Cpne mnemonic 20 min check

  1. I'm at that place where I'm over thinking everything and stressing worse!!

    The mnemonic I've memorized for 20 min check is "won't I be glad I put on two dry socks fast"

    Introduce self/ce
    Band Check
    Iv site/i&os
    Pinch skin/fontanel
    Off gloves
    Tubing for kinks
    Drip rate
    Formula for tube feeds

    I can't get past the band check before gloving- I'm thinking it's so you don't start assessing the wrong pt but you just washed your hands. Or do you look without touching? And you gel before/after gloves even though you just washed your hands? And what about checking tubing for kinks- why gloves off before that? I'm just trying to get a concrete understanding of this order... Thanks!
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    About North_TX_Nurse

    Joined: Oct '12; Posts: 2


  3. by   toekneejo
    You are not becoming dirty due to touching the patient. In other words, as long as you are working with the same patient and have not touched any of their body fluids you would not have to re-clean your hands. You must wash your hands prior to touching them at all to protect them from you contaminating them. However the only part of your mnemonic that bothers me is where you check the hydration staus and then remove your gloves. Once you touch the iv site (there is a possibility of bodily fluids at the insertion site) you need to remove gloves and gel before touching the patient anywhere else. I just passed the CPNE on Sept 9th and I truly believe the CE would call you out of the room if you don't change that one little part. Best of luck. You can conquer this beast!
  4. by   North_TX_Nurse
    So pinch skin first then check IV site?

    I got this mnemonic from here on another thread. I still don't get why you can't check tubing with gloves on- any insight?
  5. by   toekneejo
    Yes they see the IV insertion site as possibly contaminated. The tubing is clean and like we all know - you never go from contaminated to clean. My mnemonic was intro assess I had another one for before I entered the room called warm iv
    W- wash hands
    A - allergies do they have any?
    R - Rx facts (what they were, common side effects, etc,
    M - Mnemonics written down
    I - I&O are they on it?
    V - V/S what are the baseline?
    (This was my only planning phase mnemonic)
    20 minute check
    I- introduce self/CE
    N - names and numbers get theirs!!!
    T - Thank them
    R - Reiterate my purpose (let them know what we had to do)
    O - Output and intake explained
    A - asepsis glove up
    S- site check IV site
    S - sanitatize (remove gloves and gel)
    E - enteral, IV, O2 (check types, rates, equipment including tubing)
    S - Skin turger (mucous membranes or Fontanel)
    S - Skin contact points (not part of 20 minutes but only takes a second and I'm checking their O2 anyway AND I needed another step for this "S" )
  6. by   BeachCathyRN
    I passed in May of this year and I used WIGASED:

    Wash Hands
    ID Patient
    Assess IV site, remove gloves, tubing and pump
    Skin Turgor
    Explain I&O

    Keeps it short and sweet. Wow can't believe I can still remember this, I guess it is really drilled into my brain. - Good Luck!!
  7. by   Aliakey
    The mnemonic I created was Chief IHOP... I love the pancakes at IHOP restaurant

    C: Clean hands
    H: "Hello!" (introduce yourself and the CE)
    I: ID band
    E: Explain assessments and whatever else you'll be doing with the patient
    F: Faciliate goal-oriented interaction (a critical element, but can simply be met by asking if the patient has any care questions)

    I: Input/intake: includes your IV fluid check
    H: Hydration status
    O: Output check (foley, urine hat placement)
    P: Proceed with your next AOC

    Like the others have said, consider anything that is potentially "wet and not yours" as a reason to glove. IVs can leak patient-contaminated fluid or blood, so gloves are required at these sites. IV tubing and bags should not leak; they are clean coming out of the medication room, and clean on the IV pole. Oral secretions are a potential "leak". Foley bags are ones as well, and so on.

    Infants are messy... burping up, leaking diapers, and drooling. Glove and gown up whenever performing most areas of care with them, since their control of fluids is a lot less than (most) adults.

    After you walk into the patient's room and introduce yourself, wash your hands if you haven't done so very recently (depends on where the designated wash areas are at the hospital). I just tell the patient that I am going to wash my hands for their protection. When you put on gloves, the biggest thing to remember is to gel (or wash) after removing them.... everytime. The hospital I tested at allowed for gelling afterwards, and that makes life so much easier because you can still chat with the patient while you scrub that stuff into your hands.

    I found that the 20 minute check was the easiest part of the CPNE. Remember that you have an entire sheet dedicated to that 20 minute check... the one that lists the intake, output, hydration status, etc. Makes for a nice reminder as you're filling out the information in the room.

    The most difficult part of the CPNE (for me) was time management. One of my patient fails involved the meals and failure of the assigned nurse to monitor the patient's intake before my patient care time began with her. The poor elderly lady attempted to order breakfast that morning over the phone (conceirge service of sorts), but her hearing was so bad that the food service person did not complete her "order", and did not contact the floor regarding the call. The patient's assigned nurse never checked on the patient's breakfast (I mean really, how hard is it to ask your patient if she enjoyed her breakfast... uh, wha? You didn't eat? Why?). The same thing happened for lunch. So, my patient was half-starved by the time my afternoon with her rolled around, and so I helped her order a late lunch and let her eat in peace. Lost a lot of time over that. I failed that patient care attempt by a 10 minute overage. But, I still passed the CPNE weekend after passing with my second-chance patient the next day. So, consider what you could do in unusual scenarios that could eat up your precious time with the patient, and please don't believe anyone who says you'll have plenty of time. You'll need to wisely use each minute.

    Hope it helps some!
  8. by   scooneybooney
    Hi, When and where are you testing?
    I used KIGGIPE AND SCABC for my entry and exit mnemonics.

    ID PT

    and before I leave I always:



    I test on Nov 9,10,11 in Riverdale ,Ga
    I will be taking workshop in 2 weeks with Sheri Taylor
    Please message me if you wanna talk.

    I am nervous too.

    ohh and I also use a fun one for 20min check:


    hydration status
    iv fluids
    palpate iv site
    pump check/make sure it is set exactly right gtt/min
    inspect iv tubing
    check enteral feeds/feeding pump? if so, is it set right and is it running?
    oral fluids?is your pt on restriction/npo/or encourage fluids? remember to write what kind and how much.
    write down findings

    Last edit by JustBeachyNurse on Oct 21, '12 : Reason: formatting