Nursing Tips

Principles (45)

Two types of data the nurse should document include objective and subjective.

Objective versus Subjective Data

Cathy Parkes RN, BSN, PHN, CWCN

Two types of data the nurse should document include objective and subjective.

Objective versus Subjective Data

Cathy Parkes RN, BSN, PHN, CWCN

Two types of data the nurse should document include objective and subjective.

Veracity is an ethical principle stating that the nurse should tell the truth. For example, the nurse should be honest with the patient about the possible side effects of a medication.

Veracity

Cathy Parkes RN, BSN, PHN, CWCN

Veracity is an ethical principle stating that the nurse should tell the truth. For example, the nurse should be honest with the patient about the possible side effects of a...

Veracity

Cathy Parkes RN, BSN, PHN, CWCN

Veracity is an ethical principle stating that the nurse should tell the truth. For example, the nurse should be honest with the patient about the possible side effects of a...

To prevent injury, follow proper body mechanics: stand with feet shoulder width apart; avoid twisting the spine; bend using the knees instead of the waist; and hold objects close to the body when lifting.

Body Mechanics for Lifting

Cathy Parkes RN, BSN, PHN, CWCN

To prevent injury, follow proper body mechanics: stand with feet shoulder width apart; avoid twisting the spine; bend using the knees instead of the waist; and hold objects close to...

Body Mechanics for Lifting

Cathy Parkes RN, BSN, PHN, CWCN

To prevent injury, follow proper body mechanics: stand with feet shoulder width apart; avoid twisting the spine; bend using the knees instead of the waist; and hold objects close to...

In order to uphold HIPAA laws, log off the computer when stepping away, and use secure, unique passwords that are changed frequently. Never share passwords with anyone.

HIPAA Laws: Password Safety

Cathy Parkes RN, BSN, PHN, CWCN

In order to uphold HIPAA laws, log off the computer when stepping away, and use secure, unique passwords that are changed frequently. Never share passwords with anyone.

HIPAA Laws: Password Safety

Cathy Parkes RN, BSN, PHN, CWCN

In order to uphold HIPAA laws, log off the computer when stepping away, and use secure, unique passwords that are changed frequently. Never share passwords with anyone.

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 for protection.

Tornado Nursing Procedures

Cathy Parkes RN, BSN, PHN, CWCN

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

Cathy Parkes RN, BSN, PHN, CWCN

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...

If equipment malfunctions, tag the faulty equipment, take it out of use, and notify the appropriate department.

Faulty Equipment

Cathy Parkes RN, BSN, PHN, CWCN

If equipment malfunctions, tag the faulty equipment, take it out of use, and notify the appropriate department.

Faulty Equipment

Cathy Parkes RN, BSN, PHN, CWCN

If equipment malfunctions, tag the faulty equipment, take it out of use, and notify the appropriate department.

If a child ingests or is believed to have ingested a poison or other toxic substance, educate parents that the first step is to call poison control before doing anything else.

Poison Control: Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

If a child ingests or is believed to have ingested a poison or other toxic substance, educate parents that the first step is to call poison control before doing anything...

Poison Control: Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

If a child ingests or is believed to have ingested a poison or other toxic substance, educate parents that the first step is to call poison control before doing anything...

Ethnocentrism

Ethnocentrism

Cathy Parkes RN, BSN, PHN, CWCN

Ethnocentrism: The belief that one's own culture is superior to all others. View world from their own cultural viewpoint. Nurses should NOT practice ethnocentrism.

Ethnocentrism

Cathy Parkes RN, BSN, PHN, CWCN

Ethnocentrism: The belief that one's own culture is superior to all others. View world from their own cultural viewpoint. Nurses should NOT practice ethnocentrism.

If a patient is choosing to leave the hospital before recommended discharge, notify the provider, have the patient sign an "Against Medical Advice" (AMA) form, and remove any IV catheters. Do NOT call security!

Early Patient Discharge

Cathy Parkes RN, BSN, PHN, CWCN

If a patient is choosing to leave the hospital before recommended discharge, notify the provider, have the patient sign an "Against Medical Advice" (AMA) form, and remove any IV catheters....

Early Patient Discharge

Cathy Parkes RN, BSN, PHN, CWCN

If a patient is choosing to leave the hospital before recommended discharge, notify the provider, have the patient sign an "Against Medical Advice" (AMA) form, and remove any IV catheters....

