AOCs?

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Are there specific aoc's that are required to be done in order?

Also, for example resp assessmt, do we only chart normal or abnormal breath sound or do we go into wheezing on expiration etc?

Im in the process of making my grid with the assessments and managements. I have also included vs order to chart.

For WIIGS, is the S for skin turgor and if so doesnt that go under Fluid Mgmt with the 20min checks and not the initial intro etc?

Thanks for any help!

Specializes in Tele/Neuro/Trauma.

I watch Rob every night before I go to bed and write the critical elements over and over. He makes the CPNE process look so simple and relaxed. I have a feeling his voice will be the only one I want to hear during my weekend. I have a few mneumonics that I am very comfortable with and some that I am tweaking, I will post them when I am finished so we can bounce ideas off each other. :-)

Sheri Taylor's study guide is pretty fabulous too. I have gotten almost half way through the EC study guide with four pages of questions for my next phone session... the wording is kind of gray in alot of places. I like Sheri's because it makes it simple.

I got the CPNE workbook and DVD off a student on the EPN who just passed for pretty cheap, apparently it shows you the CPNE process so maybe it will make more sense for me after I watch it.

I kind of feel a bit of panic every time I think about the weekend. Do you guys feel that way too??? Why is this so scary!! We know how to do these things. We are nurses. No one at work seems to understand why I am worrying. I am so glad I have you all. It seems to be such basic, fundamental nursing care, but its so easy to fail, and I am so scared. A friend of mine on here who just passed recommended I purchase some Rescue Remedy spray to keep in my pocket, she said it worked great to help her calm down.

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Specializes in LTC, Acute Care.

I believe the whole experience is going to be surreal. I'm kinda anxious to get it done but not really nervous. Mostly I work well under pressure and I hope it carries over to the CPNE weekend. As much as possible I try to make sure I'm doing things the EC way at work so as not to take bad habits with me when I test.

As far as mnemonics I'm using Rob's and David's CPNE notes. Those are the ones that really stick in my head.

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Specializes in GI, Outpatient Surgery.
I watch Rob every night before I go to bed and write the critical elements over and over. He makes the CPNE process look so simple and relaxed. I have a feeling his voice will be the only one I want to hear during my weekend. I have a few mneumonics that I am very comfortable with and some that I am tweaking, I will post them when I am finished so we can bounce ideas off each other. :-)

Sheri Taylor's study guide is pretty fabulous too. I have gotten almost half way through the EC study guide with four pages of questions for my next phone session... the wording is kind of gray in alot of places. I like Sheri's because it makes it simple.

I got the CPNE workbook and DVD off a student on the EPN who just passed for pretty cheap, apparently it shows you the CPNE process so maybe it will make more sense for me after I watch it.

I kind of feel a bit of panic every time I think about the weekend. Do you guys feel that way too??? Why is this so scary!! We know how to do these things. We are nurses. No one at work seems to understand why I am worrying. I am so glad I have you all. It seems to be such basic, fundamental nursing care, but its so easy to fail, and I am so scared. A friend of mine on here who just passed recommended I purchase some Rescue Remedy spray to keep in my pocket, she said it worked great to help her calm down.

I am right there with you on your last paragraph!! Everytime I start doing the lab sims I have set up I can feel the anxiety! The grid is kinda frustrating me bc mine has so much to it! No one I work/know understands what we are all going through. My husband only gets a glimpse and Im so removed trying to study! Ill be glad when its over...with a pass I mean! "It seems to be such basic, fundamental nursing care, but its so easy to fail, and I am so scared. "---- Completely agree and sums up how Im feeling too!!

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Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
I kind of feel a bit of panic every time I think about the weekend. Do you guys feel that way too??? Why is this so scary!! We know how to do these things. We are nurses. No one at work seems to understand why I am worrying. I am so glad I have you all. It seems to be such basic, fundamental nursing care, but its so easy to fail, and I am so scared. A friend of mine on here who just passed recommended I purchase some Rescue Remedy spray to keep in my pocket, she said it worked great to help her calm down.

This is normal ... and no, nobody but EC students will ever understand why the CPNE is so stressful. I remember at work everyone was like, "You'll do fine, fine, fine..." Ugh. One day I went into my locker, pulled out the ginormous study guide, and plopped it onto the counter of our nurses stations. Everyone said, "What is that?" When I told them it was my study guide, they couldn't believe how huge it was. Haha.

Yes, the CPNE is easy to fail, but if you are deliberate with everything and use your grid to stay on track, you will be successful. Don't rush -- rushing and losing focus made me fail a PCS, totally my fault. Before any action, stop and think. You will have time. When you're in a room doing the assigned AOCs, they go by quickly. I had about an hour at the end of each PCS to chart, seriously. I spent 30 minutes in planning (and remember: keep it simple, they are not looking for a rockstar nurse careplan!), an hour in the room (max), and an hour in documentation. When I got in to see patients, it was actually fun! They were nice, and happy to have some attention, I think. :) I enjoy caring for people, so it came naturally. My CEs were smiling, I was smiling, the patients were smiling ... good times.

Practice your labs, too. This is the one area you can totally predict and control, with a few variables like drug amounts or drip rates, but the basic mechanics will all be the same as in practice.

Oh, and be careful ... I think that Rescue Remedy stuff is pretty high in the alcohol content .... LOL

You guys will be fine. :D

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Specializes in GI, Outpatient Surgery.

Wow Lunah-- What would we do without you on here!?!:bow::bow:

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Specializes in Acute, Adult Gerontology.

Hey dslpninla on your question about WIIGS, I found something else (Wont I Be Glad I Put On Two Dry Socks First) = Wash hands, Introduce self/I &O, Band check, Glove, IV site check, Pinch for turgor fontanel, Off gloves, Tubing, Drip rate, Solution verification, Fluid Baseline. I hope it makes sense/help.

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Specializes in GI, Outpatient Surgery.
Hey dslpninla on your question about WIIGS, I found something else (Wont I Be Glad I Put On Two Dry Socks First) = Wash hands, Introduce self/I &O, Band check, Glove, IV site check, Pinch for turgor fontanel, Off gloves, Tubing, Drip rate, Solution verification, Fluid Baseline. I hope it makes sense/help.

Thanks! I can remember that one!! But turgor is part of the 20 min checks?? I dont see that in the sg??? Am I missing something here or just confused?:confused:

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Specializes in Geriatrics, Psych.

No hydration status via turgor, fontanel or oral mucosa is not part of the 20 min check... It is something that some students add because it is effecient. You will not fail a PCS if you do not assess hydration status in the 20 min check. Hope this helps... Good Luck!

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Specializes in Tele/Neuro/Trauma.
Thanks! I can remember that one!! But turgor is part of the 20 min checks?? I dont see that in the sg??? Am I missing something here or just confused?:confused:

Rob recommends in his videos that if you are doing your 20 minute check and assessing an IV that you follow up the arm, assess the tubing for the IV, also check the skin turgor while you are right there and trace back oxygen tubing if you are assigned oxygen management, verify the flow and assess the ears and nares. Get all these things out of the way during this time.

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Please email me his mnemonics...Thanks!

[email protected]

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Specializes in LTC, Hospice.

Skin turgor is part of hydration status.

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Specializes in Tele/Neuro/Trauma.

Awww this thread was fun to read, I still can't believe it's all over... DS remember how freaked out we were... ahhh memories... 11/18 group diplomas are coming in 9 days!!!!! :-)

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