accomplish your 90 Day Sprints?

Here is a video on SCRUM to outline it a bit more.

A tool that helps you stay organized on your goals is called Trello. This is a free tool/app that works like a big whiteboard with sticky notes.

Check it out here: https://trello.com/

You essentially can set up any “board” but if you just set up boards called: ToDo, Doing, Done you will be up and running.

To-Do will include all the things that need to be done. Doing is what you are currently working on. Done is everything you have completed.

You can further customize your boards to fit your situation and your goals.

While I realize this module is a bit meta, it is important to take the time required to prepare and understand how to attack a problem before just diving in. Goal setting the right way will make a tremendous impact on your nursing school success.

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BASICS & MORE

Concepts Covered:

  • Labor Complications
  • Microbiology
  • Respiratory Disorders
  • Infectious Disease Disorders
  • Acute & Chronic Renal Disorders
  • Anxiety Disorders
  • Cardiac Disorders
  • Pregnancy Risks
  • Basics of NCLEX
  • Renal Disorders
  • Emergency Care of the Cardiac Patient
  • Disorders of Pancreas
  • Noninfectious Respiratory Disorder
  • Sexually Transmitted Infections
  • Respiratory Emergencies
  • Studying
  • Central Nervous System Disorders – Brain
  • Musculoskeletal Disorders
  • Cardiovascular Disorders
  • Shock
  • Immunological Disorders
  • EENT Disorders
  • Perioperative Nursing Roles
  • Test Taking Strategies
  • Intraoperative Nursing
  • Medication Administration
  • Postoperative Nursing
  • Preoperative Nursing
  • Terminology
  • EENT Disorders
  • Emergency Care of the Trauma Patient
  • Adult
  • Understanding Society
  • Communication
  • Substance Abuse Disorders
  • Lower GI Disorders
  • Postpartum Complications
  • Oncologic Disorders
  • Neurologic and Cognitive Disorders
  • Basic
  • Reproductive System
  • Emotions and Motivation
  • Prenatal Concepts
  • Prioritization
  • Neurological
  • Psychological Emergencies
  • Concepts of Mental Health
  • Concepts of Pharmacology
  • Note Taking
  • Respiratory System
  • Infectious Respiratory Disorder
  • Labor and Delivery
  • Statistics
  • Personality Disorders
  • Pediatric
  • Neurological Emergencies
  • Learning Pharmacology
  • Concepts of Population Health
  • Circulatory System
  • Urinary Disorders
  • Cognitive Disorders
  • Newborn Complications
  • Documentation and Communication
  • Legal and Ethical Issues
  • Integumentary Disorders
  • Tissues and Glands
  • Community Health Overview
  • Vascular Disorders
  • Developmental Considerations
  • Developmental Theories
  • Depressive Disorders
  • Factors Influencing Community Health
  • Oncology Disorders
  • Musculoskeletal Trauma
  • Integumentary Disorders
  • Musculoskeletal Disorders

