Passed Cpne In Plano!

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The cpne is the most intense experience I have been through! I passed all my labs the first night so I was feeling pretty confident going into my first pcs. My care plan passed and I walked in the room and maybe lasted 5 minutes! I failed to identify the patinet against the kardex.

So the second one I wasn't feeling so confident but the CE was terrific and I passed my 2nd pcs. I got through the 3rd one who was the sickest patient I had. I felt terrible. I know she didn't feel good but she allowed me to assess her and she partook in the pcs. The one thing that happened is that I had abdominal assessment and I was listening to her abnomen and she didn't have any bowl sounds (she so had an ileus) so my nerves started coming out while I was listening to her abdomen (1 minute each quad!) and I started breaking out in flop sweat:chuckle The CE didn't say any thing but I not that she noticed.

My last one I did fine it was a patient with cholilithiasis and I used pain management as my poc. But of course she rated her pain at a 3 so I couldn't use it. I breezed through my critical elements because she was basically a negative assessment, she was eager to help me, and she was ambulatory. While I was doing the last phase I started freaking because I couldn't use pain management I spent at least an hour trying to figure out what to do because if I failed this one I failed the cpne! I was looking for other diagnosis to use etc. Then I realized that I could change my pain management diagnosis to at risk for pain (DUH:bugeyes:). Just goes to show you how your nerves can get the best of you!

The ce's and the ca's were wonderful and very very supportive. My best advice is know your pneumonics inside and out. Make your grid it's your guide,when you walk in the room work through your nerves and just be the best nurse you can be for your patient!

NCLEX OR BUST!

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

Way to go!!!!! :) :) :) So nice to have it done, isn't it? Now go burn your study guide! LOL

I failed what should have been my final PCS for not correctly ID-ing my patient, too. This thing is a test of PAYING ATTENTION! LOL

Specializes in LTC, Acute Care.

Congratulations......I know you feel like a very big burden has been lifted.

Specializes in Med/Surg Nurse, Homecare, Visiting Nurse.

Great job!!!!!! Congrats......celebrate!!!!!:up::D

Specializes in Pediatrics.

:yeah:Congrats! :yeah:

Specializes in Nurse Tech (Oncol.,Peds & Emer. Room).

Butterfly, Congrats! I can understand how nervous you were. Especially when they are looking over ya and you have a difficult pt. Last semester my instructor gave me 3 pts. with some psych. issues as well as they had everything under the sun. I got reprimanded for leaving an IV bag in the room. Nerves, nerves, nerves bluh...I could of cried....Well you passed thats awesome. What are pneumonics...critical elements etc..? Maybe I should start preparing now.....Well glad to hear everything turned out well for you

Specializes in ICU, PICC Nurse, Nursing Supervisor.

very very good ...thank you for posting something good about plano....

Specializes in Progressive care.

congratulations!!!:wink2::wink2::wink2::wink2:

Specializes in Trauma,ER,CCU/OHU/Nsg Ed/Nsg Research.
Specializes in Geriatrics.

:ancong!::yeah:*wine:anpom::anpom::anpom:

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