Culturally competent care begins with identifying your own cultural beliefs and values!

Culturally Competent Care

Cathy Parkes RN, BSN, PHN, CWCN

Culturally competent care begins with identifying your own cultural beliefs and values!

Culturally Competent Care

Cathy Parkes RN, BSN, PHN, CWCN

Culturally competent care begins with identifying your own cultural beliefs and values!

For effective nonverbal communication, remember your ROLES: Relaxed body language, Open posture, Lean in, Eye contact, Sit squarely toward the patient.

Effective Nonverbal Communication

Cathy Parkes RN, BSN, PHN, CWCN

For effective nonverbal communication, remember your ROLES: Relaxed body language, Open posture, Lean in, Eye contact, Sit squarely toward the patient.

Effective Nonverbal Communication

Cathy Parkes RN, BSN, PHN, CWCN

For effective nonverbal communication, remember your ROLES: Relaxed body language, Open posture, Lean in, Eye contact, Sit squarely toward the patient.

When administering vaccinations to a child less than 12 months of age, be sure to use the vastus lateralis muscle of the thigh. The deltoid should not be used until the child is over a year old!

Pediatric Vaccine Administration

Cathy Parkes RN, BSN, PHN, CWCN

When administering vaccinations to a child less than 12 months of age, be sure to use the vastus lateralis muscle of the thigh. The deltoid should not be used until...

Pediatric Vaccine Administration

Cathy Parkes RN, BSN, PHN, CWCN

When administering vaccinations to a child less than 12 months of age, be sure to use the vastus lateralis muscle of the thigh. The deltoid should not be used until...

Lithotomy position

Lithotomy Position

Cathy Parkes RN, BSN, PHN, CWCN

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

Cathy Parkes RN, BSN, PHN, CWCN

Lithotomy position has the patient supine with their knees flexed and legs abducted. This position is commonly used for gynecologic, rectal, or urologic procedures.

A patient who is lying "supine" is lying on their back in a neutral position.

Supine Position

Cathy Parkes RN, BSN, PHN, CWCN

A patient who is lying "supine" is lying on their back in a neutral position. 

1 comment

Supine Position

Cathy Parkes RN, BSN, PHN, CWCN

A patient who is lying "supine" is lying on their back in a neutral position. 

1 comment
Educate caregivers that after a vaccine it is normal for a child to have pain at the injection site, rash, or a fever.

Post-vaccine Care for Children

Cathy Parkes RN, BSN, PHN, CWCN

Educate caregivers that after a vaccine it is normal for a child to have pain at the injection site, rash, or a fever. Instruct caregivers that while pain relievers may...

Post-vaccine Care for Children

Cathy Parkes RN, BSN, PHN, CWCN

Educate caregivers that after a vaccine it is normal for a child to have pain at the injection site, rash, or a fever. Instruct caregivers that while pain relievers may...

Orthodox Jewish diet

Orthodox Jewish diet

Cathy Parkes RN, BSN, PHN, CWCN

Orthodox jewish individuals do not eat meat WITH dairy, pork products, or shellfish. A hamburger is OK, but not a cheeseburger!

Orthodox Jewish diet

Cathy Parkes RN, BSN, PHN, CWCN

Orthodox jewish individuals do not eat meat WITH dairy, pork products, or shellfish. A hamburger is OK, but not a cheeseburger!

Phases of a helping/therapeutic relationship: Orientation, Working, and Termination. During Orientation, parameters are established: Goal of relationship; Meeting location, frequency, and length; Confidentiality; Duration of relationship.

Phases of Helping Relationships

Cathy Parkes RN, BSN, PHN, CWCN

Phases of a helping (therapeutic) relationship with a patient include Orientation, Working, and Termination.

2 comments

Phases of Helping Relationships

Cathy Parkes RN, BSN, PHN, CWCN

Phases of a helping (therapeutic) relationship with a patient include Orientation, Working, and Termination.

2 comments
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

Cathy Parkes RN, BSN, PHN, CWCN

Closed-ended questions (i.e., yes/no questions) should be avoided because they do not encourage the patient to elaborate on their feelings.

1 comment

Closed-Ended Questions

Cathy Parkes RN, BSN, PHN, CWCN

Closed-ended questions (i.e., yes/no questions) should be avoided because they do not encourage the patient to elaborate on their feelings.

