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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Concepts Covered:

  • Cardiac Disorders
  • Cardiovascular
  • Circulatory System
  • Emergency Care of the Cardiac Patient
  • Shock
  • Shock
  • Disorders of Pancreas
  • Endocrine
  • EENT Disorders
  • Adult
  • Medication Administration
  • Acute & Chronic Renal Disorders
  • Respiratory Emergencies
  • Newborn Complications
  • Disorders of the Adrenal Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Immunological Disorders
  • Musculoskeletal Trauma
  • Hematologic Disorders
  • Vascular Disorders
  • Microbiology
  • Respiratory Disorders
  • Depressive Disorders
  • Oncology Disorders
  • Noninfectious Respiratory Disorder
  • Nervous System
  • Central Nervous System Disorders – Brain
  • Substance Abuse Disorders
  • Intraoperative Nursing
  • Emergency Care of the Trauma Patient
  • Integumentary Disorders
  • Integumentary Disorders
  • Urinary System
  • Liver & Gallbladder Disorders
  • Eating Disorders
  • Pregnancy Risks
  • Cardiovascular Disorders
  • Terminology
  • Disorders of Thermoregulation
  • Basics of NCLEX
  • Multisystem
  • Upper GI Disorders
  • Studying
  • Neurological Emergencies
  • Postpartum Complications
  • Infectious Respiratory Disorder
  • Renal Disorders
  • Communication
  • Perioperative Nursing Roles
  • Oncologic Disorders
  • Musculoskeletal Disorders
  • Prenatal Concepts
  • Muscular System
  • Proteins
  • Sexually Transmitted Infections
  • Peripheral Nervous System Disorders
  • Disorders of the Posterior Pituitary Gland

Study Plan Lessons

02.02 Cardiomyopathy for CCRN Review
02.03 Swan-Ganz Catheters for CCRN Review
02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.14 Shock Stages for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.17 Septic Shock for CCRN Review
03.03 Hypoglycemia for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
ACE (angiotensin-converting enzyme) Inhibitors
Acetaminophen (Tylenol) Nursing Considerations
ACLS (Advanced cardiac life support) Drugs
Acute Coronary Syndrome (ACS)
Acute Coronary Syndrome for Certified Emergency Nursing (CEN)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Acute Kidney Injury Case Study (60 min)
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Addicted Newborn
Adenosine (Adenocard) Nursing Considerations
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Advanced Cardiovascular Life Support (ACLS)
Allergic Reactions and Anaphylaxis for Certified Emergency Nursing (CEN)
Amputation for Certified Emergency Nursing (CEN)
Anemia for Progressive Care Certified Nurse (PCCN)
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Angiotensin Receptor Blockers
Anti Tumor Antibiotics
Anti-Infective – Antifungals
Anti-Infective – Fluoroquinolones
Antidepressants
Antidepressants
Antineoplastics
Arterial Pressure Monitoring
Aspiration for Certified Emergency Nursing (CEN)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Fibrillation (A Fib)
Atrial Flutter
Autonomic Nervous System (ANS)
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
AVPU Mnemonic (The AVPU Scale)
Benzodiazepines
Blood Flow Through The Heart
Blood Pressure (BP) Control
Blood Salvage Transfusion Anticipation for Certified Perioperative Nurse (CNOR)
Blunt Thoracic Trauma
Body System Assessments
Brain Natriuretic Peptide (BNP) Lab Values
Bronchodilators
Burns for Certified Emergency Nursing (CEN)
Calcium Acetate (PhosLo) Nursing Considerations
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Calcium Carbonate (Tums) Nursing Considerations
Calcium Channel Blockers
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Cardiac (Heart) Disease in Pregnancy
Cardiac (Heart) Enzymes
Cardiac (Heart) Physiology
Cardiac A&P Module Intro
Cardiac Anatomy
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Cardiac Course Introduction
Cardiac Cycle
Cardiac Glycosides
Cardiac Labs – What and When to Use Them – Live Tutoring Archive
Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive
Cardiac Stress Test
Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)
Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)
Cardiac Terminology
Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)
Cardiac/Vascular Catheterization (Diagnostic, Interventional) for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)
Cardiopulmonary Arrest
Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)
Cardiovascular Trauma for Certified Emergency Nursing (CEN)
Cerebral Metabolism
Chemotherapy Patients
Cirrhosis for Certified Emergency Nursing (CEN)
Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Congenital Heart Defects (CHD)
Congestive Heart Failure (CHF) Labs
Congestive Heart Failure Concept Map
Coronary Artery Disease Concept Map
Creatine Phosphokinase (CPK) Lab Values
Critical Thinking
Cushing’s Syndrome Case Study (60 min)
Day in the Life of a Med-surg Nurse
Day in the Life of a NICU Nurse
Defects of Decreased Pulmonary Blood Flow
Defects of Increased Pulmonary Blood Flow
Digoxin (Lanoxin) Nursing Considerations
Disease Specific Medications
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Dobutamine (Dobutrex) Nursing Considerations
Dopamine (Inotropin) Nursing Considerations
Dysrhythmia Emergencies
Dysrhythmias for Certified Emergency Nursing (CEN)
Dysrhythmias Labs
Echocardiogram (Cardiac Echo)
Electrical A&P of the Heart
Electrical Activity in the Heart
Electrolyte Imbalances for Progressive Care Certified Nurse (PCCN)
Electrolytes Involved in Cardiac (Heart) Conduction
Endocarditis Case Study (45 min)
Endocarditis for Certified Emergency Nursing (CEN)
Envenomation Emergencies for Certified Emergency Nursing (CEN)
Epinephrine (EpiPen) Nursing Considerations
Flight Nurse
General Anesthesia
GERD (Gastroesophageal Reflux Disease)
Goal Setting
Heart (Cardiac) and Great Vessels Assessment
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart (Heart) Failure Exacerbation
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 Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)
Heat Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Hemodynamics
Hemorrhagic Fevers for Certified Emergency Nursing (CEN)
Hiatal Hernia
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hyperemesis Gravidarum for Certified Emergency Nursing (CEN)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertensive Crisis Case Study (45 min)
Hyperthyroidism Case Study (75 min)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Hypoparathyroidism
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Hypovolemic Shock Case Study (OB sim) (60 min)
Influenza for Certified Emergency Nursing (CEN)
Intake and Output (I&O)
Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)
Intraoperative Positioning
Invoicing Process
Lactate Dehydrogenase (LDH) Lab Values
Leukemia
Lorazepam (Ativan) Nursing Considerations
Lung Cancer
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Malignant Hyperthermia
Marfan Syndrome
Maternal Risk Factors
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
MI Surgical Intervention
Midazolam (Versed) Nursing Considerations
Minimally-Invasive Cardiac Surgery (Non-Sternal Approach) for Progressive Care Certified Nurse (PCCN)
Mixed (Cardiac) Heart Defects
Muscle Anatomy (anatomy and physiology)
Muscle Cytology
Musculoskeletal Terminology
Myocardial Infarction (MI) Case Study (45 min)
Myoglobin (MB) Lab Values
Neurogenic Shock for Certified Emergency Nursing (CEN)
Newborn Physical Exam
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Norepinephrine (Levophed) Nursing Considerations
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Gonorrhea (STI)
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Myocarditis