CPNE skills

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Specializes in Tele/Neuro/Trauma.

Someone on the EPN posted this today, I am wondering how you guys are doing it. When you are giving your SQ and IM injection are you practicing to scoop and recap the needle? Recapping is something I never do and was taught never to do, in the study guide it says "IF you are recapping your needle use the one handed scoop technique". I am wondering if we may leave gloves on to do the whole station (I don't usually draw up meds without gloves anyways... I know kinda weird, but especially insulin, it smells bad LOL).... for IM station we don't put the needle on until after we get our gloves on or atleast this is what I thought and how I have been practicing it, I have been drawing up med, putting in sterile wrapped, putting on gloves and then attaching appropriate needle... or for the SQ station can we ask the examiner to hold the syringe after they verify 2nd dose of insulin and said "can I put my gloves on while you hold that?", this is what Rob says to do and what my plan was, I was not going to risk stabbing the table with an insulin syringe trying to scoop the cap back on, but the students on the EPN made it sound like capping is required?

What do you guys think???

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Specializes in GI, Outpatient Surgery.
Someone on the EPN posted this today, I am wondering how you guys are doing it. When you are giving your SQ and IM injection are you practicing to scoop and recap the needle? Recapping is something I never do and was taught never to do, in the study guide it says "IF you are recapping your needle use the one handed scoop technique". I am wondering if we may leave gloves on to do the whole station (I don't usually draw up meds without gloves anyways... I know kinda weird, but especially insulin, it smells bad LOL).... for IM station we don't put the needle on until after we get our gloves on or atleast this is what I thought and how I have been practicing it, I have been drawing up med, putting in sterile wrapped, putting on gloves and then attaching appropriate needle... or for the SQ station can we ask the examiner to hold the syringe after they verify 2nd dose of insulin and said "can I put my gloves on while you hold that?", this is what Rob says to do and what my plan was, I was not going to risk stabbing the table with an insulin syringe trying to scoop the cap back on, but the students on the EPN made it sound like capping is required?

What do you guys think???

Seriously glad you wrote this bc i have been thinking of this question soooo much!! I too was always taught NOT to recap ANY needle, but did learn the scoop method. I am not sure exactly what to doin this situation. I honestly planned on researching it some!! Btw- maybe i missed it but form IM station we will change needle to different one?

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I never rescoop as well, the needles I work with, I lock after I draw up med then pull back before I insert it. These needles won't lock? I never recap. The locked syringes are all I ever used

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Specializes in Tele/Neuro/Trauma.
Seriously glad you wrote this bc i have been thinking of this question soooo much!! I too was always taught NOT to recap ANY needle, but did learn the scoop method. I am not sure exactly what to doin this situation. I honestly planned on researching it some!! Btw- maybe i missed it but form IM station we will change needle to different one?

I don't know if the IM station we are drawing meds out of the vials with the stoppers or drawing up the med with the needle already attached. I would think that if you use the needle you would change the needle since you are shoving it through a rubber stopper but according to EC this is not necessary, I always change the needle for IM after I draw up meds. This is another question I guess I have. I have been drawing them up with these little pokers I got from work since I don't have the stoppers and then attaching a needle to it since I was under the impression we have to pick the correct needle for IM injection off the table. SO hard to separate the EC world from the real world right now and I am second guessing everything!

I have a serious CPNE migraine right now. I just sent in another care plan to Sheri, working on finishing my PCS for EC and I think I need to call it a day!

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Specializes in GI, Outpatient Surgery.
I don't know if the IM station we are drawing meds out of the vials with the stoppers or drawing up the med with the needle already attached. I would think that if you use the needle you would change the needle since you are shoving it through a rubber stopper but according to EC this is not necessary, I always change the needle for IM after I draw up meds. This is another question I guess I have. I have been drawing them up with these little pokers I got from work since I don't have the stoppers and then attaching a needle to it since I was under the impression we have to pick the correct needle for IM injection off the table. SO hard to separate the EC world from the real world right now and I am second guessing everything!

I have a serious CPNE migraine right now. I just sent in another care plan to Sheri, working on finishing my PCS for EC and I think I need to call it a day!

Where are you withsheris? I just turned in ncp assgnmt 10.

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Specializes in Tele/Neuro/Trauma.
Where are you withsheris? I just turned in ncp assgnmt 10.

I am way behind you! I just sent in NCP 6.

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Specializes in GI, Outpatient Surgery.

I wonder how this will progress, meaning how many ncp til we start narratives, etc. #10 I was unsure of a bit.

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Specializes in Geriatrics, Psych.

Ok about the recap thing.... I agree we were taught never to recap after IM or sub q is given.... so we don't get stuck with Pt germs.... But wh at if you draw it upin 1 place and then have to carry it to the pt... or the dummie at the labs.... You can't walk down the hall or across the room with a needle that is un capped. Packaged or not....

Also the needles are already attached to the syringes to draw and we don't get to take them off to carry and then reapply a new one.

Get used to recapping after the draw to take to the Pt or dummie using the scoop method... it is a standard of care, listed in your procedures of the recommended Fundamental's of Nuring Text that EC uses and goes by.

Hope this helps

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Specializes in GI, Outpatient Surgery.
Ok about the recap thing.... I agree we were taught never to recap after IM or sub q is given.... so we don't get stuck with Pt germs.... But wh at if you draw it upin 1 place and then have to carry it to the pt... or the dummie at the labs.... You can't walk down the hall or across the room with a needle that is un capped. Packaged or not....

Also the needles are already attached to the syringes to draw and we don't get to take them off to carry and then reapply a new one.

Get used to recapping after the draw to take to the Pt or dummie using the scoop method... it is a standard of care, listed in your procedures of the recommended Fundamental's of Nuring Text that EC uses and goes by.

Hope this helps

That makes sense- thanks! My Fundamentals book is a few yrs old. Thank you!!

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Specializes in Geriatrics, Psych.

You are very welcome :)

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Specializes in GI, Outpatient Surgery.
You are very welcome :)

Have you completed the CPNE already?

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Specializes in Geriatrics, Psych.

Yes I have Nov 2005 and currently teach the workshop in Pa

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