1 comment
Corrections to Documentation - LevelUpRN

Corrections to Documentation

Cathy Parkes RN, BSN, PHN, CWCN

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

Cathy Parkes RN, BSN, PHN, CWCN

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...

Family systems theory states that the family is an interdependent unit. Any change or stressor experienced by one family member affects the entire family.

Family Systems Theory

Cathy Parkes RN, BSN, PHN, CWCN

Family systems theory states that the family is an interdependent unit. Any change or stressor experienced by one family member affects the entire family.

Family Systems Theory

Cathy Parkes RN, BSN, PHN, CWCN

Family systems theory states that the family is an interdependent unit. Any change or stressor experienced by one family member affects the entire family.

OTs and ADLs

OTs and ADLs

Cathy Parkes RN, BSN, PHN, CWCN

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

Cathy Parkes RN, BSN, PHN, CWCN

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...

An ethics committee is an interdisciplinary team that may be used to provide guidance in the face of an ethical dilemma.

Ethics Committee

Cathy Parkes RN, BSN, PHN, CWCN

An ethics committee is an interdisciplinary team that may be used to provide guidance in the face of an ethical dilemma. 

Ethics Committee

Cathy Parkes RN, BSN, PHN, CWCN

An ethics committee is an interdisciplinary team that may be used to provide guidance in the face of an ethical dilemma. 

An epidemic describes an increase in the number of cases of a disease above what is normally expected in a population or area.

Epidemic

Cathy Parkes RN, BSN, PHN, CWCN

An epidemic describes an increase in the number of cases of a disease above what is normally expected in a population or area.

Epidemic

Cathy Parkes RN, BSN, PHN, CWCN

An epidemic describes an increase in the number of cases of a disease above what is normally expected in a population or area.

Educate patients that canes should be held on the strong side with the handle at the level of the wrist.

Canes: Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

Educate patients that canes should be held on the strong side with the handle at the level of the wrist.

Canes: Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

Educate patients that canes should be held on the strong side with the handle at the level of the wrist.

Authoritarian parents are those who are strict and require high control but offer little warmth. Authoritative parents have moderate-high control, but offer high amounts of warmth.

Authoritarian vs. Authoritative Parenting

Cathy Parkes RN, BSN, PHN, CWCN

Authoritarian parents are those who are strict and require high control but offer little warmth. Authoritative parents have moderate-high control, but offer high amounts of warmth. 

Authoritarian vs. Authoritative Parenting

Cathy Parkes RN, BSN, PHN, CWCN

Authoritarian parents are those who are strict and require high control but offer little warmth. Authoritative parents have moderate-high control, but offer high amounts of warmth. 

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

Cathy Parkes RN, BSN, PHN, CWCN

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

Cathy Parkes RN, BSN, PHN, CWCN

Written educational materials should be provided in the patient's primary language using layman's terms and an appropriate reading level.

Avoid recapping needles to prevent sharps injury. If recapping is unavoidable, use the scoop method to minimize the risk of injury.

The Scoop Method

Cathy Parkes RN, BSN, PHN, CWCN

Avoid recapping needles to prevent sharps injury. If recapping is unavoidable, use the scoop method to minimize the risk of injury.

The Scoop Method

Cathy Parkes RN, BSN, PHN, CWCN

Avoid recapping needles to prevent sharps injury. If recapping is unavoidable, use the scoop method to minimize the risk of injury.

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

Cathy Parkes RN, BSN, PHN, CWCN

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

Cathy Parkes RN, BSN, PHN, CWCN

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.

Beneficence is the ethical principle of promoting good, while nonmaleficence is to avoid causing harm.

Beneficence vs. Nonmaleficence

Cathy Parkes RN, BSN, PHN, CWCN

Beneficence is the ethical principle of promoting good, while nonmaleficence is to avoid causing harm.

Beneficence vs. Nonmaleficence

Cathy Parkes RN, BSN, PHN, CWCN

Beneficence is the ethical principle of promoting good, while nonmaleficence is to avoid causing harm.

The timing of nursing interventions for the restrained patient is crucial! Be sure to assess the patient's status every 15 minutes.

