Need Excelsior CPNE Advice Please!!! - page 7

:uhoh3: Hey all you super nurses and super nursing students out there! I am awaiting the CPNE exam the last weekend in Jan and I heard of a "grid" out there that is taught at the CPNE workshop. My... Read More

  1. by   lisashee
    Just came back from my CPNE at AMC....I PASSED!!!!!!!! No repeats!! Such a good feeling!! For anyone out there that failed the first time....go back...you can do it!
  2. by   katherine100
    Wow....that is alot of studying. Plus you have to rem your assessments (esp for peds)....yup so its about twenty something different things you have to study. Congrats to you , and thank you. I don't know what I will do yet so i am looking at the school.
  3. by   sunrock
    Quote from lisashee
    Just came back from my CPNE at AMC....I PASSED!!!!!!!! No repeats!! Such a good feeling!! For anyone out there that failed the first time....go back...you can do it!
    Hallelujah! congratulations, job well done, now on to nclex. Get prioritization, delegation & assignment by LaCharity, nclex-rn questions 3rd edition by lippincott(for the fillins), RN for dummies, saunders or kaplan, try ebay for used books.
  4. by   cjd04082008
    I am taking my CPNE in 10 days, ahhhh!!! I have been studying for a few months now, and i feel pretty confident about the critical elements, but i feel that i am going to let my nerves get the best of me and forget things!! Does anyone have any advice for me?? I keep reading about this grid that everyone is talking about, but i have not been able to find it. Preparing for this test has been the most stressful thing that i think i have ever done, so any thing would help. Thank you, despirate nurse in need
  5. by   EquuszARNP
    Well, the grid is usually taught at a CPNE workshop. I highly recommend taking one of these, a few different companies offer them around the country. The grid is very important, it's what you draw when you are given your areas of care for each patient. Basically it's something you can write down and carry into the room with you to remember your critical elements for each area of care. Good luck!
  6. by   Conqueror+
    Quote from cjd04082008
    I am taking my CPNE in 10 days, ahhhh!!! I have been studying for a few months now, and i feel pretty confident about the critical elements, but i feel that i am going to let my nerves get the best of me and forget things!! Does anyone have any advice for me?? I keep reading about this grid that everyone is talking about, but i have not been able to find it. Preparing for this test has been the most stressful thing that i think i have ever done, so any thing would help. Thank you, despirate nurse in need

    The grid is simply what you write out on the blank page on the back of your PCS form. When you write your eval careplan you flip the booklet over to the back, make squares (grid) like a tic tac toe board, and each critical element goes in a square written out as a mneumonic. When you are done it should look like a tic tac toe board with a checklist in each box. As you complete something you simply check it off. It prevents you from forgetting anything WHEN you get distracted or interrupted. The first square should have your 20 minute checks in it. I actually numbered my assessments/managements and did them in order of laying down things(abd assess) sitting things(resp assess) and then ambulation/mobility was always last. I spent no more than one hour in each room. It can be done if you control your nerves and stay organized. You also save yourself a load of stress by passing all of your labs on friday night. I didn't know at the time but you can write out your mnemonics on your sim lab form. Would have saved me much stress. Hope this helps
  7. by   t-lo
    This is a suggested Time Line of study I provide my Workshop Students
    It is not written in stone and it may not work for everyone, but I do hope it helps with the organization of your
    CPNE studies.
    Good Luck!

