Nursing Tips
Fundamentals (119)
FIRE-RACE
Response to a FIRE: Use the RACE sequence. R = rescue (move patients to safer location). A = alarm (activate alarm system). C = contain (close doors/windows, turn off oxygen...
FIRE-RACE
Response to a FIRE: Use the RACE sequence. R = rescue (move patients to safer location). A = alarm (activate alarm system). C = contain (close doors/windows, turn off oxygen...
Oxygen Safety
Oxygen safety: Use COTTON bedding and clothes (vs. synthetic fabrics or wool).
Oxygen Safety
Oxygen safety: Use COTTON bedding and clothes (vs. synthetic fabrics or wool).
ABCDE Principle
With the ABCDE principle in Nursing, A is for "airway". Ensure the patient has a patent airway AND the cervical spine is stabilized if neck/head trauma is suspected.
ABCDE Principle
With the ABCDE principle in Nursing, A is for "airway". Ensure the patient has a patent airway AND the cervical spine is stabilized if neck/head trauma is suspected.
Incentive Spirometer
Educate patients on the use of the incentive spirometer. They should inhale slowly and deeply, and use the device ~ 10 times an hour while awake.
Incentive Spirometer
Educate patients on the use of the incentive spirometer. They should inhale slowly and deeply, and use the device ~ 10 times an hour while awake.
Objective versus Subjective Data
Two types of data the nurse should document include objective and subjective.
Objective versus Subjective Data
Two types of data the nurse should document include objective and subjective.
Laissez-Faire Leadership
Laissez-Faire leadership style follows a hands-off approach, which leads to low productivity and frustration.
Laissez-Faire Leadership
Laissez-Faire leadership style follows a hands-off approach, which leads to low productivity and frustration.
Prevalence
Prevalence is the number of current cases (new and pre-existing) of a disease/injury in a population during a specified time. This figure does not include those who have died from...
Prevalence
Prevalence is the number of current cases (new and pre-existing) of a disease/injury in a population during a specified time. This figure does not include those who have died from...
Patients with Artificial Airways
Patients with artificial airways may be unable to speak. Use alternative communication methods (e.g., writing board) to allow the patient to convey their needs.
Patients with Artificial Airways
Patients with artificial airways may be unable to speak. Use alternative communication methods (e.g., writing board) to allow the patient to convey their needs.
Recording I&Os
When recording I&Os, ice chips should be recorded as half their volume. For example, 8 oz of ice chips count as 4 oz of water.
Recording I&Os
When recording I&Os, ice chips should be recorded as half their volume. For example, 8 oz of ice chips count as 4 oz of water.
Denture Care
When providing denture care, place towels into the sink to prevent damage should they fall during cleaning.
Denture Care
When providing denture care, place towels into the sink to prevent damage should they fall during cleaning.
Venturi Devices
Venturi devices are used to provide the most precise FiO2 delivery (up to 40%) without intubation. The flow rate depends on the mask to which the device is attached.
Venturi Devices
Venturi devices are used to provide the most precise FiO2 delivery (up to 40%) without intubation. The flow rate depends on the mask to which the device is attached.
Veracity
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
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...
Body Mechanics for Lifting
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
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...
Delegating to your PN
Things can delegate to PN: Medication administration, foley catheter, enteral feeding, NG tube insertion, suctioning, tracheostomy care...
Delegating to your PN
Things can delegate to PN: Medication administration, foley catheter, enteral feeding, NG tube insertion, suctioning, tracheostomy care...
Combatting the Effects of Immobility
In order to combat the effects of immobility, encourage coughing/deep breathing/use of incentive spirometer, apply TED hose or SCDs to promote blood return, provide anticoagulation as ordered, and reposition the...
Combatting the Effects of Immobility
In order to combat the effects of immobility, encourage coughing/deep breathing/use of incentive spirometer, apply TED hose or SCDs to promote blood return, provide anticoagulation as ordered, and reposition the...
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...
HIPAA Laws: Password Safety
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
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.
Fecal Occult Blood Test
In the presence of blood, a fecal occult blood test card will turn blue. Report this finding to the provider for further evaluation.
Fecal Occult Blood Test
In the presence of blood, a fecal occult blood test card will turn blue. Report this finding to the provider for further evaluation.
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...
Faulty Equipment
If equipment malfunctions, tag the faulty equipment, take it out of use, and notify the appropriate department.
Faulty Equipment
If equipment malfunctions, tag the faulty equipment, take it out of use, and notify the appropriate department.
Clean Catch Urine Specimen Collection
When collecting a clean catch urine specimen, educate patients to clean the urethra with sterile wipes, waste the initial amount into the toilet and then position the sterile container into...
Clean Catch Urine Specimen Collection
When collecting a clean catch urine specimen, educate patients to clean the urethra with sterile wipes, waste the initial amount into the toilet and then position the sterile container into...
Administering an Enema
When administering enemas, lubricate the tip and insert it approximately 3 - 4" into the rectum with the tip angled towards the umbilicus.
Administering an Enema
When administering enemas, lubricate the tip and insert it approximately 3 - 4" into the rectum with the tip angled towards the umbilicus.
Preventing Hospital-Acquired Infections (HAIs)
Ways to prevent hospital-acquired infections (HAIs) include performing proper hand hygiene, performing line/tube/drain care per evidence-based facility policy, limiting invasive procedures, and removing invasive devices as soon as indicated.
Preventing Hospital-Acquired Infections (HAIs)
Ways to prevent hospital-acquired infections (HAIs) include performing proper hand hygiene, performing line/tube/drain care per evidence-based facility policy, limiting invasive procedures, and removing invasive devices as soon as indicated.
Ethnocentrism
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
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.
Early Patient Discharge
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
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
Culturally competent care begins with identifying your own cultural beliefs and values!
Culturally Competent Care
Culturally competent care begins with identifying your own cultural beliefs and values!
Effective Nonverbal Communication
For effective nonverbal communication, remember your ROLES: Relaxed body language, Open posture, Lean in, Eye contact, Sit squarely toward the patient.
Effective Nonverbal Communication
For effective nonverbal communication, remember your ROLES: Relaxed body language, Open posture, Lean in, Eye contact, Sit squarely toward the patient.
Transformational Leadership
Transformational leadership promotes teamwork and shared decision-making, and is considered the ideal leadership style.
Transformational Leadership
Transformational leadership promotes teamwork and shared decision-making, and is considered the ideal leadership style.
Restraints: When to Remove
Restraints should be removed immediately once a patient is no longer a risk to themselves or others.
Restraints: When to Remove
Restraints should be removed immediately once a patient is no longer a risk to themselves or others.
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.
Isotonic Fluids
Isotonic fluids do not change the volume of the body's cells.
Isotonic Fluids
Isotonic fluids do not change the volume of the body's cells.
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).
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