First 20 minutes?????

herbivorousRN · Jun 3, 2008

H-- hand wash

I--- introduce self to patient

N--name band check

D--don gloves

S--solution infusing

I--- infusion rate

T--- tubing

E---examine site

During the first 20 minutes, you must check pt ID, and if they have an IV (or tube feeding) you have to verify solution infusing, infusion rate,check tubing for kinks, and look at site to make sure it has no s/s infection or infiltration. DO IT AS SOON AS YOU ENTER THAT PT'S ROOM !! Your nerves are shot and the minutes tick away FAST.

Above is the neumonic I used for my 20 minute check when I took

(and passed) CPNE in Plano last January. God....can't believe it's been a year and a half ago!! I still remember it like yesterday) Good luck to you and everyone else here

cheryl

Firemedic7 · Jun 3, 2008

H-- hand wash
I--- introduce self to patient
N--name band check
D--don gloves
S--solution infusing
I--- infusion rate
T--- tubing
E---examine site
During the first 20 minutes, you must check pt ID, and if they have an IV (or tube feeding) you have to verify solution infusing, infusion rate,check tubing for kinks, and look at site to make sure it has no s/s infection or infiltration. DO IT AS SOON AS YOU ENTER THAT PT'S ROOM !! Your nerves are shot and the minutes tick away FAST.
Above is the neumonic I used for my 20 minute check when I took
(and passed) CPNE in Plano last January. God....can't believe it's been a year and a half ago!! I still remember it like yesterday) Good luck to you and everyone else here
cheryl

thats a big help. I don't get credit for checking those things until i record it on the pcs recording form, correct?

hrire · Jun 3, 2008

That's correct you don't get credit if you don't write it on your form but I also have another tip. When I took my CPNE at Madison, WI I failed my first PCS. I walked into my pt's room and she was sitting up in her chair but she wanted to go back to bed. I introduced myself and asked her if I could do my resp. assessment before she went back to bed. I finished my rep. assess. and the CE asked me to leave the room because I had forgoten to check my i.d. band before initiating care. Believe me I never made that mistake again.

Up2nogood RN, RN · Jun 5, 2008

Hey all-
Just got back from Columbus workshop- it was great!!
Just to put it all together, what needs done in the 1st 20 minutes? Continuous IV needs checked for rate and IV site, Continuous feeding checked for rate what else?

I'm only asking this question b/c I'm going to a workshop in July- the one you attended didn't go over 20 minute checks and what was required to check and document :confused:

Firemedic7 · Jun 5, 2008

I'm only asking this question b/c I'm going to a workshop in July- the one you attended didn't go over 20 minute checks and what was required to check and document

They covered EVERYTHING!! My brain was just so full of all the info I was just confirming some things.

Firemedic7 · Jun 5, 2008

That's correct you don't get credit if you don't write it on your form but I also have another tip. When I took my CPNE at Madison, WI I failed my first PCS. I walked into my pt's room and she was sitting up in her chair but she wanted to go back to bed. I introduced myself and asked her if I could do my resp. assessment before she went back to bed. I finished my rep. assess. and the CE asked me to leave the room because I had forgoten to check my i.d. band before initiating care. Believe me I never made that mistake again.

I was asking if I have to document this in my first 20 minutes or can I just verbalize it and record it later?

Up2nogood RN, RN · Jun 5, 2008

And I don't suppose we can use a digital recorder in the workshop...I figure that'd be too good to be true LOL. I assumed that they went over those things but just checking, thanks.

Firemedic7 · Jun 6, 2008

And I don't suppose we can use a digital recorder in the workshop...I figure that'd be too good to be true LOL. I assumed that they went over those things but just checking, thanks.

Yep, no recording anything.

hrire · Jun 7, 2008

I was asking if I have to document this in my first 20 minutes or can I just verbalize it and record it later?

You need to document it on your PCS form because depending on the instructor they may ask to see your form after the first 20 minutes. I only had one instructor ask, but you never know so be prepared.

Melinurse · Jun 7, 2008

Make sure your 20 minutes checks are in writing! Think of it as you are documenting your care. If it is not documented it was not done, even if the CE sees you do it.

First 20 minutes: wash hands

introduce yourself and CE and explain interaction

check ID band

ask how they prefer to be addressed

check IV ( Tube Feed ) is rate right? Is site ok? Is it the right solution?

put on gloves to check the IV site

check skin turgor , fontanelle, mucus membrane

wash hands again

Pay attention to your Standard Precautions

I work at a test site and see many many many fail for not following Standard Precautions. Second most common reason I see for failures is incorrect I&Os. Stress is number three reason.

Remember to document everything.