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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cardiac

Concepts Covered:

  • Cardiac Disorders
  • EENT Disorders
  • Adult
  • Medication Administration
  • Emergency Care of the Cardiac Patient
  • Substance Abuse Disorders
  • Circulatory System
  • Emergency Care of the Trauma Patient
  • Newborn Complications
  • Respiratory Disorders
  • Acute & Chronic Renal Disorders
  • Urinary System
  • Liver & Gallbladder Disorders
  • Eating Disorders
  • Pregnancy Risks
  • Intraoperative Nursing
  • Cardiovascular Disorders
  • Terminology
  • Shock
  • Shock
  • Cardiovascular
  • Basics of NCLEX
  • Vascular Disorders
  • Studying
  • Neurological Emergencies
  • Disorders of Pancreas
  • Oncology Disorders
  • Muscular System
  • Proteins
  • Noninfectious Respiratory Disorder
  • Respiratory Emergencies
  • Hematologic Disorders
  • Fundamentals of Emergency Nursing
  • Disorders of the Posterior Pituitary Gland

Study Plan Lessons

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)
Adenosine (Adenocard) Nursing Considerations
Advanced Cardiovascular Life Support (ACLS)
Angiotensin Receptor Blockers
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Fibrillation (A Fib)
Atrial Flutter
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Benzodiazepines
Blood Flow Through The Heart
Blood Pressure (BP) Control
Blunt Thoracic Trauma
Body System Assessments
Brain Natriuretic Peptide (BNP) Lab Values
Bronchodilators
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)
Congestive Heart Failure (CHF) Labs
Congestive Heart Failure Concept Map
Coronary Artery Disease Concept Map
Creatine Phosphokinase (CPK) Lab Values
Critical Thinking
Day in the Life of a Med-surg Nurse
Defects of Decreased Pulmonary Blood Flow
Defects of Increased Pulmonary Blood Flow
Digoxin (Lanoxin) Nursing Considerations
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
Electrolytes Involved in Cardiac (Heart) Conduction
Endocarditis Case Study (45 min)
Epinephrine (EpiPen) Nursing Considerations
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 Case Study (45 min)
Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)
Heart Failure for Certified Emergency Nursing (CEN)
Hemodynamics
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
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)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Lactate Dehydrogenase (LDH) Lab Values
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Malignant Hyperthermia
Minimally-Invasive Cardiac Surgery (Non-Sternal Approach) for Progressive Care Certified Nurse (PCCN)
Mixed (Cardiac) Heart Defects
Muscle Anatomy (anatomy and physiology)
Myocardial Infarction (MI) Case Study (45 min)
Myoglobin (MB) Lab Values
Neurogenic Shock for Certified Emergency Nursing (CEN)
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Norepinephrine (Levophed) Nursing Considerations
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Angina
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
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Myocarditis
Preload and Afterload
Premature Ventricular Contraction (PVC)
Sinus Bradycardia
Sinus Tachycardia
Supraventricular Tachycardia (SVT)
Sympatholytics (Alpha & Beta Blockers)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
The Heart
Thrombolytics
Transfer and Stabilization for Certified Emergency Nursing (CEN)
Valvular Heart Disease for Progressive Care Certified Nurse (PCCN)
Vasopressin
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Ventricular Fibrillation (V Fib)