Txspadequeen's CPNE Info Thread...

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the time has come for me to create my very own cpne thread because if i don't i will be creating hundreds of threads and there is just no need for that. not only that i don't think lunah , sue or any other ec student or grad want a new stalker:msk:. so i am going to be posting my questions here and encourage others to chime in and ask questions as well ...that way we can all get through this nasty thing.

first off, i know y'all looked at the carjack ad threw up just wondering where to start. i actually took mine apart and i am working with the critical elements first. i will be ordering the flash cards and getting rob's cd but next week.

did anyone find that these careplans are so much different than what they where taught in school. i remember when i went to my workshop and lynn was going over these careplans ..i was like what??? is texas nursing really that different? :sfxpld:

as i move through this thing i would appreciate any help i can get...feel free to post..... i feel like a walking ticking time bomb and i dont even have a date yet.....:eek:

so i will be posting questions on here pretty regualrly now...since i am trying to get myself together..... lord have mercy on my self.....

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

Nail bed pressure is definitely a noxious stimulus ... try it on yourself -- it hurts! LOL!! Do NOT do it on a conscious patient. And you won't get an unconscious one for the CPNE. :D

The EC CPNE DVD needs to be re-done without errors. I had it, but didn't watch it because I heard it had so many errors in it -- I didn't want to learn anything incorrectly.

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

Yeah- the video does a good job in showing you how the CPNE flows, but I wouldn't use it for technique refinement.

Specializes in ICU, PICC Nurse, Nursing Supervisor.

the cpne chat is at 8 pm tonight..... i will be there..

when's the cpne chat tomorrow?

the medicine cup thing was mentioned in a couple of different threads these past couple of days. one of them was a q&a session with an ec big dog, straight from the horse's mouth.

Specializes in ICU, PICC Nurse, Nursing Supervisor.

what i mean and probably should have re-worded it is i know that it is noxious stimulus it is just not my first choice to use.

nail bed pressure is definitely a noxious stimulus ... try it on yourself -- it hurts! lol!! do not do it on a conscious patient. and you won't get an unconscious one for the cpne. :D

the ec cpne dvd needs to be re-done without errors. i had it, but didn't watch it because i heard it had so many errors in it -- i didn't want to learn anything incorrectly.

Specializes in LTC, Acute Care.
the cpne chat is at 8 pm tonight..... i will be there..

i will be working then. i will be online, but i can't play around or attend the chat, unfortunately. have fun at the chat!

Specializes in ICU, PICC Nurse, Nursing Supervisor.

thanks i got my questions answered ... you know you can go and look at all the transcripts to see what was said...

i will be working then. i will be online, but i can't play around or attend the chat, unfortunately. have fun at the chat!
Specializes in ICU, PICC Nurse, Nursing Supervisor.

ok i have ran into a issue with the iv simulation. in the actual cpne is the spike that goes in the normal saline multi dose vial non venting....does it allow you be able to push fluid back up into the vial ...if so this may be a problem for me.

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

For the flushes, we had a spike in a hanging bag of saline, and it's a one-way set-up -- you cannot push saline back in when you draw up your flushes, so I drew a little extra so I could tap out any air bubbles. For the medication, the spike in the multi-dose vial is vented, and you can push air back in when you're drawing up your medication.

Specializes in ICU, PICC Nurse, Nursing Supervisor.

one more obnoxious question......will the iv push station simulation lab order contain the amount of flush per syringe ...i have not seen anything on this yet.

can you waste in the trash can???

for the flushes, we had a spike in a hanging bag of saline, and it's a one-way set-up -- you cannot push saline back in when you draw up your flushes, so i drew a little extra so i could tap out any air bubbles. for the medication, the spike in the multi-dose vial is vented, and you can push air back in when you're drawing up your medication.
Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
one more obnoxious question......will the iv push station simulation lab order contain the amount of flush per syringe ...i have not seen anything on this yet.

can you waste in the trash can???

yes, and yes. :) my flush order was 1 ml before, 1 ml after. and i held the syringe upright over the trash can and flicked the bubbles up and out. if you go to page iv.j.3.c in the study guide, there is a sample mar for the iv push station that shows the flush order.

but do not -- i repeat do not -- dispose of your syringes in the trash can. they must must must go in the sharps container! yes, i know that's pretty obvious, but you'd be surprised how many people fail after completing everything correctly by tossing a syringe in the trash.

Specializes in ICU, PICC Nurse, Nursing Supervisor.

i have reviewed that study guide so many times i must have missed due to sleep deprivation or something..ill go back and review again....thank you for your time

yes, and yes. :) my flush order was 1 ml before, 1 ml after. and i held the syringe upright over the trash can and flicked the bubbles up and out. if you go to page iv.j.3.c in the study guide, there is a sample mar for the iv push station that shows the flush order.

but do not -- i repeat do not -- dispose of your syringes in the trash can. they must must must go in the sharps container! yes, i know that's pretty obvious, but you'd be surprised how many people fail after completing everything correctly by tossing a syringe in the trash.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
i have reviewed that study guide so many times i must have missed due to sleep deprivation or something..ill go back and review again....thank you for your time

you know what? i learned something new every time i read the darn thing! :D i don't think it's possible to retain every.little.detail of that 502-page monster unless you have a photographic memory! but practice makes perfect. :)

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