For my CPNE buddies

anjule18 · Jun 24, 2011

I jut got mine yesterday. I didn't get to listen to it yet. I like how the cards are on a key ring to keep them together. The audio isn't good, but you can make out what it says?? I hope so. I didn't but anything but the cards and audio from EC. Glad you approve!!

BeachieRN84 · Jun 24, 2011

I also have the workbook and the orientation DVD. The workbook has a ton of practice PCS's and the orientation DVD looks a bit out dated or something but kind of gives you an idea of what is going to happen at the CPNE. If you look in the back of your study guide, there are no surprises, the script that the CE and the CA say are all there for every phase and lab station.

I can def make out what it says LOL. I wish I could get Rob on my ipod. Someone on FB figured it out but I can't get it to work.

anjule18 · Jun 24, 2011

I read the SG, but I will check out the back more closely. Thank you for the tip! I read and read, and yet I still read thinking I-never-saw-this-before.lol So much info!! I think the brain just absorbs so much and shuts off, well at least mine does.

dslpninla · Jun 24, 2011

I also have the workbook and the orientation DVD. The workbook has a ton of practice PCS's and the orientation DVD looks a bit out dated or something but kind of gives you an idea of what is going to happen at the CPNE. If you look in the back of your study guide, there are no surprises, the script that the CE and the CA say are all there for every phase and lab station.
I can def make out what it says LOL. I wish I could get Rob on my ipod. Someone on FB figured it out but I can't get it to work.

In the sg.... I dont understand what they are asking us to do at the end with the pcs's. Im a bit confused.

Ill def get the flash cards and tape /cd for the car. Thanks for the heads up!!

dslpninla · Jun 24, 2011

UPDATE----ordered!! $32 total for both! Ill take anyhelp i can get!

Any idea on those sg pcs's?? Thanks!!

BeachieRN84 · Jun 24, 2011

UPDATE----ordered!! $32 total for both! Ill take anyhelp i can get!
Any idea on those sg pcs's?? Thanks!!

You mean the Kardex's and sample patients? You can take those out and you can do documentation and care plans just like you were at the CPNE and send it to Excelsior for grading, one per week. I am still waiting for my first one to come back.

dslpninla · Jun 24, 2011

You mean the Kardex's and sample patients? You can take those out and you can do documentation and care plans just like you were at the CPNE and send it to Excelsior for grading, one per week. I am still waiting for my first one to come back.

Yes those. I guess I am confused on what they want us to do. Fill out the ncp. But for the narratives, if no resp mgmt was assigned how do we document it? Just make it up?

~KelRN~ · Jun 24, 2011

Who do you order them from? Excelsior, Robs, Sheri's?

dslpninla · Jun 24, 2011

Who do you order them from? Excelsior, Robs, Sheri's?

They are from Excelsior under Study Materials. It was $32 for both shipped.

BeachieRN84 · Jun 24, 2011

yes those. i guess i am confused on what they want us to do. fill out the ncp. but for the narratives, if no resp mgmt was assigned how do we document it? just make it up?

you document on it just like it was your pcs at the cpne. follow the kardex and if you have the two stars next to say, oxygen mgmt, resp assessment, comfort measures and pain management, that is what you write narratives on.

here is one of the ones i've sent in, i don't know if i did it right yet though.

planning phase:

(priority) nursing dx #1: ineffective airway clearance related to reactive airway disease as evidenced by dyspnea, hoorifice cough and audible wheezing.

goal: the patient will maintain a patent airway at all times during my pcs.

intervention #1: position patient upright to optimize respiration.

intervention #2: auscultate breath sounds.

rationale: maintaining a patent airway is a basic physiological need. if a patent airway is not maintained, complications such as respiratory failure may occur and prolong hospitalization. by maintaining a patent airway, patient will be able to participate in activities of daily living and plan of care.

nursing dx #2: risk for injury r/t alteration in mobility

goal: the patient will remain free from injury during my pcs.

intervention #1: ensure side rails are up x 2.

intervention #2: maintain call bell within reach of patient.

rationale: being free from injury is a basic physiological need. if injury occurs, complications such as immobilization may occur and prolong hospitalization. by being free from injury, patient will be able to participate in activities of daily living and plan of care.

narrative notes/implementation:

oxygen management:

this patient has oxygen at 3 liters via nasal cannula. skin around ears and in nasal passages inspected, no noted signs of breakdown and pt voices no discomfort. oxygen saturation is 96%. patient assisted to ambulate to the bathroom and showed intolerance to activity, shortness of breath noted and pt states "i feel tired". patient positioned in bed with head elevated 45 degrees to maintain optimal respiration. patient area inspected for fire hazards, none noted.

respiratory assessment:

patient positioned in bed with head elevated 45 degrees. observed patient for patterns of respiratory distress such as nasal flaring and accessory muscle use, breathing pattern unlabored and no use of accessory muscle noted, however respiratory rate remains slightly elevated at 24 breaths per minute. patient instructed to breathe slowly and deeply, lung sounds abnormal bilaterally in upper lobes and abnormal bilaterally in lower lobes. nonproductive, hoorifice cough noted.

patient teaching:

mother of patient at bedside, stated that this was a good time to learn about steroid therapy and use of bronchodiolater. patient's mother verbalizes she does not know much about these medications. provided her with verbal instructions and demonstration regarding usage of albuterol puffer and printed information regarding side effects, indications and usage of corticosteroids. patient's mother states "i understand how to use the inhaler and i understand that prednisone weakens my son's immune system, so i will make sure to use good handwashing."

mobility:

non skid socks were applied to patient's feet bilaterally and patient assisted to dangle on the side of the bed before ambulation. patient assisted to ambulate to the bathroom and back with hand-held assist. no unsteady gait noted. patient denies dizziness, however patient states "i feel tired" and exerts shortness of breath. patient assisted back to bed and repositioned for comfort and optimal respiration in a high fowler's position. side rails up x 2.

other observations: good oral hygiene encouraged due to usage of oral corticosteroids and inhaler. enteral fluids encouraged, patient states "i would like apple juice". patient provided with 2 juice boxes and drank both entirely. voided clear, yellow urine into urinal while assisted to restroom. patient states "i feel bored". offered patient paper and pencil to draw with, patient drawing quietly with mother at bedside.

pcs recording form:

vital signs: 101/52 left arm, 120 radial, 24 spontaneous, 99.7, pain level rated 0 on a faces scale of 0-5, oxygen sat 96% on 3l oxygen nc.

hydration status: oral mucous membranes observed, moist and pink.

enteral intake: 240ml, 240ml

output: 470ml clear yellow urine

evaluation:

(priority) nursing dx #1: ineffective airway clearance related to reactive airway disease as evidenced by dyspnea, hoorifice cough and audible wheezing.

goal: the patient will maintain a patent airway at all times during my pcs.

outcome was met, patient's airway remained patent throughout pcs, oxygen saturation 96%, no signs of acute distress noted.

intervention #1: position patient upright to optimize respiration.

intervention was effective, pt states "i feel better when i sit up".

intervention #2: auscultate breath sounds.

intervention was effective, patient able to breathe slow and deep, states "i feel better when i sit up" and "i feel tired."

rationale: maintaining a patent airway is a basic physiological need. if a patent airway is not maintained, complications such as respiratory failure may occur and prolong hospitalization. by maintaining a patent airway, patient will be able to participate in activities of daily living and plan of care.

dslpninla · Jun 24, 2011

That one was for will obrien right??

So just use the page with the kardex on top and selected aoc's on bottom and tryo to make the two nsg dx and eval statemt and documentation practice?? Are we to fill in the rest of the recording form? And why are the narratives done already if we are to practice them?

Im sorry im confused by this but i thank you for helping me!