Nursing Tips
Fundamentals (95)
Delegating to your CNA
Things can delegate to your CNA/tech partner: Bathing, toileting, dressing, ambulating, positioning, vital signs, bed making, specimen collection...
Delegating to your CNA
Things can delegate to your CNA/tech partner: Bathing, toileting, dressing, ambulating, positioning, vital signs, bed making, specimen collection...
Tornado Nursing Procedures
If there is a tornado, avoid windows, and move patients to the middle of the building (e.g., hallways). If the patient cannot be moved, place a blanket over the patient...
Tornado Nursing Procedures
If there is a tornado, avoid windows, and move patients to the middle of the building (e.g., hallways). If the patient cannot be moved, place a blanket over the patient...
Restraints
Restraints should be applied to a portion of the bed frame which moves up and down with the bed, but cannot move on its own (i.e., not the side rail).
Restraints
Restraints should be applied to a portion of the bed frame which moves up and down with the bed, but cannot move on its own (i.e., not the side rail).
Lithotomy Position
Lithotomy position has the patient supine with their knees flexed and legs abducted. This position is commonly used for gynecologic, rectal, or urologic procedures.
Lithotomy Position
Lithotomy position has the patient supine with their knees flexed and legs abducted. This position is commonly used for gynecologic, rectal, or urologic procedures.
General Anesthesia: Nursing Care
After general anesthesia, keep a patient NPO until their gag reflex/swallowing ability returns.
General Anesthesia: Nursing Care
After general anesthesia, keep a patient NPO until their gag reflex/swallowing ability returns.
Cutaneous Pain
Cutaneous pain involves the skin (e.g., a paper cut) while somatic pain involves deeper tissues such as bones and joints.
Cutaneous Pain
Cutaneous pain involves the skin (e.g., a paper cut) while somatic pain involves deeper tissues such as bones and joints.
Supine Position
A patient who is lying "supine" is lying on their back in a neutral position.
Supine Position
A patient who is lying "supine" is lying on their back in a neutral position.
Orthodox Jewish diet
Orthodox jewish individuals do not eat meat WITH dairy, pork products, or shellfish. A hamburger is OK, but not a cheeseburger!
Orthodox Jewish diet
Orthodox jewish individuals do not eat meat WITH dairy, pork products, or shellfish. A hamburger is OK, but not a cheeseburger!
Closed-Ended Questions
Closed-ended questions (i.e., yes/no questions) should be avoided because they do not encourage the patient to elaborate on their feelings.
Closed-Ended Questions
Closed-ended questions (i.e., yes/no questions) should be avoided because they do not encourage the patient to elaborate on their feelings.
Corrections to Documentation
If the nurse should make an error while documenting on a written error, cross out the error with one line and add initials, date, and time. Do not use correction...
Corrections to Documentation
If the nurse should make an error while documenting on a written error, cross out the error with one line and add initials, date, and time. Do not use correction...
OTs and ADLs
An Occupational Therapist (OT) is a key member of the interprofessional team. They help patients regain their ability to perform their ADLs (Activities of Daily Living). Examples of ADLs: brushing...
OTs and ADLs
An Occupational Therapist (OT) is a key member of the interprofessional team. They help patients regain their ability to perform their ADLs (Activities of Daily Living). Examples of ADLs: brushing...
Dehydration in Older Adults
As a patient ages, their thirst mechanism decreases. This puts the older adult at increased risk for dehydration.
Dehydration in Older Adults
As a patient ages, their thirst mechanism decreases. This puts the older adult at increased risk for dehydration.
Caring for a restrained patient
When caring for a restrained patient, a new order is required every 24 hours.
Caring for a restrained patient
When caring for a restrained patient, a new order is required every 24 hours.
Unlicensed Assistive Personnel (UAPs)
Unlicensed Assistive Personnel (UAPs) may perform hygiene, bathing, CPR, patient ambulation, routine vital signs, and charting of I&Os.
Unlicensed Assistive Personnel (UAPs)
Unlicensed Assistive Personnel (UAPs) may perform hygiene, bathing, CPR, patient ambulation, routine vital signs, and charting of I&Os.
Nationally Notifiable Diseases
Some important nationally notifiable diseases include anthrax, botulism, chlamydia, gonorrhea, Lyme disease, meningococcal disease, pertussis, syphilis, and tuberculosis.
Nationally Notifiable Diseases
Some important nationally notifiable diseases include anthrax, botulism, chlamydia, gonorrhea, Lyme disease, meningococcal disease, pertussis, syphilis, and tuberculosis.
Ethics Committee
An ethics committee is an interdisciplinary team that may be used to provide guidance in the face of an ethical dilemma.
Ethics Committee
An ethics committee is an interdisciplinary team that may be used to provide guidance in the face of an ethical dilemma.
Occupational Health Nurse
An occupational health nurse provides screening, surveillance, and education to prevent workplace illness and injury.
Occupational Health Nurse
An occupational health nurse provides screening, surveillance, and education to prevent workplace illness and injury.
Documentation
Do not wait until the end of the shift to document. Instead, complete charting as soon as possible after performing a task or procedure.
Documentation
Do not wait until the end of the shift to document. Instead, complete charting as soon as possible after performing a task or procedure.
Seizure Precautions
If a patient is on seizure precautions, pad the bed side rails, and ensure oxygen, suction, and vital signs equipment is in the patient's room.
Seizure Precautions
If a patient is on seizure precautions, pad the bed side rails, and ensure oxygen, suction, and vital signs equipment is in the patient's room.
Anthrax
Anthrax is a deadly infectious disease which may be used as a bioterrorism agent. It can be treated with antitoxins and antibiotics (e.g., doxycycline, ciprofloxacin).
Anthrax
Anthrax is a deadly infectious disease which may be used as a bioterrorism agent. It can be treated with antitoxins and antibiotics (e.g., doxycycline, ciprofloxacin).
Disaster Preparedness
Disaster preparedness involves planning, training, and providing education for unavoidable disasters.
Disaster Preparedness
Disaster preparedness involves planning, training, and providing education for unavoidable disasters.
Chemically-impaired Employee
An employee who is chemically-impaired while on the job should be immediately removed from the work setting, provided safe transportation home, and should attend a formal meeting to discuss the...
Chemically-impaired Employee
An employee who is chemically-impaired while on the job should be immediately removed from the work setting, provided safe transportation home, and should attend a formal meeting to discuss the...
Determinants of Health
Determinants of health include environmental factors (e.g., access to healthy food, pollution, public safety) and social factors (e.g., racism, support systems, education).
Determinants of Health
Determinants of health include environmental factors (e.g., access to healthy food, pollution, public safety) and social factors (e.g., racism, support systems, education).
Migrant Workers: Increased Risks
Migrant workers are at increased risk for work-related injuries, pesticide/chemical exposure, skin cancer, dermatitis, communicable disease, and dental problems.
Migrant Workers: Increased Risks
Migrant workers are at increased risk for work-related injuries, pesticide/chemical exposure, skin cancer, dermatitis, communicable disease, and dental problems.
Sterile Field Preparation
During sterile field preparation, open the top flap away from your body first. Then open the flap on the right side using the right hand, and the left side using...
Sterile Field Preparation
During sterile field preparation, open the top flap away from your body first. Then open the flap on the right side using the right hand, and the left side using...
Canes: Patient Teaching
Educate patients that canes should be held on the strong side with the handle at the level of the wrist.
Canes: Patient Teaching
Educate patients that canes should be held on the strong side with the handle at the level of the wrist.
Sundowning
Sundowning is a common finding in Alzheimer's Disease, which is increased confusion or agitation in the evening.
Sundowning
Sundowning is a common finding in Alzheimer's Disease, which is increased confusion or agitation in the evening.
Closed Drain: Nursing Care
After emptying a closed drain (e.g., Jackson-Pratt, Hemovac), fully compress the canister and replace cap in order to ensure negative pressure is applied to the area.
Closed Drain: Nursing Care
After emptying a closed drain (e.g., Jackson-Pratt, Hemovac), fully compress the canister and replace cap in order to ensure negative pressure is applied to the area.
Unstageable Pressure Wound
A pressure wound base which is covered in slough or eschar is considered to be unstageable.
Unstageable Pressure Wound
A pressure wound base which is covered in slough or eschar is considered to be unstageable.
What is an Aggregate?
An aggregate is a subgroup or population that share characteristics or concerns (e.g., LGBT+ residents of the same neighborhood).
What is an Aggregate?
An aggregate is a subgroup or population that share characteristics or concerns (e.g., LGBT+ residents of the same neighborhood).