    At Approx 100 days or 3 months prior to your Clinical date or what you think will be the month of
    your Clinical date.... you should,
    Have purchased the skills kit and set up your labs to run through at least 1X/day every day
    Have purchased the wound and practice packing it at least 1X/day every day
    Have looked into or scheduled to take a workshop in the next 30 days or 2 months
    prior to your Clinical date or month you think you are going.
    Have read through the CPNE manual and decided how to split it up to make sense to you.
    Start learning the critical elements for the AOC's and labs. Daily
    Learn how to do all the calculations for the labs and write them out daily
    Learn the calculations for tube feedings
    Look up all the procedures and speci collections that are listed in the CPNE manual that you could
    have to do and become familiar with them.
    Start to dabble in care plans and know the basic parts on how to formulate dx statements,
    goals and interventions.
    Have purchased the dx care plan book
    Approx 45- 60 days prior to your Clinical date or the month you think you are going...you should
    Attend a good Workshop
    Know how to use the care planning book
    Be able to write care plans the eval phase and do charting with some corrections still needed and be sending
    2 or more/week of them to EC or someone qualified to critique and correct them.
    Know what's included in the 20 minute check
    Have called EC to set up your weekly phone calls with questions to ask and are doing the phone calls
    Know all the critical elements for the AOC's and be able to write them
    Know the critical elements for the labs and how to perform the labs correctly and daily
    Practice completing at least 3-5 AOC's a day on a dummy or family member
    Approx 30-45 days prior to your Clinical date
    Take the EC care planning and documentation course if you are not going to a workshop or if you have
    already taken a workshop and still feel weak in care planning and charting.
    Or participate in one of the Care planning groups that charge a fee per month. Or in my student's case they get it for free
    Know how to set up a Grid
    Be sending 3-5 care plans, eval phase and documentation/week to EC or qualified person for corrections and
    getting most back with little or no corrections.
    Know how to complete all the critical elements for the AOC's and have practiced on their dummy or family
    member at least 3 or more times each.
    Be able to complete 3 or more of the labs correctly and within the time limits
    Approx 15-30 prior to your Clinical date
    Continue to do your labs daily and can do all them within their time limits and accurately.
    Doing a complete practice PCS with all the over ridding and 3-4 assigned AOC's and completion of the planning,
    introduction, 20 minute check, implementation and evaluation phases within 2.5 hours on a daily basis
    on a dummy or family member
    Be sending 3-5 care plans, eval phase and documentation/week to EC or qualified person for corrections
    and getting most back with little or no corrections.
    Approximately 0-15 days prior to your Clinical date
    Daily you should do a complete practice PCS from a scenario and in 2.5 hours or less for all phases
    Be sending 3-5 care plans, eval phase and documentation/week to EC or qualified person for corrections
    and getting them back with no corrections
    Be able to complete all the labs accurately and within the time limits.
    And be going nuts, because you have Clinial in 2 weeks or less.
    Good Luck with your studies

  8. by   Soozul
    Hello, I have took & failed the CPNE twice. Lots of preparation. Workshop in IN , purchased additional cards this time.I did well- 2 mistakes- but that still fails me.Paperwork is where I failed.I WAS positive, felt very prepared. And thet weren't mean this time like in WIS. last time. I am 50. This is very hard on me & my family.This process has actually aged me. I have 2 boys under 16. Everyone suffers when I am away . Haven't decided my next move. Any advise from others?
  9. by   t-lo
    50 years old is not that old...granted the synapses don't fire as quick but
    I had a 70 year old pass clinicals 2 yeas ago and EC has many students your age (my age) doing this.
    I want you to think about something...and this is not meant to be mean.....
    How much would your family and you suffer if...
    you had to go to the hopsital for clinical 2-3 times a week for 2-3 semesters Plus study?
    This would be the traditional college ASN Program
    The EC clinical is 3 days plus study.
    As for the paper work...what kind of mistakes?
    omission of critical elements in your charting
    or
    missing something on the fluid management page
    or
    incorrect care plans?
    Do you use a grid?
    Can you be more specific so we can help you and offer suggestions?
    t-lo
  10. by   Soozul
    Yes & thank U so much! I did use a grid. I know critical elements well, have mneumonics memorized.I took a workshop last year & learned that. My mistakes were 1. used "assess pain on a 0-10 numeric pain scale" for an intervention on acute pain. They said I couldn't do that. I now know that was in the 18th study guide revision book- somehow eluded me. 2. I charted "Auscultated bowel sounds X all 4 quadrants." Fail. I omitted positive. Which years ago I have written many times. I was taught to chart simply for the clinical. Didn't occur to me to be more descriptive. My technique in rooms is always good.Labs do well. It's the charting 2 times now that has cost me. I focused primarily on studying that for the test but.... I appreciate anyone of U responding. I will probably try 1 last time, I am just so very down right now. It has only been 2 days ago. I had a 5 hour drive home & had to tell my family I failed again. It's almost devasting. Thanks all.
  11. by   t-lo
    soozul
    it is true not being successful at the ec cpne ™ is devastating. it’s like a death and we have to grieve and go through the process before we can move on. i give you credit for coming here just 2 days after your attempt to post
    ok let’s see what you have here…. hummm assessments as interventions…yes that is a big no…no for the 18th edition of clinical.
    as an fyi ec is throwing out “maintain” interventions too…. so lose those
    then you charted your mnemonic instead of the results when it came to auscultate bowel sounds x 4 quadrants….that’s an honest mistake…costly but honest.
    here’s a suggestion….when you chart put whatever mnemonic you are using above or next to the narrative aoc heading. then methodically use your grid with the results and chart those results 1 letter at a time. and each time you chart the results of 1 letter, cross a letter of on your grid and over the mnemonic written next to the narrative heading for that aoc. do not cross off a letter if you didn’t chart it! this is the method i teach my students and i hope it will help you to be organized and methodical to your success!
    hugs
    t-lo
  12. by   Soozul
    This is a new idea I can use. I copied your response. I'm adding, it is so nice to get ideas from someone who doesn't even know me.Of course, I am still emotional & would hug anyone who gave my situation a care. Thanks!
  13. by   t-lo
    I am glad I can help...and hugs back at you....(squeezing)

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