Nursing Tips
Fundamentals (139)
"Incubation" Period of Illness
The time period after a pathogen has entered a patient until the appearance of general signs and symptoms is known as the "incubation" period of illness.
"Incubation" Period of Illness
The time period after a pathogen has entered a patient until the appearance of general signs and symptoms is known as the "incubation" period of illness.
RN Delegation
The RN should never delegate any portion of the nursing process or patient education.
RN Delegation
The RN should never delegate any portion of the nursing process or patient education.
Progressive Approach to Employee Discipline
The progressive approach to employee discipline should begin with a verbal reprimand, followed by a formal/written reprimand, then a suspension from work, and finally involuntary termination.
Progressive Approach to Employee Discipline
The progressive approach to employee discipline should begin with a verbal reprimand, followed by a formal/written reprimand, then a suspension from work, and finally involuntary termination.
Presbycusis
The older adult may experience presbycusis, which is bilateral hearing loss which starts with the loss of high-pitched frequencies.
Presbycusis
The older adult may experience presbycusis, which is bilateral hearing loss which starts with the loss of high-pitched frequencies.
The Nurse Practice Act (NPA)
The Nurse Practice Act (NPA) is a legal document that governs nursing practice in each state.
The Nurse Practice Act (NPA)
The Nurse Practice Act (NPA) is a legal document that governs nursing practice in each state.
The Nursing Process
The nursing process is a systematic approach used to guide patient care. The steps include: assessment; diagnosis; planning; implementation; evaluation.
The Nursing Process
The nursing process is a systematic approach used to guide patient care. The steps include: assessment; diagnosis; planning; implementation; evaluation.
Five Rights of Delegation
The five rights of delegation include the right task, circumstance, person, direction, and supervision. The RN is accountable for evaluating the outcome of all delegated tasks!
Five Rights of Delegation
The five rights of delegation include the right task, circumstance, person, direction, and supervision. The RN is accountable for evaluating the outcome of all delegated tasks!
Collaboration
The best way to deal with conflict is by collaborating. In this management strategy, both parties put aside previous goals and work together towards a common goal.
Collaboration
The best way to deal with conflict is by collaborating. In this management strategy, both parties put aside previous goals and work together towards a common goal.
Assessing Patient Comprehension
The best way to assess patient comprehension of education is to have them "teach back" to the nurse or perform a "return demonstration" to ensure full understanding.
Assessing Patient Comprehension
The best way to assess patient comprehension of education is to have them "teach back" to the nurse or perform a "return demonstration" to ensure full understanding.
American Nurses Association (ANA)
The American Nurses Association (ANA) establishes the ethical standards for the nursing profession.
American Nurses Association (ANA)
The American Nurses Association (ANA) establishes the ethical standards for the nursing profession.
Conflict Management: Smoothing
Smoothing is a conflict management strategy where one party compliments the other in order to gain agreement, however the conflict is not actually resolved!
Conflict Management: Smoothing
Smoothing is a conflict management strategy where one party compliments the other in order to gain agreement, however the conflict is not actually resolved!
Slander vs Libel
Slander is verbal defamation of character, while libel is defamation of character that is written.
Slander vs Libel
Slander is verbal defamation of character, while libel is defamation of character that is written.
Needlestick Injury
Should a needlestick injury occur, thoroughly rinse the site with normal saline or water. Report the needlestick to the charge nurse immediately, and follow up with post-exposure prophylactic measures such...
Needlestick Injury
Should a needlestick injury occur, thoroughly rinse the site with normal saline or water. Report the needlestick to the charge nurse immediately, and follow up with post-exposure prophylactic measures such...
Bomb Threat: What to do
Should a bomb threat be made via phone call, keep the caller talking and do not hang up. Write down as much as possible about the call, including the exact...
Bomb Threat: What to do
Should a bomb threat be made via phone call, keep the caller talking and do not hang up. Write down as much as possible about the call, including the exact...
Chest Physiotherapy
Schedule chest physiotherapy before meals or 1 - 2 hours after meals to avoid vomiting. Administer a bronchodilator 30 - 60 minutes prior to treatment.
Chest Physiotherapy
Schedule chest physiotherapy before meals or 1 - 2 hours after meals to avoid vomiting. Administer a bronchodilator 30 - 60 minutes prior to treatment.
SBAR Communication
SBAR communication (which stands for situation, background, assessment, recommendation) is a technique to organize and facilitate communication with interdisciplinary team members.
SBAR Communication
SBAR communication (which stands for situation, background, assessment, recommendation) is a technique to organize and facilitate communication with interdisciplinary team members.
Respite Care
Respite care is short-term relief of duties for primary caregivers which can decrease caregiver burnout and help prevent abuse.
Respite Care
Respite care is short-term relief of duties for primary caregivers which can decrease caregiver burnout and help prevent abuse.
Quality Improvement
Quality improvement is an ongoing process used to improve the quality and safety of health care, and should begin by establishing a standard of care.
Quality Improvement
Quality improvement is an ongoing process used to improve the quality and safety of health care, and should begin by establishing a standard of care.
"Time Out" Procedure
Prior to beginning a surgery, a "time out" procedure should be done to verify the patient identity and the correct surgical site.
"Time Out" Procedure
Prior to beginning a surgery, a "time out" procedure should be done to verify the patient identity and the correct surgical site.
Presbyopia
Presbyopia is a common finding in the older adult, and indicates difficulty focusing on close-up objects.
Presbyopia
Presbyopia is a common finding in the older adult, and indicates difficulty focusing on close-up objects.
Hyperkalemia & Hypokalemia
The MOST important side effect to know for BOTH hyperkalemia and hypokalemia is DYSRHYTHMIAS.
Hyperkalemia & Hypokalemia
The MOST important side effect to know for BOTH hyperkalemia and hypokalemia is DYSRHYTHMIAS.
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.
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