Nursing Interventions for the Restrained Patient

Cathy Parkes RN, BSN, PHN, CWCN

The timing of nursing interventions for the restrained patient is crucial! 1) Assess the patient's status every 15 minutes. 2) Offer fluids, ROM exercises, and toileting every 2 hours. 3)...

1 comment

Nursing Interventions for the Restrained Patient

Cathy Parkes RN, BSN, PHN, CWCN

The timing of nursing interventions for the restrained patient is crucial! 1) Assess the patient's status every 15 minutes. 2) Offer fluids, ROM exercises, and toileting every 2 hours. 3)...

1 comment
Sublimation is marked by an individual transforming unacceptable impulses into socially acceptable behaviors.

Sublimation

Cathy Parkes RN, BSN, PHN, CWCN

Sublimation is marked by an individual transforming unacceptable impulses into socially acceptable behaviors. 

Sublimation

Cathy Parkes RN, BSN, PHN, CWCN

Sublimation is marked by an individual transforming unacceptable impulses into socially acceptable behaviors. 

A living will is an advance directive indicating a patient's desired or prohibited medical interventions (e.g., tube feeding, ventilation).

What is a Living Will?

Cathy Parkes RN, BSN, PHN, CWCN

A living will is an advance directive indicating a patient's desired or prohibited medical interventions (e.g., tube feeding, ventilation).

What is a Living Will?

Cathy Parkes RN, BSN, PHN, CWCN

A living will is an advance directive indicating a patient's desired or prohibited medical interventions (e.g., tube feeding, ventilation).

Patients always have the right to refuse medication, even if they have been involuntarily admitted (except in an emergency)! Support the patient's right to autonomy.

Right to Refuse Medication

Cathy Parkes RN, BSN, PHN, CWCN

Patients always have the right to refuse medication, even if they have been involuntarily admitted (except in an emergency)! Support the patient's right to autonomy.

Right to Refuse Medication

Cathy Parkes RN, BSN, PHN, CWCN

Patients always have the right to refuse medication, even if they have been involuntarily admitted (except in an emergency)! Support the patient's right to autonomy.

A cultural assessment involves the identification of a patient's cultural and spiritual beliefs, practices, and preferences regarding medical interventions, illness, family, diet, pregnancy, death, and postmortem care.

Cultural Assessment

Cathy Parkes RN, BSN, PHN, CWCN

A cultural assessment involves the identification of a patient's cultural and spiritual beliefs, practices, and preferences regarding medical interventions, illness, family, diet, pregnancy, death, and postmortem care.

Cultural Assessment

Cathy Parkes RN, BSN, PHN, CWCN

A cultural assessment involves the identification of a patient's cultural and spiritual beliefs, practices, and preferences regarding medical interventions, illness, family, diet, pregnancy, death, and postmortem care.

Complicated grief is that which lasts longer than a year and interferes with the individual's daily functioning.

Complicated Grief

Cathy Parkes RN, BSN, PHN, CWCN

Complicated grief is that which lasts longer than a year and interferes with the individual's daily functioning.

Complicated Grief

Cathy Parkes RN, BSN, PHN, CWCN

Complicated grief is that which lasts longer than a year and interferes with the individual's daily functioning.

A High-Fowler's position involves the patient sitting with the head of the bed at 60 - 90°. This is the ideal position to help with difficulty breathing.

High-Fowler's Position

Cathy Parkes RN, BSN, PHN, CWCN

A High-Fowler's position involves the patient sitting with the head of the bed at 60 - 90°. This is the ideal position to help with difficulty breathing.

High-Fowler's Position

Cathy Parkes RN, BSN, PHN, CWCN

A High-Fowler's position involves the patient sitting with the head of the bed at 60 - 90°. This is the ideal position to help with difficulty breathing.

Bipolar I Disorder is characterized by episodes of severe mania and depression. Bipolar II Disorder is marked by episodes of hypomania (less severe than true mania) and depression.

Bipolar Disorders: I and II

Cathy Parkes RN, BSN, PHN, CWCN

Bipolar I Disorder is characterized by episodes of severe mania and depression. Bipolar II Disorder is marked by episodes of hypomania (less severe than true mania) and depression.

Bipolar Disorders: I and II

Cathy Parkes RN, BSN, PHN, CWCN

Bipolar I Disorder is characterized by episodes of severe mania and depression. Bipolar II Disorder is marked by episodes of hypomania (less severe than true mania) and depression.

