CPNE MNEUMONICS

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Wash hands Introduce self/ID pt/I & O Glove Assess IV site, Fluids, Rate Ask pain Skin turgor, Safety, Save Tray: 20 MINUTE CHECKS
Balance Extraneous Movement Alignment & Assistive Devices Move to alignment Response of patient: MOBILITY
Bend knees/Keep flat Examine abd. (scars/colostomy) Listen Lightly palpate Your waist size (if assigned): ABDOMINAL ASSESSMENT
LOC Open eyes (PERRLA) General child's question Inspect fontanel Calculate motor function(symmetry or squeeze hands/dorsi,plantar flexion): NEURO ASSESSMENT
Pulses feel bilaterally Examine skin Refill capillary Inspect temp Pt touch test Has movement: PERIPHERAL VASCULAR ASSESSMENT
Always position in fowler's Inspect symmetry/pattern Report labored breathing Watch for nasal flaring Ausculate 3levels Your done: RESPIRATORY ASSESSMENT
Skin color Keep dry Integrity (rash/lesions) Needs braden scale edema: SKIN ASSESSMENT
Assess comfort level Observe patient Do 3 Reassess comfort level Record: COMFORT MANAGEMENT
Joint flexibility Observe muscle strenth Initiate ROM Notice supportive devices Traction/Treatment hot or cold: MUSCULO-SKELETAL MANAGEMENT
Always position in Fowler's Inspect equipment and skin Record sats and flow rate Observe 3 C's(cap refill/clubbing/color) 2 responses to activity: OXYGEN MANAGEMENT
Pain scale Area of pain Interventions Need to reasess and record: PAIN MANAGEMENT
Always position in fowler's Inspect symmetry/pattern Report labored breathing Watch for nasal flaring Ausculate 3levels Your done Assigned C/DB Incentive Spirometry Reassess after CDB/IS Suction: RESPIRATORY MANAGEMENT
Wound drainage Observe site Unique clean/irrigation Need sterile field Dressing: WOUND MANAGEMENT

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Deck Info

Number of cards 13