BAD REVIEWS

5.12.2016 (NEW!) - From Laura CorXXX - (phone conversation)

"You're videos are old and out of date. They actually make me MORE confused than help and I want my money back. I've only used your program for a couple of days and I can't stand it".

 

Robs Response: I agree that the videos ARE old but the information contained within them is solid AND reliable as a student just this week emailed me to say that she passed. I would recommend you give it another try and if you don't think it's worth using then I will refund your money.

Laura's response: Please give me a refund. I cannot use your videos as they don't make any sense to me.

Rob's Response: I will send you a complete refund.

IMPORTANT NOTE: Because of this particular incident, I decided to update EVERY SINGLE video in the members section that goes over ALL Areas Of Care and ALL Lab Sim stations. The video is in High Definition and the audio is crisp in surround sound as it was professionally recorded. My only wish is that I could have helped this student more as she was not successful at her CPNE test even after going to another CPNE workshop prep program.

These new videos now have all my combined knowledge of over 7 years of helping thousands of students to pass and is now a very

high rated online CPNE workshop with a 98.2% pass rate.

For those of you that are reading this I only ask one thing: If there is ANYTHING that is below your level of expectations do not hesitate to notify me. I will change or explain ANYTHING so that you are successful at your CPNE test.

-=Rob

 

5.2.2011 - From Angela Cxxxxx

I finished my CPNE today and failed. As I pointed out in the other e-mail there are several mistakes in the lab sims vidio. There are also two things that were done incorrecly on the clincals that caused me to fail.

 

The first is the PVA. you have to palpate the pedial pulses at the same time, The only exception is if you are to use a dopler.

The second adult failure was I done the IV just as you stated in the vidio and with in the first 5 minutes, what you did not state is that the have to be documented not only in the student form but also in the form you turn in with in 20 minutes and you also have to have you vital signs done and documented and circuled in the student form and in the form you turn in with in 20 minutes as well.

I would agree with the person that stated the quality of the lab sims was poor, but I overlooked that. Your vidios need to be updated and old materal taken out. in the vidio you state to use steral gloves to pour the steril water, then later state you do not use them. How are we to know what is accurate? And I would have liked to be able to view the nursing care plan lessons. It was not availble to me as I mentioned before. I am very disappointed in the outcome and am at this time feeling as if helping people pass is realy not your goal. Your vidio is way too out dated, and because of that I have failed.

It has cost me not only the 2200.00 for the test but the flight out 1300.00 motel and lost work. I hope listen to what I am saying and pull you video until you fix them before someone else fails as well.

(ROBS RESPONSE):  Angela, First of all let me say how sorry I am. I failed my first CPNE as well and it is devastating. Hopefully, you will take everything you learned and use it the next time you test - We have all been there. I want to take the time to go over your critiques of the video in detail:

ANGELA - The first is the PVA. You have to palpate the pedial pulses at the same time, The only exception is if you are to use a dopler.

ROB - In the video I am clearly seen using both hands to palpate both pulses at the same time of the upper and lower extremities. I did this for the radial/brachial/pedal/popliteal pulses. You can view this in the PVA section of the video.

 

ANGELA - The second adult failure was I done the IV just as you stated in the vidio and with in the first 5 minutes, what you did not state is that the have to be documented not only in the student form but also in the form you turn in with in 20 minutes and you also have to have you vital signs done and documented and circuled in the student form and in the form you turn in with in 20 minutes as well.

ROB - I have 2 very important points here. Please read this one carefully as I believe you will be eligible to re-test:

1) There is only ONE form that needs to be turned in - it is the student response form. Granted the student response form has 3 pages, but it is the same form. I clearly posted what you need to document for the 20 minute checks in the AOC Ebook, Chapter 9: What are the 20 minute checks? I even went so far as to highlight what was needed, which leads me to my second and most important point for you -

2) YOU DO NOT NEED TO PERFORM VITAL SIGNS WITHIN 20 MINUTES !! If they failed you for that you will receive an AUTOMATIC re-test. Vital signs are NOT part of the 20 minute checks… Please look at pg. 166 1st bullet. It clearly states –

“ You have until the end of the implementation phase to finishand DECLARE your complete set of vitals”

To further clarify this point, please take a look at 167 1st bullet. It states –

“There is no set time during the implementation phase when you need to take the assigned vital signs. You have until the end of the implementation phase to complete and declare a complete set of vital signs. You may elect to measure the assigned vital signs so they coincide with giving an assigned medication that requires a vital sign (VS) parameter."

ANGELA - I would agree with the person that stated the quality of the lab sims was poor, but I overlooked that. Your vidios need to be updated and old materal taken out. in the vidio you state to use steral gloves to pour the steril water, then later state you do not use them. How are we to know what is accurate?

ROB - I put that in the LAB SIM EBOOK, Chapter 6: CORRECTIONS TO VIDEO. Also, if you use sterile gloves they cannot fail you. As Excelsior updates their information I do so in the Ebooks. To re-shoot the entire video each time they make corrections would not be ideal and I would have to pass the cost onto the student to keep the site up and running. I am sorry but I just cannot do that

 

ANGELA - You cannot bring your own gloves unless you have approval ahead of time for a medical reason.

ROB - This will be updated in the videos / Ebooks but they cannot fail you for bringing in your own gloves. The worst thing they can say is “You can’t use those”.

 

ANGLELA - the wound is so shallow that it is difficult to pack- I would recommend a piece of styrafoam not playdough. It is more like a scrape on the skin than an actual wound.

ROB - In the video I made mention that the wound is shallow. It does not depend on the type of material you use but how hard you press on the play-doh to make the wound impression that counts.

 

ANGELA - you are not allowed to tape the flushes, you have to keep them separated on the table.

ROB - I had another student who wrote to me just 2 weeks ago that used that technique at the exam and she said it worked great. Did they give you a reason why you were not allowed to tape the syringes other than just not to? Just to clarify - I do not want you to tape the syringes together. In the video I am shown putting tape around each syringe so that they can be LABELED so you know which ones are the flushes and which one is the medication. To put tape around the syringes so that you can write on them to label them does not violate asepsis, so I am baffled as to why they said you could not. Even so, they cannot fail you for labeling your flushes.

 

ANGELA - And I would have liked to be able to view the nursing care plan lessons. It was not availble to me as I mentioned before.

ROB - I do not know why it was not available to you – I set the class up as a free service and have had links there for anyone (whether they ordered my program or not) to follow and view the class. I do not charge for the care plan class. I will try to make it more accessible.

 

ANGELA - I am very disappointed in the outcome and am at this time feeling as if helping people pass is realy not your goal. Your vidio is way too out dated, and because of that I have failed. It has cost me not only the 2200.00 for the test but the flight out 1300.00 motel and lost work. I hope listen to what I am saying and pull you video until you fix them before someone else fails as well.

ROB - I am very sorry that you did not make it through the test. I try to put out the best product that I can and I realize that all the information can be just so overwhelming, not to mention the fact that nerves play a huge role. I hope that I don't offend you with my responses, I only needed to clarify these things to 1) help you pass the next time and 2) to hopefully get you a re-test because they failed you and they should not have (you should get one). Do not hesitate to E-mail me for any questions you have and I will try my best to answer them.

-= Robbie

 

11.22.09 - From Mimi Adams:

I purchased both of your DVD's that you offer afer reading high recommendation on the chat sites and I was very disappointed in the quality, the dvd stopped several times while trying to view, you offer for the price, not to mention the sims lab dvd with all of the in accurate information that you provide.There is wonderful competation on utube for free and has the proper instructions and supplies for the students to view.

I would suggest you change your quality and update the right information. I do feel you are taking advantage of the students out there trying to find the right information to help them pass the CPNE. You do have good nmeumonics to offer. Truely consider updating your quality, price and corrent information provided."

(ROBS RESPONSE) - I am sorry to hear that your AOC video is not working. I have an outside company that duplicates the video for me and sometimes these flaws happen. I will gladly send you another one. Please let me know what your address is and I will send it there. As far as your other comments I would like to discuss each one:

1) the sims lab dvd with all of the inaccurate information that you provide.

(ROBS RESPONSE) - It is true that there are inaccuracies that have been noted and explained in the lab sim Ebook. If you know of any other mistakes please let me know and I will post the new information in my newsletter. Here is an excerpt from Chapter 6: Corrections to video/Updates that makes students aware of these mistakes:

{ HERE IS WHERE I PUT THE CORRECTIONS FOR THE LAB SIM VIDEO THAT YOU CAN FIND IN THE LAB SIM EBOOK, CHAPTER 6 }

2) There is wonderful competation on utube for free and has the proper instructions and supplies for the students to view. I would suggest you change your quality and update the right information.

(ROBS RESPONSE)- As far as quality, I feel that the videos are at the best quality for what students need to see. I did my best to get the best camera angles and I feel confident that everyone can hear me when I am talking about what to do. Along with the Lab sim Ebook that documents everything from mnemonics, to supplies needed, to correct angles and proper documents I feel that it is a far cry cheaper than going to a workshop and much more inclusive than the youtube videos.

3) I do feel you are taking advantage of the students out there trying to find the right information to help them pass the CPNE. You do have good nmeumonics to offer. Truely consider updating your quality, price and corrent information proviided.

(ROBS RESPONSE) - I am sorry you feel that way. As I have already gone over the quality issue I would like to take a moment and talk about price. Here is a comment I had written previously to another student who had concerns over the price of my videos:

(FROM STUDENT WHO STATES MY PRICE IS TO HIGH) - Your comments gave me pause to think about what I offer and how it affects people. At first I thought that maybe I am charging too much for a simple instructional video. I mean who am I to ask $40.00 for one video and $30.00 for another? Then I compared it to how much a workshop charges, plus airfare, plus ime away from work and family and it started to become clearer. (as well as the cost of the test $1900.00)Then I thought about the free videos I have given away due to people writing me about stories that they cannot make ends meet like XXXX XXXX in San Bernardino who is raising 3 kids by herself (I was raised by a single mother myself so I know). Would Excelsior do that? Hardly.....I continued to think about it as I was E-mailing people with answers to their questions about various issues like what "offloading" means and what to do if a pt. has appendicitis and you are given abdominal assessment. (Also, the website costs for bandwith and to duplicate the DVD's.)

I think about your statement to me and I look at the clock. It is now 9:49 PM and I have been on the computer since I got home from work at 6:30 PM answering questions and troubleshooting problems like I have done so many nights before and it becomes clear to me - The price charged is what I feel is fair and just. If it were just as easy as shipping out videos that would be one thing, but this is a second job as you can tell. And not just a job that you clock in and out, but a job where what you do can determine if a person passes or fails a very important test that could effect their entire life.  I would also like to note that with the inclusion of the LIVE SUPPORT button on the front page, people can chat with me and ask as many questions as they want, and get feedback instantly. I stand behind my product and the service I give. Good luck to you on your test

 

---- Here are two of the best responses I received after the above review:

1) "Just wanted to let you know I passed in Grady this weekend.I used both of your videos and passed. Just wanted to thank you for product, I read in you comment section someone left a negative comment about your price. Its the best money I spent during the whole nursing program. Im just glad u made the videos, without them Id be spending another 2000 dollars for a repeat. Have a Blessed Day." - Chris B.

2) "Rob, I wanted to comment on the response on your website for "negative"feedback. The most recent one you posted was rather interesting to me. First, as you know, I stated that my reason for failing was my own goof ups on the labs. Your mneumonics are right on. Your methods are right on. My primary goof on the IV piggyback was I didn't let go of the clamp while counting. When the CE counted after I let go, my count was off by 6 drops!!! I know for next time. Also, at the start of each lab, I highly recommend everyone writes down the mneumonics and follows it just to be sure! Anyway, after I got home, I reviewed your cd's again.

Then, just for the heck of it, I looked at the stuff on youtube. There were recent additions of the skills labs by someone. I hate to be critical, but anyone who follows those will flunk. Precision in the skills lab is key and I can certainly vouch for that! I would highly recommend people not to follow or use these particular videos on youtube. Her quality is not there and she appears to settle for being close enough. As you can see, close enough was error enough for me to cause me to fail.