Hearing Loss: Nursing Care
For patients with hearing loss, decrease background noise, face the patient, do not shout, and rephrase (but do not repeat) if they do not understand.
Hearing Loss: Nursing Care
For patients with hearing loss, decrease background noise, face the patient, do not shout, and rephrase (but do not repeat) if they do not understand.
Food Deserts
Food deserts are geographic areas that lack sufficient access to grocery stores and healthy food options.
Food Deserts
Food deserts are geographic areas that lack sufficient access to grocery stores and healthy food options.
Providing Educational Materials to Patients
Written educational materials should be provided in the patient's primary language using layman's terms and an appropriate reading level.
Providing Educational Materials to Patients
Written educational materials should be provided in the patient's primary language using layman's terms and an appropriate reading level.
The Scoop Method
Avoid recapping needles to prevent sharps injury. If recapping is unavoidable, use the scoop method to minimize the risk of injury.
The Scoop Method
Avoid recapping needles to prevent sharps injury. If recapping is unavoidable, use the scoop method to minimize the risk of injury.
Enemas: Nursing Care
Patients receiving enemas may report cramping. Lower the solution container if cramping is reported.
Enemas: Nursing Care
Patients receiving enemas may report cramping. Lower the solution container if cramping is reported.
Crutches: Patient Teaching
A patient using crutches should be taught to ascend stairs leading with the strong leg and descend by leading with the weaker leg.
Crutches: Patient Teaching
A patient using crutches should be taught to ascend stairs leading with the strong leg and descend by leading with the weaker leg.
Patient Controlled Analgesia (PCA) Pumps
Patient Controlled Analgesia (PCA) pumps should only be used by the patient. Educate families/visitors not to press the button for the patient!
Patient Controlled Analgesia (PCA) Pumps
Patient Controlled Analgesia (PCA) pumps should only be used by the patient. Educate families/visitors not to press the button for the patient!
Psychomotor Domain of Learning
A patient who is practicing how to administer their own insulin injections is functioning under the psychomotor domain of learning, as they are not just thinking, but performing an action.
Psychomotor Domain of Learning
A patient who is practicing how to administer their own insulin injections is functioning under the psychomotor domain of learning, as they are not just thinking, but performing an action.
Nursing Audits
Audits are an effective way to measure and evaluate performance when carrying out quality improvement.
Nursing Audits
Audits are an effective way to measure and evaluate performance when carrying out quality improvement.
Protective/Reverse Isolation
A patient on protective/reverse isolation should be provided a private room with positive-pressure airflow. Do not allow flowers or live plants into the room, and screen all visitors for illness.
Protective/Reverse Isolation
A patient on protective/reverse isolation should be provided a private room with positive-pressure airflow. Do not allow flowers or live plants into the room, and screen all visitors for illness.
Beneficence vs. Nonmaleficence
Beneficence is the ethical principle of promoting good, while nonmaleficence is to avoid causing harm.
Beneficence vs. Nonmaleficence
Beneficence is the ethical principle of promoting good, while nonmaleficence is to avoid causing harm.
24-Hour Urine Collection
A patient asked to do a 24-hour urine collection should be taught to discard the first void and then collect all urine voided over the following 24 hours.
24-Hour Urine Collection
A patient asked to do a 24-hour urine collection should be taught to discard the first void and then collect all urine voided over the following 24 hours.
Clear Liquid Diets
A patient on a clear liquid diet may have items that are transparent and liquid at room temperature (e.g., water, clear sodas, pulp-free juices, popsicles, jello, black coffee, clear broth).
Clear Liquid Diets
A patient on a clear liquid diet may have items that are transparent and liquid at room temperature (e.g., water, clear sodas, pulp-free juices, popsicles, jello, black coffee, clear broth).
Admission Tasks
Discharge planning for a patient starts at admission. Other important admission tasks include confirming the patient's code status, identifying allergies, assessing fall risk, and assessing for swallowing issues.
Admission Tasks
Discharge planning for a patient starts at admission. Other important admission tasks include confirming the patient's code status, identifying allergies, assessing fall risk, and assessing for swallowing issues.
When to Perform a Medication Reconciliation
A medication reconciliation should be done during admission, upon transfer to another floor/unit/facility, and at discharge.
When to Perform a Medication Reconciliation
A medication reconciliation should be done during admission, upon transfer to another floor/unit/facility, and at discharge.
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