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.....
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.....
i am almost (hopefully) at the end of my cpne journey i test 1/9,10,11/09. towards the end i found i was having trouble with the documentation. being an lpn, i documented everything, but that is counter productive at the cpne when time might be a factor. i came up with mnemonics just for documentation, they have helped me a ton. they allowed me to streamline my documentation and cut down on how wordy i was getting. here they are if anyone is interested. i guess how interested people are will depend on if i pass or not, huh?
mobility
implementation
mad atop*robs*
documentation
mad mipr m=mobility a=abnormalities d=devices
m=measure i=implemented p=patient r=response
musculoskeletal management
implementation
map hatr
documentation
map mipr m=mobility a=abnormalities p=pain with movment
mipr= same as above
respiratory assessment
implementation
o'pair
o=o2 sat (if assigned)
*added to robs*
documentation
lao l=lung sounds a=abnormal breathng patterns o=o2 sat (if assigned)
respiratory management
implementation
o'pair of hairy lungs
documentation
ls b/a abp mipr l=lung s=sounds b/a=before & after abp=abnormal breathing
mipr=same as above patterns
abdonminal assessment
implementation
4p's
look
listen
feel
documentation
dbtg d=distention b=bowel sounds
t=tenderness/rigidity g=girth (if assigned)
skin assessment
implementation
time to check
color of skin
documentation
same as implementation
neurological assessment
implementation
lamp
documentation
same as implementation
pheripheral vascular assessment
implementation
please make sure to
check cap refill
documentation
same as implementation
o2 management
implementation
soaps
last s=safety
documentation
also mipr a=activity l=level s=skin surfaces o=o2sat (if assigned)
mipr= same as above
pain management
implementation
prn
documentation
lop mipr l=level o=of p=pain
mipr= same as above
patient teaching
implementation
rid
documentation
same as implementation
comfort management
implementation
comforters
documentation
ica mipr i=initial c=comfort a=assessment
mipr=same as above
i found some of the implementation mnemonics worked fine for documentation, but some of them had things in them that you did not need to document and them the respiratory ones did not have o2 sat in there and i found i was always forgetting to document it, when it was assigned with respiratory and not as a vs. good luck everyone!!! wish me luch!!!:anpom:
i am almost (hopefully) at the end of my cpne journey i test 1/9,10,11/09. towards the end i found i was having trouble with the documentation. being an lpn, i documented everything, but that is counter productive at the cpne when time might be a factor. i came up with mnemonics just for documentation, they have helped me a ton. they allowed me to streamline my documentation and cut down on how wordy i was getting. here they are if anyone is interested. i guess how interested people are will depend on if i pass or not, huh?
mobility
implementation
mad atop*robs*
documentation
mad mipr m=mobility a=abnormalities d=devices
m=measure i=implemented p=patient r=response
musculoskeletal management
implementation
map hatr
documentation
map mipr m=mobility a=abnormalities p=pain with movment
mipr= same as above
respiratory assessment
implementation
o'pair
o=o2 sat (if assigned)
*added to robs*
documentation
lao l=lung sounds a=abnormal breathng patterns o=o2 sat (if assigned)
respiratory management
implementation
o'pair of hairy lungs
documentation
ls b/a abp mipr l=lung s=sounds b/a=before & after abp=abnormal breathing
mipr=same as above patterns
abdonminal assessment
implementation
4p's
look listen
feel
documentation
dbtg d=distention b=bowel sounds
t=tenderness/rigidity g=girth (if assigned)
skin assessment
implementation
time to check
color of skin
documentation
same as implementation
neurological assessment
implementation
lamp
documentation
same as implementation
pheripheral vascular assessment
implementation
please make sure to
check cap refill
documentation
same as implementation
o2 management
implementation
soaps
last s=safety
documentation
also mipr a=activity l=level s=skin surfaces o=o2sat (if assigned)
mipr= same as above
pain management
implementation
prn
documentation
lop mipr l=level o=of p=pain
mipr= same as above
patient teaching
implementation
rid
documentation
same as implementation
comfort management
implementation
comforters
documentation
ica mipr i=initial c=comfort a=assessment
mipr=same as above
i found some of the implementation mnemonics worked fine for documentation, but some of them had things in them that you did not need to document and them the respiratory ones did not have o2 sat in there and i found i was always forgetting to document it, when it was assigned with respiratory and not as a vs. good luck everyone!!! wish me luch!!!:anpom:
TLAandy, You seem very organized and you, like Txspadequeen, are going to show the CPNE a thing or two. Good Luck to both of you. Will be constantly sending calming thoughts,prayers, positive vibes your way. Traci
I have posted a few times on here and really appreciate all the tips...now I am asking for prayers, tips, etc. I called this morning and got a cancellation date for Feb 6-8 at the NEW test site in Lubbock. If anyone has been to this site yet please let me and others know how it went. Any advice, tips, thoughts, prayers, whatever will be greatly appreciated. I am ready but I am now in panic mode!!! Thanks:)
Specializes in ICU, PICC Nurse, Nursing Supervisor.
