My Experience at Plano Texas

[godlvme]

friday afternoon i arrived at the hospital around 3:30 and met with

the 3 other students in the waiting room. the last 2 arrived shortly

after i did. carlo, the ca, came to get us about 3:50 and we went to

the room for our orientation. she went through all the stuff she

needed to tell us and then went through the lab stations. we took

the 15 minutes and looked at everything. after that we took our

labs. i did iv piggyback first. i was nervous but in control. i

passed that one and went on to the wound station. passed that one

with no problems. iv push was next, and passed that one with no

problems. i was shocked at the push i got. i had 2 ml in 30 seconds.

went from there to the im/subq and passed that one as well. thank

god all my labs were finished.

from there the ce took me to the floor and gave me an orientation to

where everything was and gave me my first patient assignment. i had

a 14 y/o f who was admitted with appendectomy. my areas of care were

vital signs with pain, fluid management, abdominal assessment,

respiratory assessment, peripheral vascular assessment and

reposition in bed x1. i went back to the hotel and worked up my care

plan and tried to get some rest so i would be ready for the next

day.

the second patient was a 64 y/o f who was in with abdominal pain and

nausea and vomiting. my areas of care were vital signs (t, apical p,

r, and pain), fluid management, mobility, abdominal assessment,

respiratory assessment, medication ivmb, comfort management. again i

did all my stuff within about 1:45 minutes and was ready to get out

of there. this pcs also went off with no problems until i went to do

my documentation. i was writing a patient response on the evaluation

phase and my attention got redirected and i forgot to finish a

sentence. my ce came to me and asked me to finish the sentence and

then told me i passed.

i could not believe i had passed both my pcs's on saturday and only

had one more pcs on sunday. i went back to the hotel and tried to

relax. relaxing just wasn't going to happen so my husband and i went

out to dinner. i went back to the hotel and did a little studying

and then tried to go to bed but i just couldn't seem to settle down.

i eventually went to sleep and woke up sunday morning.

i arrived at the hospital at 6:45 and waited for the others to get

there. there were 4 of us left sunday morning. one of the ce's from

saturday was taking her student up for the pcs and whispered good

luck to me. i was so ready to get this over with.

i went up and was given my assignment. i had a 64 y/o f who was

admitted with uti with fever. my areas were mobility, fluid

management with i&o, vital signs with check pain and o2 sat, oxygen

management, abdominal assessment, and respiratory assessment. there

wasn't really all that much i needed to do. i finished with no

problems and did my documentation.

when they told me i passed i actually started crying. the ce gave me

a big hug as did the ca. i went down and she asked me the questions

about how the weekend went and was there anything that they could do

to make the weekend better. there really wasn't anything i could

think of. everyone here did everything they could to make me feel at

ease and help me pass. i can honestly say that they really do want

you to pass and will do whatever they can do help you. stay focused

and even if you get nervous, just take a moment and take a deep

breath. there were a couple of times the ce actually went through a

couple of relaxation breaths with me to help me. i can honestly say

from this weekend that they go out of their way to help you. this

was my second attempt at the cpne at plano

pcs #1 dx; acute pain r/t appendicitis aeb patient rating pain at---

------ on a 0-10 pain scale.

outcome; pt will rate pain at or

pain scale.

n1 assess pain level using 0—10 pain scale

n2 reposition pt states most comfortable

i change this dx during evaluation phase it became risk for acute

pain because pt rated pain at 0.

dx; risk for injury r/t maturational age

oc; pt will be free from injury during pcs

n1 bed in lowest position while in bed

n2 srx2 while in bed

pcs#2 impaired comfort r/t nausea and vomiting aeb nausea and

vomiting and patient will rate pain at -------- on a 0—10 pain scale.

oc; pt will verbalize an increase in comfort after

comfort measures are implemented

n1 assess comfort needs

n2 offer comfort measures

i changed the r/t pain and aeb to patient rating pain at a 7—8 on a

0—10 pain scale.

impaired physical mobility r/t immobility aeb needing assistance

with ambulation

oc; patient will transfer with assistance from bed

to chair with assistance during pcs

n1 assist with ambulation

n2 provide non skid foot ware while out of bed

pcs#3 dx; impaired verbal communication r/ t ischemia of

the temporal lobe aeb inability to speak words but can

understand others secondary to aphasia

oc; pt will demonstrate improved ability to

express self

n1 provide alternative methods of

communication

n2 encourage use of communication board and

other means of communication

dx risk for aspiration r/t tube feeding

oc; pt will not aspirate during pcs

n1 keep head of bed at 35 degrees

n2 check placement

my third patient also had a peg tub and had lou gehrig's disease this

part was fyi . i used it to make a dx. and i just went with it .

good luck to all lisa

[EricJRN, MSN, RN]

Thanks for the post, Lisa! Congrats on getting past this huge hurdle!

[Mudwoman]

Congratulations! I just got back from the CPNE workshop in Irving tonight. Great workshop and Sharon and Kris were great motivators. I test in Plano Mar 23. Great to know that everything said about Plano is not negative.

I'll post more on the workshop and tips I picked up later. Too tired tonight and we have company for the weekend.

[anticoagulationurse]

Yay for you! Congratulations!!!!