I think the criticisms you received from the person who posted to you were a bit unfounded. You deserve more $$ than what you ask for. It is a lot of work to pull these together and respond to students. We appreciate all that you do for us, believe me!! If you wish to post any of this or what I have written to use since I took the cpne and was unsuccessful, please do so, just don't print my full name. 🙂

One thing I would like to add is that for the PCS's: keep your nursing interventions simple by using those you have to perform for critical elements. Also, follow the critical elements and all necessary components religiously while documenting. Don't miss a thing! Don't rely on your memory and write everything down! Also, follow that grid like a checklist when you are in the patient's room. While I was quite comfortable during the PCS part, (I was surprisingly not that nervous) I still referred to my grid each and every time so I wouldn't miss a thing.

Lastly, ask each CE about any questions you may have about the work area. During our CPNE, many of us found we had different answers and perspectives from each CE. Go by what they tell you or be more conservative. For example, I never did put my grid down on any surface in the patient's room. I pulled it out of my pocket and held it on my person when I needed to document. I took no chances!! This part worked well for me. Also, if they think you made some error, fight for yourself in the most diplomatic and polite way possible! One gal in my group did it, and passed as a result. Otherwise, she would have been failed. Thanks again, Rob. I know next time, I will pass. Have a good holiday season." - R. Welsh

 

7.25.09 -

The following is an E-mail from a student who passed, but wanted to let me know of current happenings. I don't consider this E-mail "negative" but I felt it best to put it in this section as I like to make comments along the way. Here is the E-mail:

Rob,  Here are some differences between your video and the lubbock test site; not sure when you took your examination, but the difficulty level has come down. In no particular order:

1) Manual BP is taken only once during the entire weekend. After demonstrating competence once, you use a machine for even the initial measurements. Meds as well. Manual BP is only checked once while the examiner listens. When your readings and the examiners match up you will be allowed to take BP readings with the machines. Also, when you successfully complete your med administration that fulfills your requirements to complete ONE med pass during your CPNE. HOWEVER, I have other students tell me that they had to pass meds on ALL of their patients. It is up to the examiner.

 

2) Mobility and patient teaching are not necessarily prescribed. I had only one mobility and no patient teaching.

(ROBS RESPONSE) - I find it odd that Mobility was only prescribed on only one PCS. Mobility is part of the OVERRIDING areas of care. The others are: Asepsis, Caring, Emotional Jeapardy, Physical Jeapardy. Patient teaching does not as it is a Selected Area of Care (optional)

 

3) Everything, with the exception of the IM/SQ injection station, is now needleless. Additionally, the meds and flush draws are...pressurized or something, meaning there's no need to inject air.

(ROBS RESONSE) - I talk about the needless system in the lab sims video, but to be clear EVERYTHING is needless unless it is IM/SQ

 

4) Not sure if you mentioned it, but the IV line at the piggyback station is secured that gravity won't become an issue during or after your drip adjustment.

(ROBS RESONSE) - I did not mention this. Good to know for future use.

 

5) Everyone had a mandatory pediatric patient - one ped, two adults.

(ROBS RESONSE) - This is true. However, at my first CPNE there were ZERO pediatric patients so I had a 45 year old woman who was my "pediatric" patient. My next CPNE I had a 14 year old girl as my peds patient. My suggestion is hope for the best, but prepare for the worst (i.e. getting a toddler. Make sure you know acceptable ranges of vital signs for pediatric patients )

 

6) In the IV push station, labeling flushes and medications didn't seem to be pertinent. There was no tape provided. Additionally, for both the IV push and piggyback station, it appeared to me that all of the calculations came out to the same numbers and drip rates; i.e. from what I witnessed, everybody had the same drip rate, IV med to be drawn up, and time over which it was to be pushed. The instructors did not open books up at random for med selections; it was all marked and prepared.

(ROBS RESONSE) - Things have become easier for sure. It is good to know how to do IV calculations because even though everyone has the same math problem you still need to know how to get the correct answer. As far as labeling flushes, if you feel comfortable in remembering which syringes are flushes and which one is the medication then great. I just like to be careful. If there is no tape there and you need it - THEN ASK FOR IT.

 

7) All temps were tympanic; no oral.

 

8) Despite what was checked on my Kardex, one instructor stated that pulse O2 was "just part of vital signs." Not sure if I would've been "dinged" on it; I think you mentioned that people should just do this anyway, which is a fine idea. Prior to each PCS, the instructors sequestered a little handheld pulse O2 for this purpose.

