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tips
weeks 1-2 do 1 PCS per day (with all the critical elements) and ALL the lab sims
weeks 3-4 do 2 PCS per day (with all the critical elements) and ALL the lab sims
weeks 5-7 do 3 PCS per day (with all the critical elements) and ALL the lab sims TWICE
week 8 do 1 PCS every other day (with all the critical elements) and ALL the lab sims

You will notice that on the last week you do LESS. This is because you should have done
the lab sims and the critical ellments that they will be SECOND NATURE. Too much
studying at this point would not be beneficial. Also, the first weeks it will take you a
long time to do all the critcial elements on the PCS and the lab sims. As you become
more proficient you will notice that the time it takes you to do EVERYTHING drastically
reduces. For example, it would take me no more than 15 minutes to do the
PCS critical elements on my dummy and no more than 15 minutes to do
the 4 lab sim stations !
Q: The plunger on my syringe felt like it was welded in place. What can I
do to make these lab stations go easier in regards to working with the
syringes ?

A: Move the plunger back and forth 3 or 4 times before drawing up
medication. It makes everything that much easier
"I have thankfully passed the cpne, I would like to mention a few thing. in
racine - they did not have 12 ply gauze. [they had 8 ply] The 8 ply really
needed two pieces of gauze and i did pass. Looking at it from this standpoint
I can totally understand why you would need 2 pieces of gauze and it would
not be considered "overpacking the wound."
Q: What is the difference between Rhythm and Pattern in your
mnemonics for respiratory assessment? They seem similar

A: the difference between rhythm and pattern is

Rhythm is regular, irregular

Pattern is labored or unlabored, etc.
#1 most important: You must CONTROL your NERVES!!!!

CA & CE’s are on your side, they want you to pass!

#2: Know your grid. Your nmemonics. These will be your answers as you do your PCS, especially your documentations.

-write them out first, before writing your care plan and interventions. You may use a sheet of paper or tear off the back page of your kardex-packet, the one that has the Excelsior stuff on the back. You can write on it, then carry that along with the rest of the packet, and hand it in at the end of the PCS. You can write on the kardex too if you like.me

-use a red pen to circle the actual interventions that the CE writes for you to do on the kardex, beneath the assigned AOC’s. That way you know not to forget them and you can kind of schedule them into your PCS-implementation phase.

-write baseline v/s on your grid and any pain meds they’re getting or scheduled to get, from their chart. Don’t get too caught up with reading all of the other stuff, unless you think it’ll help you. About 45 minutes should be fine. If you have only 3 “assigned” AOC’s you can plan for an hour and still be fine.

#3: Know your critical elements, of course. You should know this by now anyway.

#4: STAY FOCUSED!!! Below is the first 5 minutes.

-I.D. I.D. I.D. (This is an automatic failure in both pcs's, and labs)

-Establish a pain level. If you are not assigned pain-mgt you only need to record the level, not the local, duration, character. If it’s greater than 3/10, report to nurse as soon as you finish your 20 minute check (less than 5 minutes now).

-Parenteral & Enteral feeding. (remember, TPN is recorded in Parenteral fluids/IV)

And check any IV sites, even if not assigned, and document (no edema, etc.).

RECORD 20 MIN CHECK NOW!!!!!!!
nx dx
what are some of the most common nursing diagnosis to "tag" on my
Nursing diagnosis book?

A: I would pay close attention and "tag" (highlight) these diagnosis in
your book:

Activity Intolerance
Ineffective Airway clearance
Risk for aspiration
Bowel Incontinence
Readiness for enhanced Comfort
Constipation
Diarrhea
Impaired gas exchange
Risk for Injury
Deficient Knowledge (specify)
Readiness for enhanced knowledge
Impaired physical mobility
Nausea
Acute pain
Chronic pain
Disturbed Sensory perception (works great for diabetics)
Impaired skin integrity
video simulation lab
practice, practice, practice