study hacks 22nd edition - amazon s3hacks+22nd+edition+fin… · 8 appendix a pages 81-103 in your...

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Legal NoticeWhile all attempts have been made to verify information provided in this handbook, neither the author nor the publisher assumes the responsibility for errors, omissions or contradictory interpretation of the subject matter. The purchaser or reader of this book assumes responsibility for the use of these materials and information. While this publication is designed to help you study for your clinical weekend, it is designed to be for informational purposes only. Any perceived negative remarks about any individual or organizations are unintentional. The author nor the publisher is in any way affiliated or endorsed by any college or educational institution.

Copyright NoticeAny unauthorized use, sharing, reproduction or distribution of these materials by any means, electronic, mechanical, or otherwise, is strictly prohibited. No portion of these materials (including any of the diagrams, pictures, videos, or text) may be reproduced OR RESOLD in any manner WHATSOEVER without the expressed, written consent of the publisher. All rights are reserved by ATL Clinical Workshop.

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IntroductionFor many of you, the anticipation of getting to the final hurdle of the CPNE is finally here and so is the stress. Now you get your EC study guide and you are probably thinking “what have I gotten myself into” or “how am I ever going to learn all of this stuff”?

The answer is quite simple. You have the desire to achieve your destiny of becoming a Registered Nurse and you have the determination to persevere and get it done. We are here to help you break down your studies so you can realize that this can be done and you can be successful in achieving your goal but with less undo stress.

Thank you for letting us help you with this process.



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Recommended Supplies for StudyingGetting started requires organization and continuing that organization throughout your learning process. By doing this, you are going to be more effective with your time management skills as well. Supplies you will need to get started are as follows:

• Two 3 ring binders• Dividers or tabs• Red pen• Highlighter• Permanent marker• Black or blue pen• Or a Multi-colored pen• Appendix A of your study guide printed

Breaking Down the EC Study Guide

Unit I

Unit I of your study guide, although important, is not necessary to have printed out. What you will find in this section is information regarding the introduction to your clinical exam process and the standards of nursing practice you are to uphold during your clinical weekend. It is not necessary to print this section out. You can simply read this section via computer. Other helpful information in this section is resources to use when studying as far as on your school’s website, books, and other resources from your institution. A review of the nursing process is also in this section as well as the overview of the philosophy of this program.

Unit II

Unit II of your study guide reviews preparatory information and guidance surrounding travel, what to bring with you, reasons for cancellations and fees for cancellations. It also reviews the cost and scheduling of your CPNE as well as how to file for disabilities and obtain accommodations during your weekend. It will also discuss the appeals process should one be required. This is an informative section to read but another section that is not necessary to print.



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Unit III

Unit III of your study guide discusses the lab station critical elements and requirements. This is something that you want to print and have it placed in a binder. You will be referring to this frequently during your studies of the lab simulations. You will also want to make a few extra copies of the medication administration form as well as the nursing simulation laboratory clinical notes form for use during your practice at home.

Unit IV

Unit IV is the meat and potatoes of the patient care situation during your clinical weekend. You will spend the majority of your time in this unit, as well as unit III so this is a must print! Print out all of unit IV and put it in your 3 ring binder. We recommend having a binder for the lab simulations and one for the patient care situation.

How to Divide Your EC Study GuideBy now you should have printed units III and IV of your EC study guide and placed in a 3 ring binders. I would personally have a binder for the lab simulations and then one for the PCS. Have some dividers or tabs and a permanent marker. What you are going to do is divide by headings. They have listed everything in alphabetical order instead of by assessments and managements. You can divide either way. You should have the following headings for your tabs:

• Overview• Scales Used• Plan of Care• Abdominal Assessment• Comfort Management• Fluid Management• Medications• Musculoskeletal Management• Neurological Assessment• Oxygen Management• Peripheral Neurovascular Management



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• Respiratory Management• Skin Management• Vital Signs• Wound Management

Take this time to go ahead and create those tabs and then we will keep on moving.

