CPNE,....Anyone have any neg. experiences - page 3
I am finished with the Assc. program, with the exception of completing the CPNE, which I have Frustratingly taken twice now, has anyone else "breezed" through the program, like myself, only now to be... Read More
Nov 26, '05I am in a holding pattern . Everything is done but the CPNE. I have sent my application in and await my date. Right now I am excited to dig in and get down to business. I am looking at this as an opportunity not something scary any more. I will probably switch back and forth a few times though!
Nov 27, '05Hi all !!! I'm feeling more rested now! Here's my
been through CPNE twice...........Accounts of PCS's
ended up not
helping me at all what made the difference was
Between my first and second CPNE I did not study at
all, what I did
was organize. OKAY.......First.......grab your
highlighter, and some sticky tabs to mark your pages.
(I passed my
marked Carpenito's on to a student who had failed
twice so I can't
give you the page numbers).
1. In the front of the book where the pages are
marked with Roman
Numerals, I think around page XXXViii , about 3/4 of
the way down the
page find and highlight these words:
"if not managed now will deter progress to achieve
This is your "rationale for choice as a priority
for all three of your PCS no matter what dx you use!!!
Now put a
sticky tab on that page so you can flip to it fast
2. Go to the section for Infection. Find and
phrase: related to a site for organism invasion
secondary to presence
of an.... then highlight "an invasive line",
etc..... Then find and highlight "be free from
infectious processes during hospitalization" Your
would be things that you do anyway 1. meticulous
handwashing and 2
aseptic technique. Now put your sticky tab on this
section. So when
you put it together it goes: Risk for Infection
related to a site
for organism invasion secondary to presence of an
invasive line. Or
you could use related to surgical incision, wound or
3. Go to the section for Injury. Find and highlight
related to unfamiliar hospital enviroment. Pick an
highlight it and for interventions use things you'll
do anyway such
as bed down, side rails up X 4. Call light at reach.
4. Go to section for Altered Comfort and find and
phrase: related to tissue trauma and reflex muscle
to surgery or "whatever" applies. Find and highlight
the outcome of
your choice. I used the patient will relate relief
satisfactory relief measure as evidenced by a pain
level of 3 on a 0-
10 scale. Highlight your choice of interventions. I
relaxation with a back rub and Provide pt. with
optimal pain relief
medication, return in 30 minutes to assure
you can only highlight in book. DO NOT write anything
5. Now the other areas to mark with sticky page tabs
Altered Nutrition, and Impaied Physical Mobility. I'm
sorry I can't
tell you what to highlight in these sections because I
but you guy's are smart or you wouldn't have gotten
this far!! Mark
yourself a related to, an outcome, and generic type
These 2 Risk for sections, Infection & Injury and 4
sections: Comfort, Anxiety, Nutrition and Impaired
mobility should help you cover 99% of any PCS
situation. And since
your pages are tabbed and phrase highlighted you can
get to them
fast, if you need another dx you'll just have to do
This is really important!!!! Everything that is
required within the
first 20 minutes is to be recorded on the "PCS
Recording Form" so
when you go into the patient's room your priority
should be to get
everything filled out on that "PCS Recording Form"
even if it's only
marking N/A. EVERY line on that page has to have
something on it.
Now for more organization! In your planning phase,
booklet over to the blank page, draw a line down the
middle of the
page. Actually more off to the right. On the left side
each assigned area including Mobility and Fluid
Management and list
each critical element. On the right side write at the
top of the
page "Safety" and write down side rails up X 4 and
whatever else is
assigned. Then draw a line and title the next square
write down there a list of any supplies that you will
need. Draw a
line and title the next square
"meds" and write down the meds and what time they
The next square will be vitals signs and make a note
as to what you
have to do such as axillary temp, apical pulse
Then have a miscellaneous section. Now go back to the
kardex and highlight each and everything that has been
and make sure you have it on your planning phase page.
When you go
in the room and have finished the PCS Recording Form
turn the booklet
over and start doing everything you have written and
cross off each
item as you do it. Now you are taking a "open book
test!!" My CE's
were blown away by my planning page.
Finally, you now have to remember things like to wash
make sure have the rails up anytime you leave the
room, sign the MAR
as you give the meds so you won't forget, Ask the
level of pain on a 0-10 scale both initially and when
asking as a
reassessment. You'll fail if you reassess and just ask
Clarify to the pt you are asking for a number on a
If O2 is running but you are not assigned Oxygen
Management you will
not be expected to do the CE's but you do have to
chart that the O2
is running and being maintained under other
considerations which is
the last section in the nursing notes.
For the section continue plan I used this for each
"requires on going management gradually decreasing as"
So it looks like this: Acute Pain requires on going
gradually decreasing as less pain medication is needed
and level of
pain decreases. You just start with your diagnosis
and end with
whatever is appropriate.
Well this is my story and I'm sticking to it! This is
what got me
through with no repeats and with far less anxiety than
time!!!!!! Practice making your planning page over
and over so
you'll be able to do it out of habit. I took about 30
minutes to do
each planning phase during the PCS. That 30 minutes
was the key to
success!!!!! Finally have faith in yourself and have
you on their prayer list. GOD BLESS and GOOD
Jun 9, '06Quote from drawtjIt's not necessarily nerves and stupid mistakes, but many times that is the case.I am with Excelsior College. I know the critical elements--it's nerves and stupid mistakes. Any suggestions on a good place to test at next???
