CPNE Question

Nursing Students Online Learning

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Im studying for my cpne and had a quick question. When doing ayour transfer for mobility after you transfer the patient to a chair or whichever do you need to transfer them back before you leave the room? Also can you wait and do the transfer at the end of your PCS? Just move them to the chair then get out while you can?

Specializes in Surgery, Med/Surg/ICU, OB-Peds, Ophth.
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i came across this link with cpne tips and thought it was quite interestingtips

http://www.emt-trainingcenter-911.com/cpne_tips_from_kimo.html

all the best in your studies.

great link, and i like the tip of doing the 02 sat 1st to get a baseline before assessing vs.

brought up 2 questions that i don't really understand which i copied and pasted below:

**use your implementation start/stop times to calculate icd fluids, if the fluid runs out. (happened to me twice. once

with an iv, once with tpn. what does the author mean by start/stop times for implementation?

remember, manual bp once for the entire weekend. no faster than 2mmhg / second, especially if the hr is normal range or brady. (one student failed because of this). if you are assigned pulse ox, do that first so you can get an indication of the hr, do that also before your pulse, check. i knew that we had parameters for how high we can pump up our bp cuff but i wasn't aware that speed was a critical element, i suppose physical jeopardy? i have to release air very slowly anyway because my hearing is a bit poor in one ear so no fear of being speedy here, but found it interesting

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I have a question too, he says wash your hands at the beginning and then gel everytime after that. Don't you have to wash your hands everytime you come back in the room with the patient or leave the room, not just gel? Also he talks about taking vitals and having gloves on and using a spare pin to write them down and all that, first off do you need to wear gloves while doing vitals? and secondly if you don't have to wear gloves can you not inbetween vitals write them down and then do the next ones? Im confused on the process of taking vitals and writing them down, i thought it would be you take them, write them down and that's that not all this gloving up washing pen gloving down and all.

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Hi Loops, i am studying like crazy on this. they way i understood this icd calculations is whateva fluids r hung and run out during your pcs, theyre on yo input..

Ive been watching you tube videos on Vital Signs (thru my scheduled workshops website- you refered me to Tina).. BP should be slow pumping 2mm/2sec or so.. and remember you have to pump first while feeling the brachial artery for your systolic then release and do the actual bp taking, slowly.

good luck with your studies!!

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Hi, Excelsior CPNE DVD and study guide says: Wash hands before and after touching a patient or after taking off gloves, and you cannot be failed for washing hands, but can be failed for not washing hands. (pg126 18th ed study guide). For oral temp, i would wear gloves, wash hands or gel, write down, then BP and the rest dont need gloves, i guess i would throw away that pen and then wash after.??? will send them an email asking about this.

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What I don't understand is after we do the vitals why the pen has become so dirty that it needs to be washed or thrown away?

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Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

You do not need to discard your pencil. If you are having questions about the flow of handwashing for asepsis purposes, arrange a call with EC and discuss it with an advisor. You're making it far more complicated than it needs to be.

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That's what I was thinking, I didn't think it was that complicated till people start talking about throwing pens away and washing them. I know if you drop it on the floor you have to wash it.

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Specializes in Surgery, Med/Surg/ICU, OB-Peds, Ophth.
What I don't understand is after we do the vitals why the pen has become so dirty that it needs to be washed or thrown away?

I agree Lunah--We wash, glove, oral temp, glove off, gel and document temp with pen~asepsis is not violated. I did read where students will bring 10 pens, in case they fall to the floor and I guess that works too, but you still need to pick up the pencil, off the dirty floor, so washing/gloving still could happen.

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Specializes in Surgery, Med/Surg/ICU, OB-Peds, Ophth.
That's what I was thinking, I didn't think it was that complicated till people start talking about throwing pens away and washing them. I know if you drop it on the floor you have to wash it.

Oh I know what you mean! I think we invest so much in this exam, that we pick a part every single aspect, assessment, critical element, etc to be sure we understand it before we have our one chance to put it into motion, and we want to do it right, lol. Here is one for obsessing: If you have the 18th edition, check out page 115, under Caring in the highlighted box. It states we need to ID the patient before any assessments or any care, which leads me to believe ANY assessments! ALL CARE? So, we ID, then fluid management, ID, mobility, ID skin assess, ID reposition (ANY CARE?!). That is what the wording leads me to believe, but I know that Nona said it is the Introduction/ Medication/IV/Enteral Feed/Meds via g-tube/wound care type things that we need to ID for, but the wording in the study guide complicates the matter, not simplifies it. I re-read all about Caring, and couldn't find any clarification of this.

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