And the final section you are tabbing under section III is under the nursing skills laboratory. Or you can put it in a separate binder. Create tabs for the following:

• Wound management• PICC line dressing change• Foley catheter insertion• Intravenous medication: IV mini bag• Injectable medications: IV push• Injectable medications: IM/Sub Q

Lab Supplies Needed

In order to effectively practice your labs, you must obtain the right equipment. Here is a list by lab station of the supplies you will need. Quantity will vary depending on how many times you practice and how thrifty you are with recycling and reusing supplies.

Application of Sterile TechniqueWound Station

• Sterile 4x4s• 4x4s in a boat• Paper tape• ABD pads• Bottle of normal saline solution for irrigation• Sterile gloves• Non sterile gloves• Wound



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PICC Line DressingChange

PICC line dressing change kit:

• Non-sterile gloves (one pair)• Alcohol pads to remove old dressing (as needed)• Mask• Gloves sterile• Drape• Chlorhexidine scrub stick• Transparent dressing (tegaderm)

Intermittent Catheter Insertion

Intermittent catheter kit:

• Non-fenestrated drape• Sterile gloves• Red rubber foley catheter• Lidded tray• Graduated basin• Lubricating jelly• Forceps and prepping balls or swabsticks

Medication Administration

IV Secondary Medication Station

• Primary IV tubing • Secondary IV tubing• 1000 ml bag of Sodium Chloride• 50 ml bag of Sodium Chloride• Non sterile gloves



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IV Push Station

• 3 ml syringes• 5 ml syringes• 20 ml bottles of sodium chloride• Mini spike dispensing pens• Alcohol prep pads• Non sterile gloves

Injectable IM/Sub Q Station

• 20 ml bottles of sodium chloride• 50 unit insulin syringes• 100 unit insulin syringes• 3ml syringes• 5ml syringes• 1 inch needles• 1 ½ inch needles• Alcohol prep pads• Sterile 2x2s• Non sterile gloves

Our online workshop gives you the visual through videos of demonstration and allows you to ask our team questions right below the video and receive feedback and our live workshop gives you the visual demonstration and answers your questions right there in person but also gives you the opportunity to practice with other students to see how it should flow. You will also want to get into your EC portal and print out the Lab Simulation Scoring Tool and know exactly what they are testing you on.

Note: It is very helpful if you are able to see how the lab stations are supposed to be set up. This is where taking an online workshop with us or coming to a live workshop comes in handy so you set it up and practice the stations correctly



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Appendix A

Pages 81-103 in your EC study guide is your Appendix A which is all of the forms you will be documenting on during your patient care situations. You should make several copies of these and create packets for when you practice entire scenarios.

This packet, when testing will be in a nice booklet format and you will be responsible for understanding what the forms are used for, why they are used, and at what point in your pcs they are used. For example, when students ask “will I have to memorize the FLACC scale”? This lets me know they do not understand the forms because all of the pain scales are given in the appendix A packet in the very front and you do not have to memorize them but you must be able to know how to implement them.

When you are given your packet, the examiner will already have the assignment sheet filled out for you so you need to be familiar with the assignment sheet and what kind of things can be assigned. The best way to practice these forms are to take scenarios and print an appendix A for every scenario, fill out the kardex with the assignment then go to work in the order you will perform it during your weekend.

With that being said, after you fill out your assignment sheet, now you act like your time is beginning. Set a kitchen timer for 45 minutes at first, highlight your assignment sheet, write your GRID, write your care plan on the plan of care form, then check your time. All of this should be completed in 45 minutes or less (preferably 30 minutes)! After that, go into your patient’s room and begin your 20 minute check, fill out your fluid management recording form, do your vital signs, and start acting out your assignment. When you have completed all of your assignments, sit down and chart your narrative notes and complete your evaluation form.

Does this sound overwhelming? It probably does because you are not familiar with the assignments or the flow. When you are reading unit IV of your study guide that you have tabbed in a binder, take one section at a time to read. Have your appendix A available so you can look through it as you are reading a section to see where it might be assigned on your kardex and where you need to chart in response to that assignment.



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Learning Critical Elements

You need to learn the critical elements for each area of care and the critical elements are in your section IV under each area of care. Now how do you remember all of those critical elements? This is going to be a personal preference whether you create a things to do list or whether you create a mnemonic for them. A mnemonic is a word or group of words or even a sentence that helps you remember what you are supposed to be doing. One of my favorite mnemonics is the abdominal assessment:

4 Ps Look, Listen, and FeelSPrivacyPeePainPositionSuction offLookListenFeelSuction onReposition Record

The #4 is reminding me that there are four items that begin with a letter P that I must do first then the S reminds me suction needs to be turned off in order for me to effectively hear bowel sounds. This assessment also has to be in order of Look, Listen, and Feel and so I wrote them in that order so I don’t forget to do them in that order. And last but not least, I need to remember to turn that suction back on so the final S reminds me to do that as well as reposition the patient to a comfortable position and don’t forget my narrative notes.

You will also want to get into your EC portal and print the patient care scoring tool as well to see everything



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that you will be tested on.

You need to create mnemonics or things to do for every area of care you would be assigned. Flash cards are also a great way to learn so while you are reading each section in your study guide, maybe you want to create some flashcards. In our study guide, we have mnemonics that we have created exclusively for our workshop students that you are more than welcome to use if they work with how your brain remembers things. Remember, if someone else’s mnemonic is difficult for you to remember, then you need to create your own or you are forcing your brain to memorize too much and is double the work for you. Also remember if you are borrowing someone else’s mnemonics, it is your responsibility to always cross reference the mnemonics with the critical elements in your study guide to make sure they are covering all you need to know.

After you have read through section IV at least once, and created your mnemonics or things to do list, you should be able to fumble through an actual assignment.

Thank you for choosing ATL Clinical Workshop to guide you in preparation for your clinical weekend. After following this guide, you have hopefully lessened some of the anxiety and now have a better plan of action. We want to be here every step of the way for you so please join us at our live workshop in Atlanta or the online workshop where our team supports you, answers questions, grades your care plan assignments and other paperwork and is there for you until you pass.

To your success!



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Want to Set Up Your Home Lab?Check out our CPNE Study Store for the Ultimate Supply Kit with

everything you need to get hands-on practice at home.

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✓ 1000 ml Bottle of Normal Saline (1)

✓ 4x4 Sterile in Boat (2)

✓ Roll of Tape (1)

✓ Sterile 4x4 (2)

✓ ABD Pad (2)

✓ Non Sterile Gloves (4)

✓ Sterile Gloves (3)

✓ Primary Tubing (1)

✓ Secondary Tubing (1)

✓ 1000 ml Bag of Normal Saline (1)

✓ 50 ml Bag of Normal Saline (2)

✓ Alcohol Pads (20)

✓ 20 ml Bottles of Normal Saline (3)

✓ 10 ml Pre-filled Syringes of Saline (2)

✓ 5 ml Syringes (2)

✓ 3 ml Syringes No Needle (3)

✓ Insulin Syringe 50 Unit (1)

✓ Insulin Syringe 100 Unit (1)

✓ 3 ml Syringe with Needle (1)

✓ 1 1/2” Needle (1)

✓ Sterile 2x2 (2)

✓ Mini Spike (1)

✓ TB Syringes (2)

✓ Foley Kit (1)

✓ PICC Kit (1)

✓ Mask (1)

✓ Tegaderm (1)

✓ Vagina Manakin (1)


http://atlclinicalworkshop.com/study-supply-kit/

http://atlclinicalworkshop.com/study-supply-kit/


study hacks 22nd edition - amazon s3hacks+22nd+edition+fin… · 8 appendix a pages 81-103 in your...

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