NCP question

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Specializes in GI, Outpatient Surgery.

In going through the cpne study guide i have a ? On the ncp outcomes to write. I was always taught in lpn school that it had to have "pt will" in it and it has to have a measurable time frame such as " by end of shift or by end of pcs".

Is this correct? I dont see this in the study guide answers for the practices. Thanks for any help!

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Specializes in Tele/Neuro/Trauma.

Yes that's how I am thinking we are to do it.

so example of one I was messing around with:

Dx: Acute pain r/t knee surgery AEB pt voices pain level of 5/10 on pain scale

Interventions: Reposition patient for comfort x 1, Apply cold pack as directed to affected area

Implementation would be going with what your are assigned on your Kardex (ie, applying ice/heat so thats why you would make your interventions these things to keep it simple

Goal (measurable): Pt will voice a decrease in pain level during this PCS (I think that the acceptable pain score is 3, but I have to double check)

Outcome would be: Pt voiced pain level of 3/10 by the end of PCS

I am still learning too, so tell me if this is how you are doing your care plans :-)

If you go on the EPN, under nursing discussions, they give you PCS scenarios to write a care plan for, and you can send them in to EC for grading as a word document. I am going to start doing them after the FCCA is done.

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Specializes in GI, Outpatient Surgery.
Yes that's how I am thinking we are to do it.

so example of one I was messing around with:

Dx: Acute pain r/t knee surgery AEB pt voices pain level of 5/10 on pain scale

Interventions: Reposition patient for comfort x 1, Apply cold pack as directed to affected area

Implementation would be going with what your are assigned on your Kardex (ie, applying ice/heat so thats why you would make your interventions these things to keep it simple

Goal (measurable): Pt will voice a decrease in pain level during this PCS (I think that the acceptable pain score is 3, but I have to double check)

Outcome would be: Pt voiced pain level of 3/10 by the end of PCS

I am still learning too, so tell me if this is how you are doing your care plans :-)

If you go on the EPN, under nursing discussions, they give you PCS scenarios to write a care plan for, and you can send them in to EC for grading as a word document. I am going to start doing them after the FCCA is done.

Glad we are on the same page- thats EXACTLY how im doing mine.:)

I did tweak your ncp and i hope you dont mind! Just as i do for mine , i want yours to be the best as well! Notice a few changes i made:: again i hope you are ok with me going over it.

Acute pain r/t surgical incision (or tissue trauma maybe) AEB pt verbalizing pain level of 5 on 0-10 pain scale (dont think we put a sx bc supposedly it "blames" the surgeon- read that in sg)

Interventions: Reposition patient for comfort x 1, Apply cold pack as directed to affected area (just make sure its within correct time frame as in 24 for ice and outside 24 for heat)

Implementation would be going with what your are assigned on your Kardex (ie, applying ice/heat so thats why you would make your interventions these things to keep it simple

Goal (measurable): Pt will verbalize a decrease in pain level to 3 out of 10 during this PCS (I think that the acceptable pain score is 3, but I have to double check-- i think you are right on three but i know we have to put that in outcome since its the measurable part)

Outcome would be: Pt voiced pain level of 3/10 by the end of PCS

What do you think?? I too want/ NEED. To start those ncp scenarios. I pulled all my old ncp from lpn school to go over. I used to be good, but its been six years! Lol

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Specializes in GI, Outpatient Surgery.

Beachie- r u reading sg? If so how far have you gotten? Its taking f..o..r..e..v..e..r! Lol

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Specializes in Tele/Neuro/Trauma.
Glad we are on the same page- thats EXACTLY how im doing mine.:)

I did tweak your ncp and i hope you dont mind! Just as i do for mine , i want yours to be the best as well! Notice a few changes i made:: again i hope you are ok with me going over it.

Acute pain r/t surgical incision (or tissue trauma maybe) AEB pt verbalizing pain level of 5 on 0-10 pain scale (dont think we put a sx bc supposedly it "blames" the surgeon- read that in sg)

Interventions: Reposition patient for comfort x 1, Apply cold pack as directed to affected area (just make sure its within correct time frame as in 24 for ice and outside 24 for heat)

Implementation would be going with what your are assigned on your Kardex (ie, applying ice/heat so thats why you would make your interventions these things to keep it simple

Goal (measurable): Pt will verbalize a decrease in pain level to 3 out of 10 during this PCS (I think that the acceptable pain score is 3, but I have to double check-- i think you are right on three but i know we have to put that in outcome since its the measurable part)

Outcome would be: Pt voiced pain level of 3/10 by the end of PCS

What do you think?? I too want/ NEED. To start those ncp scenarios. I pulled all my old ncp from lpn school to go over. I used to be good, but its been six years! Lol

Of course I don't mind,thank you for correcting it :-) I want us both to be writing awesome care plans!! I heard Sheri Taylor is the care plan queen so I am hoping by taking her workshop I can write good ones! I am so lazy when it comes to care plans because at my work all we do is put in our assessment and the computer pre-populates it and we just check boxes, so this is something I really need to practice!!!

I actually started reading in the back of the study guide. I am reading the last unit first because I have heard from so many students that this part is the most important since it contains all the PCS documentation sheets, so I thought maybe if I read all these things first that the rest might make more sense. It just seems like so much stuff, like I feel like I need a month to figure out exactly how the CPNE works!

I think we get our FCCA today! YAY :-)

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Specializes in GI, Outpatient Surgery.

To go w what im reading.

Of course I don't mind,thank you for correcting it :-) I want us both to be writing awesome care plans!! I heard Sheri Taylor is the care plan queen so I am hoping by taking her workshop I can write good ones! I am so lazy when it comes to care plans because at my work all we do is put in our assessment and the computer pre-populates it and we just check boxes, so this is something I really need to practice!!!

I actually started reading in the back of the study guide. I am reading the last unit first because I have heard from so many students that this part is the most important since it contains all the PCS documentation sheets, so I thought maybe if I read all these things first that the rest might make more sense. It just seems like so much stuff, like I feel like I need a month to figure out exactly how the CPNE works!

I think we get our FCCA today! YAY :-)

Im going to do sheris as well. I ordered that skill kit and i still need to set up areas for them.Have you started the sim labs yet? Ive heard unit four was the meat and bones of the sg so thats where i am. I do need to pull out the appendices to go with what im reading!

Yes fcca comes today!!! Not sure if im excited or more worried! LOL!! Will write and keep u informed!

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