A Durable Power of Attorney (DPoA) is a document that identifies another person responsible for medical decision-making. This person does not have to be related to the patient.

Durable Power of Attorney (DPoA)

Cathy Parkes RN, BSN, PHN, CWCN

A Durable Power of Attorney (DPoA) is a document that identifies another person responsible for medical decision-making. This person does not have to be related to the patient.

Durable Power of Attorney (DPoA)

Cathy Parkes RN, BSN, PHN, CWCN

A Durable Power of Attorney (DPoA) is a document that identifies another person responsible for medical decision-making. This person does not have to be related to the patient.

How to recognize behaviors that may indicate intention to commit suicide! These include giving away prized possessions, sudden improvement of mood or calmness, and making preparations.

Indications of Intent to Commit Suicide

Cathy Parkes RN, BSN, PHN, CWCN

Recognize behaviors that may indicate an intention to commit suicide . For example: Giving away prized possessions, sudden improvement of mood or calmness, and/or making of final preparations.

Indications of Intent to Commit Suicide

Cathy Parkes RN, BSN, PHN, CWCN

Recognize behaviors that may indicate an intention to commit suicide . For example: Giving away prized possessions, sudden improvement of mood or calmness, and/or making of final preparations.

Immunizations in first 6 months

Immunizations in first 6 months

Cathy Parkes RN, BSN, PHN, CWCN

IMMUNIZATIONS IN FIRST 6  MONTHS Birth = "B" Hep B 2 Months = "B. Dr. HIP" Hep B, DTAP, RV, Hib, IPV, PCV 4 months = "Dr. HIP" DTAP, RV,...

Immunizations in first 6 months

Cathy Parkes RN, BSN, PHN, CWCN

IMMUNIZATIONS IN FIRST 6  MONTHS Birth = "B" Hep B 2 Months = "B. Dr. HIP" Hep B, DTAP, RV, Hib, IPV, PCV 4 months = "Dr. HIP" DTAP, RV,...

Airborne precautions require the patient to have a NEGATIVE airflow room. Caregivers and visitors need to wear N95 masks when going in the room.

Airborne Precautions

Cathy Parkes RN, BSN, PHN, CWCN

Airborne precautions require the patient to have a NEGATIVE airflow room. Caregivers and visitors need to wear N95 masks when going in the room.

Airborne Precautions

Cathy Parkes RN, BSN, PHN, CWCN

Airborne precautions require the patient to have a NEGATIVE airflow room. Caregivers and visitors need to wear N95 masks when going in the room.

For a patient at risk for suicide:  Do NOT place a patient at risk for suicide in a private room. Provide 1:1 observation at all times.

Patient at risk for suicide

Cathy Parkes RN, BSN, PHN, CWCN

For a patient at risk for suicide: Do NOT place a patient at risk for suicide in a private room. Provide 1:1 observation at all times.

Patient at risk for suicide

Cathy Parkes RN, BSN, PHN, CWCN

For a patient at risk for suicide: Do NOT place a patient at risk for suicide in a private room. Provide 1:1 observation at all times.

Giving Medication to Children - LevelUpRN

Giving Medication to Children

Cathy Parkes RN, BSN, PHN, CWCN

Educate families that when giving medication to children, they must use a calibrated device

Giving Medication to Children

Cathy Parkes RN, BSN, PHN, CWCN

Educate families that when giving medication to children, they must use a calibrated device

A nurse should always protect patient privacy per HIPAA laws, except when there is a duty to warn! If the patient poses a serious threat to another person, the nurse must protect the third party!

Duty to Warn

Cathy Parkes RN, BSN, PHN, CWCN

A nurse should always protect patient privacy per HIPAA laws, except when there is a duty to warn! 

Duty to Warn

Cathy Parkes RN, BSN, PHN, CWCN

A nurse should always protect patient privacy per HIPAA laws, except when there is a duty to warn! 

Assault vs. Battery: Remember A before B! Assault is threatening a patient, Battery is following through with that threat.

Assault versus Battery

Cathy Parkes RN, BSN, PHN, CWCN

Assault vs. Battery Remember A before B! Assault is threatening a patient, Battery is following through with that threat.

Assault versus Battery

Cathy Parkes RN, BSN, PHN, CWCN

Assault vs. Battery Remember A before B! Assault is threatening a patient, Battery is following through with that threat.