i heard about the new test site in texas and i wish you well...im testing in plano at the end of feb so i can imagine how u are feeling...the only tip i can give you (since i have not had my turn yet is to get a bottle of xanax and give it all you got....you can do it....
i have posted a few times on here and really appreciate all the tips...now i am asking for prayers, tips, etc. i called this morning and got a cancellation date for feb 6-8 at the new test site in lubbock. if anyone has been to this site yet please let me and others know how it went. any advice, tips, thoughts, prayers, whatever will be greatly appreciated. i am ready but i am now in panic mode!!! thanks:)
Thanks for the vote of confidence:) I have some great friends who are helping me daily at work! They are using my flashcards for guidance. (Two are RN's and 2 LVN's) They are pretending to be pt's when we have time at work (which is very little-we are a brand new step-down unit). Thanks for your encouragement.
Specializes in ICU, PICC Nurse, Nursing Supervisor.
i only told a couple of people at work because most just would not understand how ec works and i just don't have time to explain all of this. however, i do take all my flashcards and mnemonics and practice them on my skilled patients (they need daily assessments anyway) . i take my flashcards everywhere ..even the bathroom...i just created me a dummy out of a big body length pillow ,old sweater and sweat pants. then i filled the arms and legs with cotton and old newspapers. the only thing i had for a head was a cabbage patch head..looks funny but will work. she is complete with id band , iv, o2, g-tube and foley ....
thanks for the vote of confidence:) i have some great friends who are helping me daily at work! they are using my flashcards for guidance. (two are rn's and 2 lvn's) they are pretending to be pt's when we have time at work (which is very little-we are a brand new step-down unit). thanks for your encouragement.
I know what you mean. I have told some people that are really good friends. I have worked with them a while and went to school with the LVN's as well. I like your idea about the "pt" you have at home. I practice on my pt's at work too. Both of the LVNs are following my lead and starting EC. :)
Specializes in ICU, PICC Nurse, Nursing Supervisor.
does anyone know what hotel lynn does her workshops in when she is in charlotte... i am thinking about flying to nc to re-take her workshop and i am looking at travel deals.
TXS, I would recommend taking Lynn Fredericks CPNE workshop. Women here at my hospital swear by her! All 7 passed first try and they credit her. I am going to do it when I am closer to time.
TLAandy
132 Posts
txspadequeen.
i am almost (hopefully) at the end of my cpne journey i test 1/9,10,11/09. towards the end i found i was having trouble with the documentation. being an lpn, i documented everything, but that is counter productive at the cpne when time might be a factor. i came up with mnemonics just for documentation, they have helped me a ton. they allowed me to streamline my documentation and cut down on how wordy i was getting. here they are if anyone is interested. i guess how interested people are will depend on if i pass or not, huh?
mobility
implementation
mad atop *robs*
documentation
mad mipr m=mobility a=abnormalities d=devices
m=measure i=implemented p=patient r=response
musculoskeletal management
implementation
map hatr
documentation
map mipr m=mobility a=abnormalities p=pain with movment
mipr= same as above
respiratory assessment
implementation
o'pair
o=o2 sat (if assigned)
*added to robs*
documentation
lao l=lung sounds a=abnormal breathng patterns o=o2 sat (if assigned)
respiratory management
implementation
o'pair of hairy lungs
documentation
ls b/a abp mipr l=lung s=sounds b/a=before & after abp=abnormal breathing
mipr=same as above patterns
abdonminal assessment
implementation
4p's
look
listen
feel
documentation
dbtg d=distention b=bowel sounds
t=tenderness/rigidity g=girth (if assigned)
skin assessment
implementation
time to check
color of skin
documentation
same as implementation
neurological assessment
implementation
lamp
documentation
same as implementation
pheripheral vascular assessment
implementation
please make sure to
check cap refill
documentation
same as implementation
o2 management
implementation
soaps
last s=safety
documentation
also mipr a=activity l=level s=skin surfaces o=o2sat (if assigned)
mipr= same as above
pain management
implementation
prn
documentation
lop mipr l=level o=of p=pain
mipr= same as above
patient teaching
implementation
rid
documentation
same as implementation
comfort management
implementation
comforters
documentation
ica mipr i=initial c=comfort a=assessment
mipr=same as above
i found some of the implementation mnemonics worked fine for documentation, but some of them had things in them that you did not need to document and them the respiratory ones did not have o2 sat in there and i found i was always forgetting to document it, when it was assigned with respiratory and not as a vs. good luck everyone!!! wish me luch!!!:anpom: