CPNE-ERS, please critique

Nursing Students Online Learning

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Sorry to throw this here, not much response on EPN right now.

PCS#1. Osteo arthritis & RT total knee, 1 day post op

1) acute pain r/t surgery AEB verbalizing pain 4-6 on a 0-10 verbal pain scale

*The patient will report pain of 3 or less

*The nurse will apply ice pack to right knee for 20 minutes during PCS

*The nurse will suggest relaxation techniques

*Assessment to be performed validating the dx label: pain assessment tool 0-10 verbal scale

2) risk for injury:altered mobility

*The patient will remain free from injury during PCS

*The nurse will maintain 2 upper side rails while in bed

*The nurse will assist patient in ambulating with walker

Assessment to be performed to validate- musculoskeletal assessment and PVA

(is this what they are looking for here?)

Specializes in GI, Outpatient Surgery.
Thank you Lunah :D

I read through the 18th Edition and I found it very confusing, and I am waiting for clarification from EC about this use of @ Risk Dx...From what I understand, the 18th Edition suggests using @ Risk Dx in the evaluation phase of the the care plan, but the wording is a little odd. The most wonderful thing I read, which I am also waiting clarification on is that the 18th Edition will start on November 7th and my PCS will be over Nov 6th :D (if I don't get a cancel)

A few more questions, when I submit my careplans to EC, can I submit the entire care plan through the evaluation phase?

*For those that have done Sheri's online, do you need to do a lot with online videos? I have next to NO bandwidth here at home, and a couple you tube videos and I am done--my internet speed is slowed to a crawl, I have had to post on allnurses with my iphone for last month thanks to a microsoft office download my son did.

*I want to order IV bag, mini bag & tubing--I jimmy rigged what I have from my set but I doubt what I am getting for a drip rate is a true rate since this tubbing seems odd. Anyone have a suggested site? I really can't get anything from work, all our stuff gets used unless pt cx surgery.

*Robs video suggests digital watch....really?! What are you/did you guys use? 20 years ago I was trained with the old fashioned sweep hand, and if my chances are better as far getting that exact number as the CE then I will get digital (Need to buy either one, have no watch) then I will.

Thanks again guys! As mentioned, not much response on EPN or replies yet from EC and I am anxious to keep moving :D

HUGE Thank you!! Ugh!! I missed the watch info in the study guide! I just posted something on EPN about bumping into info that seemed foreign to me after reading through that guide. Now I seem to remember something early on about uniforms etc.

I am going to need much more than 6 pcs to send into EC for care plans, but every single person that I know of that took their care plan conference didn't feel it was worth the $$, but that the documentation was.

Thanks so much for your help guys! Hoping things will smooth out after a hard core week of practice :D

I will PM you about my online wkshop.

Thank you Lunah :D

*I want to order IV bag, mini bag & tubing--I jimmy rigged what I have from my set but I doubt what I am getting for a drip rate is a true rate since this tubbing seems odd. Anyone have a suggested site? I really can't get anything from work, all our stuff gets used unless pt cx surgery.

:D

Try nurse-mart.com. From the checking I did they had the best prices overall. I ordered 4x4's for wound practice and a few practice vials. I double checked ebay and couldn't find things cheaper. I will say they seem to be a little slow in shipping. They received my order August 6th and I don't have it yet but I'm not in a huge hurry. Shipping was around $7.00.

Try nurse-mart.com. From the checking I did they had the best prices overall. I ordered 4x4's for wound practice and a few practice vials. I double checked ebay and couldn't find things cheaper. I will say they seem to be a little slow in shipping. They received my order August 6th and I don't have it yet but I'm not in a huge hurry. Shipping was around $7.00.

Got the 4X4's in from nurse-mart and they're 8 ply, not 12 ply (12 ply used at CPNE). It doesn't say that on the website and I didn't bother to double check. Found what I needed on Amazon for about 6 bucks, free shipping. Will still order more secondary IV bags b/c they're about $2/each.

Specializes in Surgery, Med/Surg/ICU, OB-Peds, Ophth.
Got the 4X4's in from nurse-mart and they're 8 ply, not 12 ply (12 ply used at CPNE). It doesn't say that on the website and I didn't bother to double check. Found what I needed on Amazon for about 6 bucks, free shipping. Will still order more secondary IV bags b/c they're about $2/each.

Thanks for the update! I am looking at pocketnurse.com right now for my IV Supplies, and they also have a inject-pad for IM & SQ for $21. Did these usually come in the CPNE skills kit? I will check out amazon now.

No inject pad with the skills kit that I'm aware of but I didn't get mine from EC. It does come with the wound I do believe. My skills kit came from RUE (book publisher) as part of their expensive orifice package deal. I'll be checking out pocketnurse!! Thanks for the info!

http://www.amazon.com/gp/product/B0006GDACS these were the 4X4's I bought. They shipped the very next morning. They're 12 ply but they seem kinda thin as opposed to the ones that are individually packaged like 2 to a pack. I'm just making it work.

Specializes in Geriatrics, Psych.

Due to Federal Regs... nursemart can no longer send out iv solutions. I used to get mine there too. It was cheeper than using the script I got from my PCP. But now I go straight through the Pharmacy. If you are frendly with your PCP you can get a script for them too....but they are not cheep.

Specializes in Surgery, Med/Surg/ICU, OB-Peds, Ophth.
Due to Federal Regs... nursemart can no longer send out iv solutions. I used to get mine there too. It was cheeper than using the script I got from my PCP. But now I go straight through the Pharmacy. If you are frendly with your PCP you can get a script for them too....but they are not cheep.

Tina, have you heard of recycled IV tubing getting stiff and not working right (or minibags/tubing getting stuck to primary tubing??) I can only get a drip rate of 25-30 gtt/min with my tubing I bought from another student, and I think I am the 3rd owner on this tubing. What would be the best replacement, Baxter products?

Off topic, but I hope you weathered the quake ok!! See you in the care plans shortly :)

Specializes in Geriatrics, Psych.

Oh my no not the baxter products...they have the white filter that air locks really easily...Get the Braun primary and 2ndary tubings... I have to go find the reference # for you...will post next

Specializes in Geriatrics, Psych.

Braun Primary= Ref# 352049

Braun 2ndary= Ref # V1921

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