(ROBS RESONSE) - Actually what I put in the video was to check the LPM (liters per minute) on the wall mounted oxygen level indicator. To me, if the patient is on oxygen, or had O2 sats checked previously in the chart ( you will be reviewing the pts chart before you go into their room to get baseline vitals ) it would make sense to check O2 sats

 

9) Advocate the student walking directly up to the pt WITH THE KARDEX IN HAND and checking it against the ID band. I didn't do that (because I'd seen the name 2 seconds earlier as I placed my PCS form down on the windowsill and doubled checked IMMEDIATELY thereafter) and was questioned twice about my "method" of IDing the patient.

(ROBS RESONSE) - I put this into the "CORRECTIONS TO VIDEO" file when version 15 cam out. To be clear you should have the KARDEX in your hand and DIRECTLY compare the pts name, DOB, or Medical record # (2 of 3) to pass

 

10) Though your tips were perfectly sound, the instructors were not at all concerned with how handwashing was performed (how the sinks were turned off, time of washing, etc); little to no attention was paid. As long as it was done once, the foam was sufficient for the remainer of the PCS.

(ROBS RESONSE) - Way too easy, but that is good. In my video I advocate washing your hands for 45 seconds and then using a paper towel to turn off the faucet handles. If you think about it then it makes sense. Why touch those handles with your DIRTY hands, wash them, and then touch the dirty handles again to shut them off. Use a barrier like the paper towel. I would still do this as this comprises the Overriding areas of Care "ASEPSIS"

 

11) Side rails. Every patient had side rails up x2 at all times; what seemed strange to me was that the "side rails" in question were the upper (at the head of the bed) rails. Upon entry into each of my scenarios, the lower rails were not raised and were not expected to be. This obviously makes "Risk for injury" an effortless dx, as there's no reason whatsoever to lower the upper rails, and the call bell is pretty much planted on the bed anyway.

 

12) For the final "priority dx", students should also copy verbatim from the dx book; I seem to have an issue with wording things in my own way, and while I wasn't faulted for that, I did have to explain why I wrote "r/t potential illness" rather than "r/t microorganism."

 

13) The only place where your video was perhaps unclear (at least for me), was the explanation of how exactly the PCS phases would work. I was expecting three different phases, and was a bit weary of how much was involved in each. I think it might serve students better to say, "The planning phase consists of you writing out two nursing dx and interventions. That's ALL.. You hand it in, the instructor gives it back. Then you have your PCS, after which you write out your primary dx with rationale, etc. The evaluation phase has NOTHING TO DO with you, the student; that's what happens after you hand in your completed PCS packet." I was expecting some type of "evaluation phase" and almost handed in a half blank packet; the instructor was merciful and corrected my misassumption.

 

(ROBS RESONSE) - OK, Lets clear this up.....

"PLANNING" phase - You will write up your NCP, do your grid, review the pts chart and talk to the pts primary nurse. You will hand in your NCP and the examiner will ask you if you "have completed the critical elements" You say yes, and the examiner reviews the NCP to make sure there are no HUGE errors ( you shouldn't have if you follow my NCP guidelines). He/she will then say "you have passed the critical elements for this section, you may proceed." You will now enter into the Implementation phase. Implementation phase - Everything that you were assigned to do ( Interventions for your NCP, critical elements that were checked off on your assignment kardex) now must be done with the pt. You do these tasks (hence the term

"IMPLEMENTATION" phase -  (you are implementing you actions). When these tasks are done, you thank the patient and say you are done. You then tell the examiner you are done with everything and you are ready to enter into the Evaluation phase. (don't forget to tally up your final amount on your Intake and Output sheet)

"EVALUATION" phase - You are then going to go outside and chart on everything that you did (or finish up on your charting - some students will chart as they go like me). You will write up your NCP with evaluation and rationale, complete the recording form which will have sections for you to chart on what you did for each critical element and then turn in the paperwork when you are done. Before you turn in the paperwork you need to re-check your grid and see if you completed EVERYTHING. This is the reason for writing up the grid. If you did not complete all tasks you tell the examiner that you need to go back in and finish up something. If you are done and hand in the paperwork the examiner will then ask you if you have completed all the critical elements for this section. You say yes, hand in the paperwork and relax because you know that you did your best.

