FAILED IN SYRACUSE
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I am so happy for you Kelly. I failed that last PCS because I forgot to check off skin turgor on the PCS recording form. Sheryl admitted that she saw me do it, I also did mucous membrane check, she saw that too. I had a s/p spinal fusion man with ab assess, resp management, comfort, PVA oral care,meds, multiple IV TPN, man had bilat CVA events during surg and lost his swallow reflex, NPO. My peds was a 5 month old with multiple cancerous liver tumors, had ab assess, resp assess, diapers, comfort, apical resp, bp pain mgmt pt teaching of mom. Passed it no problem. I had a feeling this was not a go for me right from the start when they were short a CE and I had to do all the labs last and my first PCS that I prepped for Friday nite and had a different pt on Sat morning with only 20 minutes to prepare for. I worked like crazy on that Friday nite care plan and Kardex only to not have that pt on Sat morning and I still passed the first PCS. My second PCS on Sat was s/p colon resection ab assess, resp mgmt, vitals, comfort, PVA, assist to ambulate. She was still NPO with 2 iv very dry with a weak thready pulse that I couldnt keep track of doing radial. CDM for apical, this CE had the oldest, crappiest steth, could barely hear, and the plastic earpiece broke off sand the steel rod went in my ear, scratched somethin in there , so I had one ear bleeding and the other unable to hear apical. I asked her for another steth, she said no, so I had to guess the count of course I got it wrong and failed, hence the Sunday PCS repeat where I forgot to check off skin turgor. Maybe I should play the lottery, my luck is bound to improve.!!! Thanks to all who encouraged me along the way.
Maureen