Thanks for your input!
Amarillo was a wonderful place to test. The people were laid back and not uptight like in the northeast.
I'm not slamming northerners, but I went to a workshop with mostly northerners and they were talking about how they would never go to Texas because the people were so backward and redneck.
I guess I was with my own kind.
Jun 10, '06remember THIS IS A TEST. i went in the second time thinking i'm going to WORK HARD. instead of focusing on passing focus on working hard. and wash your hands like mad. i was at racine and they have a little cabinet outside the room any time i touched that cabinet before or after i washed my hands.
Jun 10, '06I took the CPNE in the "uptight northeast" Syracuse. The CA and CEs were outstanding, friendly and fair.We had 5 in our group and all 5 passed.By Sunday the students had bonded and we prayed together before commencing peds.Controlling stress and a proactive confident attitude was helpful.Act like you are there to take what is rightfully yours!Reflecting back on the CPNE I think it gets so built up in our minds because it is the end of our education journey,expensive and has a degree of subjectivness...not like an exam where the computer says right/wrong.I literally needed two weeks after the CPNE to decompress, not looking at any book,or even thinking past "what is for dinner" .I would not enjoy subjecting myself to the stress of the CPNE but it IS doable.
Jun 10, '06i failed my first cpne. that was a very negative experience. however, i took it very lightly and my preparation was a joke. i never practiced a single lab or pcs before i went to a seminar in albany. i took the cpne the very next day after the seminar. not a good choice. in retrospect, i deserved to fail.
i rescheduled and nailed it 3 months later in atlanta.
Jun 12, '06Thank you Dutchgirl RN! I have been so daunted by the CPNE study guide I haven't known where to start. I highlighted your suggested areas and even some more like; Acute Pain, Ineffective Thermoregulation; Risk for injury, Imparied Physical Mobility, Impaired Oral Mucous Membranes. That should cover an abundance of med/surg PCS. I like how the book pretty much spells it out step by step. That will really help in developing a care plan. I am not looking forward to he CPNE, but I am eager to get it over with.
You mentioned to highlight in pafe XXViii regarding priority Nursing Dx... "Prioority Nursing Dx are those that if not managed now, will deter progress to achieve outcomes or will negatively affect the client's funcional status." In the 10th Edition anyway, it is 1/3 of the way down p. xxxv. I don't think much more explaination will be needed in proving my rational for nursing interventions, etc.
You have been most hepful.
Mar 7, '09I just failed feb.20-22, @ Albany med center.I am still upset. I became very nervous, but I can honestly say I was not ready. I only studied for about 30 days and I did not take the workshop. I think some of the little things got me, for example opening the sterile 4x4s,not touching the edge of the wound on the dressing dummy. I was very nervous. My main failure was that in checking level of conciousness I did not ask the patient if she knew where she was. We talked about being in the hospital but I did not ASK her.I am working in a hospital and the only thing I can think of to do,is practice on my patients to the point where it becomes a habit instead of having to think about every single mneumonic.Ther are time limits of 20 minutes for this,30 minutes for that and it gets very confusing.
Mar 25, '09I am just beginning Excelsior and from what I have read about the CPNE really has me wondering if they are this tough why are all these BONs questioning Excelsior? Texas being the latest. I find it ridiculous on some of the things that they can fail you for, but what can you do?!?
Mar 25, '09Quote from NURSET2007The CPNE is not hard.....People make it hard by not preparing or letting their nerves take control. Just study your critical elements and prepare for about 3 months prior to taking the test. I think reading a bunch of negative information stresses people out. My experience was good--I passed everything on the first try. I studied and passed. The test was just as outlined in the guide.I am just beginning Excelsior and from what I have read about the CPNE really has me wondering if they are this tough why are all these BONs questioning Excelsior? Texas being the latest. I find it ridiculous on some of the things that they can fail you for, but what can you do?!?
Mar 26, '09Quote from NURSET2007Yes...I got my lovely "Texas Letter" I plan on writing senators, congressman...Whomever I have to. Put too much time into this now to throw it away...and I want others to be given this same opportunity to complete this program. If it happens will be grandfathered in? Have to do extra clinical hours? I know we will definitely have a dead line...Which I need to work on any way. Good Luck to all in Texas! TraciI am just beginning Excelsior and from what I have read about the CPNE really has me wondering if they are this tough why are all these BONs questioning Excelsior? Texas being the latest. I find it ridiculous on some of the things that they can fail you for, but what can you do?!?
Mar 26, '09Quote from Raggedy AnnSounds like Georgia all over again.Yes...I got my lovely "Texas Letter" I plan on writing senators, congressman...Whomever I have to. Put too much time into this now to throw it away...and I want others to be given this same opportunity to complete this program. If it happens will be grandfathered in? Have to do extra clinical hours? I know we will definitely have a dead line...Which I need to work on any way. Good Luck to all in Texas! Traci