Grady journal July 2011

Nursing Students Online Learning

Published

Here it is. Sorry for the length, I tried to think of everything because I remember reading journals to prep for the CPNE and every little detail is helpful.

CPNEGrady.doc

Specializes in Private-duty and Hospice.
Congratulations & thanks for sharing your experience. It was Awesome!!!

How long did it take to get your CPNE date at Grady?

I turned my application in on April 1st, and it was sometime toward the end of May before I was sent a date. It was the exact date I requested though.

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Specializes in (Aspiring) FNP, LNP.
I turned my application in on April 1st, and it was sometime toward the end of May before I was sent a date. It was the exact date I requested though.

Thank you! I wanted to know how long because some people have been saying that region is about 6-8 months which would be a long time if I decide to go that direction. Thanks again, best of luck for NCLEX!

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Specializes in GI, Outpatient Surgery.
I decided to do everything that could be done while the patient was lying in bed first, 20 minute check, safety check, IV check, PVA, O2 Man., anything that the pt doesn't have to reposition for. Also, I planned to ambulate either before or after Resp. Management (if assigned and it most likely will be, all 3 of mine did), or before Abdom. Assess. (if assigned, though I didn't get it), since your going to be moving them around anyway. Plan to give your meds at 8:30 because by the time you get everything ready and your CE scans them in on the computer, it will be maybe a quarter to 9 by then. This will leave you plenty of time to chart and head back to the room if you have forgotten anything. The time is pretty tight really just because of so many different people in and out of the room all the time, so make sure to use your time wisely. Anytime anyone walks in or any disturbance at all, excuse yourself to go chart. I played scenarios over in my head constantly for about a month before my test date. Hope this helps.

I keep thinking of sccenarios too! Of course mine dont usually have all kinds of ppl interrupting!! So you ambulated each pt according to what the kardex said right? Did you step out to do the 20 min checks? Was the CE RIGHT over you the entire time? Im so happy you passed- you so deserve it!

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Specializes in Private-duty and Hospice.
I keep thinking of sccenarios too! Of course mine dont usually have all kinds of ppl interrupting!! So you ambulated each pt according to what the kardex said right? Did you step out to do the 20 min checks? Was the CE RIGHT over you the entire time? Im so happy you passed- you so deserve it!

Definitely plan for interruptions, if you get through without interruptions then count your blessings because they are rare. The kardex will specify reposition, or abulate in room, or ambulate in hallway. Really just depending on how much your pt. is able to do. The CE was very close, but not right over me. They know when to step up to see what they need to see. I know it's hard but you have to just act like they are some hospital personnel in there doing something else instead of there to watch you. The hardest part is knowing they're standing there writing in their own packet evaluating your performance. Just don't worry about what they are writing, because you know your stuff and whatever they are writing has nothing to do with you failing. The first 20 minute check I was just doing my thing, and the CE says "I need to see your paper now", and I just handed to her and she handed it right back. The second, did the same thing. By the third, I said that I would like to declare my 20 minute check. I don't think it matters how they get it in 20 minutes as long as they see you have everything written on there. Which, seriously, the 20 minute check takes like 5 minutes....no kidding. The first two I had completely forgot that mine was finished which is why I didn't declare. The third, I did remember because I had planned (since there is plenty of time) to declare both the 20 minute check and vitals at the same time. If I was going to fail on vitals (you can see in my journal that this lady's vitals were a bit extraordinary) then I wasn't going to get through the whole ordeal before I declared.

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Specializes in Tele/Neuro/Trauma.
Definitely plan for interruptions, if you get through without interruptions then count your blessings because they are rare. The kardex will specify reposition, or abulate in room, or ambulate in hallway. Really just depending on how much your pt. is able to do. The CE was very close, but not right over me. They know when to step up to see what they need to see. I know it's hard but you have to just act like they are some hospital personnel in there doing something else instead of there to watch you. The hardest part is knowing they're standing there writing in their own packet evaluating your performance. Just don't worry about what they are writing, because you know your stuff and whatever they are writing has nothing to do with you failing. The first 20 minute check I was just doing my thing, and the CE says "I need to see your paper now", and I just handed to her and she handed it right back. The second, did the same thing. By the third, I said that I would like to declare my 20 minute check. I don't think it matters how they get it in 20 minutes as long as they see you have everything written on there. Which, seriously, the 20 minute check takes like 5 minutes....no kidding. The first two I had completely forgot that mine was finished which is why I didn't declare. The third, I did remember because I had planned (since there is plenty of time) to declare both the 20 minute check and vitals at the same time. If I was going to fail on vitals (you can see in my journal that this lady's vitals were a bit extraordinary) then I wasn't going to get through the whole ordeal before I declared.

I have a question for you about the 20 min check, when did you write everything down? Did you leave the room after the 20 min check to chart or did you chart at the bedside? How about on your grid, did you check off all as you completed each AOC or did you do it all at the end? Sorry for all the questions, I have so many and it's so nice to talk to someone who's done this! :-)

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Specializes in GI, Outpatient Surgery.

I was wondering that too beachie! I was thinking id keep papers in my pocket folded and as i need to write pull it out then put it back. Also for my grid i thought id write it off and maybe referto it during each aoc as needed..... Not sure if thats normal. So glad ppl are willing to share their experiences.

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Specializes in Tele/Neuro/Trauma.

I know, it's hard to get a flow when you are working with a dummy, I know my blow up doll doesn't care that I keep stopping to check off my papers but I am sure to a patient it would be awkward. Usually what I do is I refer to my grid, complete one assessment and then start the next. It just seems so rigid though... I feel like I'm practicing lines?

I am seriously, seriously thinking about doing a mock with Sheri. I can't afford to do the weekend workshop in August but she does mocks for $100 and I can drive up and back in one day. I dunno. I have two months to go!!

Appreciate you sharing your experience nursemomma11 soo much!!! :-)

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Can you use a clip board to hold all your papers?

Thanks,

China

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Specializes in Private-duty and Hospice.
I have a question for you about the 20 min check, when did you write everything down? Did you leave the room after the 20 min check to chart or did you chart at the bedside? How about on your grid, did you check off all as you completed each AOC or did you do it all at the end? Sorry for all the questions, I have so many and it's so nice to talk to someone who's done this! :-)

Oh, I forgot. At the beginning after I introduced myself and the CE and told them that I would be working with them for a little while, I pulled my paper out of my pocket and held it up to show the pt. and said "You may see me writing on my paper here from time to time, that is just so I can make sure I am doing all that I can to make sure you are taken care of." All three of mine were glad to hear that, and I never got any funny looks for standing over them jotting stuff on my forms. You won't want to do narrative charting without stepping out of the room first, but jotting notes and filling in your 20 minute check are fine. Seriously, the 20 minute check takes every bit of 5 minutes. I went ahead and included a quick safety check (SCAB) in my 20 minute check, just to be certain that if I had to run out quickly I wouldn't be nailed for siderails, callbell, apply brake, and bed low.

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Specializes in Private-duty and Hospice.
Can you use a clip board to hold all your papers?

Thanks,

China

They will allow a clipboard, but it will be really awkward to carry around because there aren't many places at all that you may set your paperwork. It just worked much better to fold mine in half long-ways and keep it in my pocket for quick reference.

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Specializes in Private-duty and Hospice.
I was wondering that too beachie! I was thinking id keep papers in my pocket folded and as i need to write pull it out then put it back. Also for my grid i thought id write it off and maybe referto it during each aoc as needed..... Not sure if thats normal. So glad ppl are willing to share their experiences.

I didn't want a lot of flipping back and forth so I put all of my mnemonics for 20 minute check, safety, mobility, fluid management on the fluid management page of the kardex packet. Then on the back of my packet I wrote my grid with AOC's and a few sections at the bottom just so I wouldn't forget anything. I attached a sample for you.

Fluid Mgmt. Form.pdf

Back of kardex.pdf

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Just started Sheri's online workshop last week and was feeling pretty good, but now I feel overwhelemed. What is AOC?

China :uhoh3:

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