 

14) Again, I don't think this stuff necessitates any changes to the video, because everywhere that I was overprepared was no big adjustment, actually a pleasant step down. If you have the time and are so inclined, you might add an updated note section every so often to let people know, "Hey here's the recent news" or something to that effect. Anyway, great job, tout your superior product over the rest of the garbage and raise the rates; you deserve it.

(ROBS RESONSE) - Since I had to pay so much for everything I cannot raise any rates (please read the "ABOUT US" tab. The price will remain the same, but thanks for the vote of confidence and THANK YOU VERY MUCH for writing this excellent E-mail. Students like you are a shinning example of "giving back". We are all grateful. - Robbie

 

 

This Email came to me today (5.13.09). A student failed for some minor mistakes. I felt it necessary to post them....

 

Hey Rob, I took my clinical in Milwaukee last weekend and I had such a good experience. I was nervous as hell the first day and I wrote down your mnomiics for the labs and i did so well. My last one was the IV push and I focused on the calculation and I kept thinking that can not be right because it was a push of 2 ml of benadryl over 30 seconds. Well I was so focused on that that I forgot to aspirate....shit you even say so many people do that..... ok so I have another chance right.

well the next morning I passed my two Pcs... no problem... I went back to do the lab and there was a chair there and I sat down to do the IV push--- I was extra confident that I had it made because of my PCS's being passed. well I should have never sat down to do that lab. I wrote down the menomic the calculations were easy.. I went through the steps just fine except.. I was using the trash can next to me to throw away the alchohol swabs and gloves and I threw one of the syringes in the trash...I immediately retrieved it and put it in the sharps but I was dinged. That one stupid mistake cost me the weekend. If I would have just stood up and done the procedure I would have put it in the sharps. I have never thrown a syringe in the trash, shit.

anyway the CA and the CEs are the best out there. they really do want you to pass . I am going back as soon as I can to take it there again. Your menomics made the weekend if I would have only followed it very closely that first lab. THey are so nice that I kept remembering what you said they are not your friends....they are nice but they are there to pass or fail you.

ROBS NOTE: I have E-mailed this student a couple of times and she is VERY competent as to how she does things. Even great students have difficulty with this test. You MUST practice, practice, PRACTICE these lab and critical elements until they are second nature! Perfect practice makes for perfect results

 

 

THIS NEXT RESPONSE IS FROM A STUDENT WHO WAS NOT PLEASED BECAUSE HE WAS SENT 2 VIDEOS OF THE AREAS OF CARE AND NEITHER OF THEM PLAYED COMPLETELY THROUGH: HERE IS MY RESPONSE:

 

Bob,

Sorry that BOTH of the videos didn't work. I will send you another one free of charge. Also, I am in the process of making a video of the lab sims so when I get it done I'll send it to you as a way of saying sorry for the inconvenience

THE STUDENTS RESPONSE WAS:

Rob,

I appreciate that offer, however I learned so much from what I did see that I'm not worried at all about buying the new DVD. Last Friday I did Lynn's MOCK CPNE in NC and did OK (Thanks to you & her)but I wasn't just super-strong in the Lab portion. If you would send the your DVD, I'll use PayPal. I go to Racine 2nd weekrend in May, and am looking very forward to getting it all done(as I'm sure you can remember). Thanks for your Help & Best Regards,

THE STUDENT DID GO AHEAD AND PURCHASE THE LAB SIM VIDEO A MONTH LATER, EVEN THOUGH I TOLD HIM I WOULD SEND HIM ONE. HERE IS MY LAST E-MAIL TO HIM:

I told you I would send you a free Lab sim video and I do not forget.

>I will refund you the money and I am going to send you a good copy of the Area of Care video along with the lab sim video. Good luck to you

THE STUDENTS RESPONSE WAS:

 

Rob,

Not only are you a Great Teacher!!, but a Class Act. I've gave your web-site to 2 friends (from the boards)who will be new customers.
Thanks Again & Best

Regards,

Bob