Study Plan Lessons

Adult Vital Signs (VS)
Nursing Care Plan (NCP) for Infection
Nursing Care Plan (NCP) for Impaired Gas Exchange
Vitals (VS) and Assessment
Nursing Care Plan (NCP) for Pertussis / Whooping Cough
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Anxiety
ABGs Nursing Normal Lab Values
Adult Vital Signs (VS)
Congestive Heart Failure Concept Map
Congestive Heart Failure (CHF) Labs
Critical Thinking
Fluid Volume Overload
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart (Heart) Failure Exacerbation
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart Failure Case Study (45 min)
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Isotonic Solutions (IV solutions)
Hypertonic Solutions (IV solutions)
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Respiratory Failure
Time Management
Pleural Effusion for Certified Emergency Nursing (CEN)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care and Pathophysiology for Cardiogenic Shock
Nitroglycerin (Nitrostat) Nursing Considerations
Disease Specific Medications
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Defects of Decreased Pulmonary Blood Flow
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Cataracts
Day in the Life of an Operating Room Nurse
Day in the Life of a Peds (Pediatric) Nurse
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Intraoperative Nursing Priorities
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
NRSNG Live | So You Want to be a Surgical Nurse?
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Respiratory Failure
Nutrition Assessments
Perioperative Nursing Roles
Perioperative Nursing Course Introduction
Postoperative (Postop) Complications
Post-Anesthesia Recovery
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Preoperative (Preop) Education
Procedural Terminology
Sterile Field
Surgical Incisions & Drain Sites
Surgical Prep
Strabismus
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Ventilator Settings
Intraoperative (Intraop) Complications
Informed Consent
General Anesthesia
Crash Cart
CRNA
Advanced Cardiovascular Life Support (ACLS)
Dark Skin: IV Insertion
Flight Nurse
Finding Your First Nursing Job as a New Grad
Goal Setting
Head to Toe Nursing Assessment (Physical Exam)
ICU Nurse Report to Floor Nurses
ICU Nurse Report to OR (Operating)Team
Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)
Hypovolemic Shock Case Study (OB sim) (60 min)
Intake and Output (I&O)
Introduction to Health Assessment
Interviewing for Nursing School
IV Drip Administration & Safety Checks
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Levels of Consciousness (LOC)
Lung Sounds
Life Support Review Course Introduction
Male Reproductive Anatomy (Anatomy and Physiology)
Maslow’s Hierarchy of Needs in Nursing
Menstrual Cycle
Moderate Sedation
Neuro Assessment
Neuro Terminology
Nursing Care and Pathophysiology for Asthma
Nursing Care Delivery Models
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Infection
Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Influenza
Nursing Care Plan (NCP) for Migraines
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Suicidal Behavior Disorder
Nursing Care Plan for Macular Degeneration
Nursing Case Study for Pediatric Asthma
OLD CARTS Mnemonic (OLD CARTS)
NURSING.com Assessment & Skills Checks
Phases of Nurse-Client Relationship
Pharmacology Course Introduction
R – Real-Life
Questions To Ask Before Applying To A Nursing Program
Respiratory Structure & Function
Surgical Incisions & Drain Sites
Surgical Counts for Certified Perioperative Nurse (CNOR)
Test Taking Course Introduction
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Tuberculosis (TB) Case Study (60 min)
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Prealbumin (PAB) Lab Values
Pictures
Personality Disorders
Pediatric Advanced Life Support (PALS)
Patients with Communication Difficulties
Nursing Care Plan for (NCP) Autism Spectrum Disorder
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Decreased Cardiac Output
NRSNG Live | How to Pass Any Nursing School Test
NRSNG Live | My Super Secret Note Taking Method
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
NRSNG Live | The Successful State of Mind
NRSNG Live | What Your Nursing Professors Want to Tell You But Can’t
Insulin Drips
How to Write a Nursing Care Plan
High-Risk Behaviors
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart (Cardiac) Failure Therapeutic Management
Fundal Height Assessment for Nurses
Emergency Drugs Nursing Mnemonic (LEAN)
Drawing Blood from the IV
Drawing Pictures
Disease Specific Medications
Disasters & Bioterrorism
Day in the Life of a NICU Nurse
Day in the Life of an ICU (Intensive Care Unit) Nurse
Congestive Heart Failure (CHF) Labs
Communication of Patient Outcomes (Continuum of Care) for Certified Perioperative Nurse (CNOR)
Common Pathogens for UTI Nursing Mnemonic (KEEPS)
Cognitive Impairment Disorders
Cataracts
Cardiopulmonary Arrest
Cardiac Terminology
Cardiac Cycle
Cardiac Anatomy
Cardiac (Heart) Physiology
Body System Assessments
Blood Flow Through The Heart
Blood Pressure (BP) Control
Attention Deficit Hyperactivity Disorder (ADHD)
Advocating For Your Patient
Advanced Cardiovascular Life Support (ACLS)
3rd Degree AV Heart Block (Complete Heart Block)
2nd Degree AV Heart Block Type 2 (Mobitz II)
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
Documentation Basics
Trusting your Gut
Overview of the Nursing Process
Nursing Process – Diagnose
Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Infection
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Syncope (Fainting)
Goal Setting
Hygiene
How to Write A Nursing Progress Note
How to Write a Nursing Care Plan
Health Promotion Assessments
Intraoperative Nursing Priorities
Hypertension (HTN) Concept Map
Maslow’s Hierarchy of Needs in Nursing
MSN (Masters) vs. DNP (Doctorate)
Nurse-Patient Relationship
Nursing Process – Plan
Nursing Process – Evaluate
Our Goals for Teaching
Nursing School Application Essay
Pain and Nonpharmacological Comfort Measures
Perioperative Nursing Roles
Phases of Nurse-Client Relationship
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Program Planning
Purpose of Nursing Care Plans
Self Concept
Identifying Interventions per Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Health Promotion & Disease Prevention
Health Promotion Model
Erikson’s Theory of Psychosocial Development
Continuity of Care
Community Health Education
Communicating with Other Nurses
Depression Concept Map
Disease Specific Medications
Advocating For Your Patient
Access to Care
Breast Cancer Concept Map
Intro to Community Health
Depression Concept Map
Congestive Heart Failure Concept Map
Concept Map Course Introduction
Head to Toe Nursing Assessment (Physical Exam)
Maslow’s Hierarchy of Needs in Nursing
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Program Planning
Sepsis Concept Map
Stroke Concept Map
Hypertension (HTN) Concept Map
Drawing Pictures
Body System Assessments
Bowel Obstruction Concept Map
Blood Pressure (BP) Control
Asthma Concept Map
Aneurysm & Dissection
Amputation Concept Map
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Tuberculosis for Certified Emergency Nursing (CEN)
Tuberculosis (TB) Case Study (60 min)
TB Drugs Nursing Mnemonic (RIPE)
Respiratory Infections Module Intro
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care and Pathophysiology for Tuberculosis (TB)
Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)
Isolation Precaution Types (PPE)
Communicable Diseases
Anti-Infective – Antitubercular
Airborne Precaution Diseases Nursing Mnemonic (MTV)
Casting & Splinting
Care of Vulnerable Populations
Complications of Immobility
Head to Toe Nursing Assessment (Physical Exam)
Mechanical Aids
Mobility & Assistive Devices
Musculoskeletal Terminology
Introduction to Health Assessment
Fractures
Preload and Afterload
Sympatholytics (Alpha & Beta Blockers)
Heart Failure Case Study (45 min)
Congestive Heart Failure Concept Map