Clinical Assessment Preparation

CPNE Study Guide

Drainage Collection Assess color & amount Clean skin Insert and hold tube Remove tube Spec. Collection Check hospital policy Container Obtain specimen Label- (date/time/initials) Place in designated area Record color & amount

Enteral Feeding Record rate (20 min check) Amount Type of feeding Fowler’s position Examine GT site Verify placement Expiration of formula Record

Irrigation Solution Temperature Position patient Placement (if NGT) Instill solution Protect surrounding skin Rate of flow Receptacle-For return Record type & amount

Patient Teaching Readiness to learn ID learning needs Does patient understand? Medications Compare Kardex & MAR 5 rights ID patient Gloves if needed Inspect site of medication Administration Site of vital signs taken Assess patient’s pain using scales Tell CE if you are not giving meds Educate patient Administer one med at a time Recheck MAR against patient ID Evaluate patient response to med Condition of IV site before and after med Sign MAR within 30 min and fill out entire sheet

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