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[devarona]

What are some of the Peds scenarios that have come up during the CPNE? What is the best way to prepare for Peds? Any help here will be appreciated! Thanks!

[klewes]

I have not taken the CPNE as of yet.  However, I have been following the journals, and I think that you can be assigned pretty much any type of peds case from infant to 17-year-old. 

[becky214RN]

I had a 6 month old Vietnamese baby with multiple birth defects.....tube feeding....parents did not speak English.  Actually, she was easy.  Weighed the diaper,  soothed crying by letting family hold her.  They held while I did assessments.  Assessed stoma while nurse did dressing change.  (she had to because family called for change before I arrived.)  I showed cultural sensitivity by not making eye contact with Father

Other students had 2 year old with crushed hand.  One student failed because he gave the boy his cartoon watch and the kid put it in his mouth.....infection control!!!.....actual harm to a child!!!....automatic failure of CPNE.  One student forgot to weigh the diaper and had to repeat and do the baby.  They only had 2 peds when we were there.

If they do not have peds, you get an adult sub.

I tested in Amarillo, Tx.

[klewes]

What are you supposed to do when you give a child a desired toy and the child puts it into their mouth?  Was the student nurse expected to remove the watch immediately, or did she/he fail because she gave it to him?  Was it an age-inappropriate toy (ie was the child a toddler?)

[klewes]

One student failed because he gave the boy his cartoon watch and the kid put it in his mouth.....infection control!!!.....actual harm to a child!!!....automatic failure of CPNE.

I have to say this it is stories like this that keep me up at night.  I feel quite confident about the CPNE until I hear things like this.   

[becky214RN]

Sorry if it was not understood...watch belonged to the student.  Student nurse was expected to keep his watch on his arm and not give it to the child. 

[becky214RN]

The Vietnamese baby was not difficult to do....like I said...let family hold to sooth.  When calm and happy, do the pain/comfort assessment (not when she is screaming).  also do resp and abd assessments when family holding or asleep.  Remember to weigh diapers.  Otherwise it is just like the adult patient.Your own nerves are the hardest thing to deal with.

[klewes]

Sorry if it was not understood...watch belonged to the student.  Student nurse was expected to keep his watch on his arm and not give it to the child.  

OK, that does make a lot of sense, especially why that would be a problem with infection control.  I read somewhere that watches are third (after pens and stethoscopes) for carrying pathogens between rooms due to the fact that there are very hard to clean and have a lot of places where pathogens can hide.

[becky214RN]

That is true.  The pediatric part of the CPNE seems terrifying to many but actually is no more difficult than the adults.  The same assessments and principles hold.  A few things to remember...weigh diapers..DON'T KISS BABIES!!!  otherwise the same.  You will do fine!   

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