Dear Nurses

Saturday, December 30, 2006

HELPFUL INFORMATION FOR THE CLINICAL NURSE

Dear nurses,

Always remember to FOLLOW your institution's
policies and procedures and doctor's orders.
For more helpful clinical information, simply click on the link:
http://www.dearnurses.com/
also enjoy watching the Clinical Videos for Nurses.

HEY, NURSE WHAT IS WRONG ?


For more helpful clinical information, simply click on the link:
http://www.dearnurses.com
enjoy
reading.

HOW GOOD IS YOUR JUDGEMENT ?


Updated 7/24
Using good clinical judgement is an essential part of nursing.
How would you handle the situation above?

Helpful hints:
-Please remember when you are assigned a patient you are
responsible for the care of that patient.
-NEVER RE-ASSIGN that patient to family.
-The hospital does not consider the family member an employee.
- Always follow your institution's policies and procedures

Sunday, December 17, 2006

SAME NAME , NOT SAFE

Updated 5/25
Dear nurses, 

It is important to remember when administering 
medications, that every attempt to avoid errors
should be taken. Learn more by clicking on the
link: Medication errors

The care plan should reflect patient safety and 
education of patient and family. Learn more by
clicking on the link: Care planning



Learn more about: Communication skills

POOR DECISION MAKING


Updated 4 /25
Dear nurses,

How good is your decision making? Would you do what this 
nurse did? I hope not. A neurological assessment is very important!
 
Helpful hint:
Always take the time to do an assessment, to ensure everything is okay!


   Learn more : Critical thinking

PATIENT ASSESSMENT


Updated 5/25

Patient assessment is the responsibility of every nurse.

 

Scenario: Nick is a 21 year old male, who was on his way 
to work , when he became involved in a head on collision.
Someone called 911 and paramedics arrived on scene, to
resuscitate him. See link below.




Scenario: The patient above, was in respiratory distress
and placed  on mechanical ventilation. It is difficult
for the patient on a ventilator to describe pain. Knowing
how to assess is very important.

Enjoy watching the video:

NEVER SHIFT YOUR RESPONSIBILITIES



Updated 8/23

Dear nurses,

Hope you had a good week. Never shift your responsibilities onto others. The nurse has a very important role to play in the clinical setting. In order to learn more about the role of the nurse
with care planning and not shifting responsibilities, simply click on the link:



Sunday, December 10, 2006

MASSAGING FEET CAN BE DANGEROUS


Care planning and patient education are essential tools in the clinical setting. The nurse has an important role to play, keeping the family and patient informed. A plan of care is typically updated as the patient's needs are assessed. To learn more, simply click on the link:www.dearnurses.net
and enjoy learning.

A BLOOD CLOT CAN TRAVEL

  4/24
  Dear nurses,
 The Clinical Setting Step by Step is no longer available.
  More updated information can be accessed by clicking on the links:
   

The patient who is confined to bed is at risk for DVT (Deep Vein Thrombosis).
To learn more about DVT prevention in the clinical setting ,(Sessions 11)or go to:
http://www.dearnurses.net/
and enjoy reading the following topics:
1)The Clinical Setting Step by Step, chapter 3
2) Care Planning and Patient Education.

DVT (DEEP VEIN THROMBOSIS)




Nick was taken to surgery emergently. An exploratory
laparotomy and bowel repair was performed. He also
received 2 units of blood. He was later transferred to
the ICU, in stable condition.
This case study continues here : Case study/Sepsis

The postoperative patient is at risk for DVT.
To learn more, please click on the link:
Postoperative patient


A blood clot may form in the veins of the calf and travel to the lungs.




Most people who anticipate taking a long plane
 flight may hardly stop to think about dehydration
 and its consequences. 

Making sure adequate clothing is packed, arriving
at the airport on time, and making sure pets or
children are cared for, are just a few of the concerns
 a traveler might have. Skipping a meal as a result of
 anxiety may very readily happen.

To further complicate matters, there are significant
changes in time zones on a long flight across the globe.

Someone who has been on a long flight and sitting for
a considerable length of time, coupled with inadequate
fluid intake, may be at risk for DVT (Deep Vein Thrombosis).

It is worth noting that taking the time to drink extra fluids
before and during a long flight, will help prevent dehydration.

Friday, December 08, 2006

Patient Controlled Analgesia Administration


 

















PCA ( Pain Controlled Analgesia)

This type of analgesia may be ordered by the doctor, for the patient who
is awake, alert and able to self medicate. However, family members should
be advised by the medical staff, that family members are not allowed to press
the medication button. Sessions 12 gives an overview of pain assessment.


Patient Controlled Analgesia

























PCA ( Patient Controlled Analgesia)

This type of analgesia may be ordered by the doctor, for the patient who
is awake, alert and able to self medicate. However, family members should
be advised by the medical staff, that family members are not allowed to press

CORRECT MEDICATION ADMINISTRATION




Updated 8/24
Dear Nurses,


Dearnurses.net is no longer available. For more updated information ,
please click on the links below:

WHAT IS WRONG WITH THIS SITUATION?


Patients may not always know how to use good judgement, but a competent nurse can be of great help. To learn more , just click on the link:
CARE PLANNING AND PATIENT EDUCATION.
Also enjoy watching the Clinical videos for nurses.

Thursday, December 07, 2006

POOR CLINICAL JUDGMENT( MEDICATION ADMINISTRATION)

Updated 4/25
Dear Nurses,

The nurse above is about to make a medication error.
This is very poor judgement on her part.
Here are some helpful pointers for good medication administration:
- Follow MD orders
- Remember the five or more rights
- DO NOT USE COLOR CODING AS YOUR ONLY GUIDELINE.
Remember, many pills may have the same color, but that does not
mean they are of equal strength.
- If you are a new nurse and you are uncertain, consult with a more
 experienced nurse to help you out.
- Always follow your Institution's policies and procedures

Helpful information for the clinical nurse

POOR CLINICAL JUDGEMENT





















Updated 8/23         

Medication administration is not a guessing game! To learn more
about safe clinical judgement, simply click on the link: