DEAR NURSES, HAVE YOU EVER WORKED IN AN UNFAMILIAR AREA?

Updated 10 /25

Dear nurses,

Dearnurses.com is no longer available.

Have you ever had to float to another clinical area, that you

are not familiar with? This can be a blow to your organizational
skills. Floating does not have to be dreadful.

It can be a great way to expand your clinical knowledge. If you
would like to improve your learning curve, simply click on the link:

Neurological assessment

                

                Hemothorax an assessment

Learn more about : Sepsis

The surgical patient is at risk for infection, related to
  surgical intervention.

- Paralytic ileus may occur .

- Hypothermia due to fluid loss and bodily exposure
  during surgery. Hypothermia increases the body's need
  for oxygen and possibly may lead to a cardiac event.

 Warming measures are necessary.

NEW NURSE - DO YOU KNOW HOW ORGANIZE YOUR DAY?

Updated 4/25

The clinical scenario above demonstrates the situation
of a new nurse. She is assigned to the ER and is really
 scared. She does not know how to get organized.This
topic continues here: Organizational skills

Enjoy the video: Over morning coffee

         Learn more : Critical thinking

New Nurse, are you ready for the Clinical Setting?

                                       Dearnurses.net is no longer available.

                                     You do not have to feel like flying away.

 Updated 10/24

 Dear nurses,

The Clinical Setting is no longer available. Being a new nurse can be challenging.

It is worth being able to understand how to organize your day.
You do not have to feel like flying away. 

COLD AS CAN BE

Nurses,

You should not have to feel challenged. The Clinical Setting can be enjoyable if you understand how to organize your day. You may also enjoy watching the Clinical videos for nurses.(Sessions 19, 26)

PRIORITIES OF A NURSE

                      Preventing post operative pneumonia

Updated 9/24

Dear nurses,

Dearnurses.net is no longer available.

In the image above, a nurse tries to offer a patient 
an incentive spirometer, to do breathing exercises.
He is not interested. The nurse has a responsibility
to do patient teaching. This is reflected in the plan of care.

Learn more about: Care planning

  Learn more : Aspiration pneumonia

NURSING COMMUNICATION

Dear nurses,
Dearnurses.com is no longer available. 

Updated 12/24

It is important to recognize the importance of good communication.
This is frequently overlooked. Learn more about ADPIE.

Please refer to: Quizmenurse  for more topics.

PRIORITIES OF A NURSE

Updated 6/25

Dear nurses,

New topics have been added below.

Enjoy learning!

Learn more about : Clinical judgement

Learn more about : Care planning

                                                              

Learn more about : Pneumothorax

MENINGEAL COVERINGS OF THE BRAIN

Updated 6/25The brain has three meningeal coverings.
they are the dura mater, arachnoid mater
and pia mater. 

Dearnurses.org is no longer available.

Learn more by clicking on the links:

Subarachnoid hemorrhage

Why Therapy

In the above image, examples of how brain injuries
can occur are shown. Click on the links:
ICP monitoring

Stroke and ICP

for more information.

THE BRAIN

Updated 6/24

The human brain is made up of two cerebral hemispheres 
(right and left). Each hemisphere has 4 lobes: frontal, parietal,
temporal and occipital.

The meningeal coverings are three protective coverings around
the brain. Learn more, by clicking on the link below: 

ICP monitoring

      ICP monitoring

In the above image, examples of how brain injuries

can occur are shown. Click on the link:

Stroke and ICP

for more information.

WHAT IS MENINGITIS

Updated 5/24

Dear nurses,

The Case Study on Meningitis is no longer available. For more information on ICP 

monitoring and brain injury, click on the link below:

ICP Management

WHAT IS TBI ? (Traumatic Brain Injury)

Updated 8/25

New information on TBI has been added below.

Learn more about: TBI ( Traumatic Brain injury)

Learn more about : Communication skills

and :Why Therapy

BLEEDING INTO BRAIN FROM INJURY

Updated 11/23

Brain injury may be blunt or penetrating. There are many causes
including : a gunshot wound, car accident or a direct blow to the 
head. Although the above topics are no longer available, new topics
have been added. So, just click on the links below :

Cranial nerves
Brain injured patient

CAR ACCIDENT WITH BRAIN INJURY

Brain injury may result from a car accident. There are different types
   of injury that may occur. Management of the brain injured patient
                 may be a long and complicated process. ICU Care , which may also 
include  ICP monitoring may become necessary.

                  It is also important to remember that the family should also be informed.
This will decrease anxiety as much as possible.

TRAUMATIC BRAIN INJURY

Updated 5/24

See below.

Traumatic brain injury may range from a motor vehicle accident, fall, assault, gunshot wound, or any injury to the cranium.

Management of the injury is directed at the mechanism of injury.The consequences of brain trauma can be fatal. Massive bleeding inside the head may result in a  number of neurological 

changes.

Helpful hints:
- Monitor vital signs and neurological status as ordered by MD.
- Follow MD orders for IV fluids and pain medication .
- Discuss with the family the need for a quiet environment , as this
  will help for a more restful setting.
- Too much chaos demands more oxygen for an already injured brain.
- Rest for the injured brain is of paramount importance.

IF I HAD WINGS TO FLY

                              Updated 2/24

                              Dearnurses.com is no longer available.
                              New information can be accessed by
                              clicking on the links below:

                              Sessions 19 and
                             The Nursing Process

Dear nurses,
Have you ever been given such a bad assignment,
That if you were a bird you would fly into retirement.
Well, you do not have to feel that way. You can stand
tall, knowing how to organize your day.(sessions 19)
Simply click on the link:
http://www.dearnurses.com/home
and enjoy reading Care Planning and Patient Education.

TEARS OF A NEW NURSE

Dear nurses,

Updated 5/24

Updated 7/25

I am a new nurse I do declare,
Someone help me out over here.

Dear nurses, 

You do not have to feel that way!
To learn more, view the images and
click on the links below.

Learn more about : Critical Thinking and

Image being in this situation

Like the artist perfects painting skills, so does the
nurse perfect clinical skills!

Nursing Fundamentals
Standards of care

Learn more about: Clinical judgement

and Chest pain assessment

FEELING ALONE

Updated 6/24

Dear nurses,

Dearnurses.com is no longer available. Please use the link:

Quizmenurse for more updated information.

PRAYER OF A NEW NURSE

I'M ALL ALONE AND STANDING HERE,
NERVOUS, CONFUSED AND FULL OF FEAR.
DEAR GOD I PRAY,
HELP ME THROUGH ANOTHER DAY.

Nurses, you do not have to feel alone and full of fear. Simply click on the link:

http://www.dearnurses.net/home and enjoy learning how to feel more confident in the clinical setting.
Also visit dearnurses.com - Sessions
New nurses please visit this website for New Nurses

REFLECTIONS

Hi nurses,

Happy new year to you all.

Take a moment to reflect (like the picture above), on the
last year. How did you treat your patient or co-worker?
Do you feel like you could have done more for your patient?
Have you been willing to lend a helping hand when your co- worker needed it?
Let us have your comments.
You may also enjoy dearnurses.com Sessions 25

REFLECTIONS

Dear nurses,

Take a moment to reflect on how you manage(sessions 19) your day at work. Do you feel you could have done a better job? Do you feel there is room for improvement? To help improve you clinical skills, simply click on the link:http://www.dearnurses.net/home and learn more. Also watch Sessions 39 Addressing Maslow's

ACCURATE NEUROLOGICAL ASSESSMENT

Dear nurses,

2/24

The Neurological Assessment or Stroke Series is no 
longer available. These topics can now be accessed
by clicking on the link : 

Stroke Assessment and brain involvement

THERE IS SO MUCH HELPFUL INFORMATION
ON ACCURATE NEUROLOGICAL ASSESSMENT
JUST FOR YOU. CLICK ON THE LINK:
STROKE SERIES ASSESSMENT IN THE CLINICAL SETTING.
Also enjoy watching the Clinical videos for nurses.

ACCURATE NEUROLOGICAL ASSESSMENT

Updated 5/25

The Glasgow Coma Scale is a very important
neurological assessment tool in the clinical 
setting.

Documentation of findings should always be done.

When a patient is not responding,

the nurse has a responsibility
to do an assessment.

Learn more : Clinical judgement

   Learn more about the Cranial Nerves