Dear Nurses

Friday, May 25, 2007

HAVE A GOOD MEMORIAL DAY

Updated 8/25


Have a good Memorial Day!



Here are some diagnostic tests that are done frequently.
Follow the links below:

1. Chest X ray
2. CAT scan
3. EKG
4. MRI scan
5. Ultrasound
6. Echocardiogram

Be cautious, prevent falls!


RECOGNIZING SAFE NURSING PRACTICES - WHAT IF YOU WERE LINDA?

Updated 8/25

Dear nurses,

It is important to recognize the importance 
of being a safe nurse. Linda's story continues :

Below, topics of interest
have been added. Enjoy learning!


Learn more about: Common causes of medication errors

`Learn more about: Critical thinking

LINDA CANNOT GO ON

Updated 8/25

Dear nurses,

Remember a bad decision impacts patients and staff!
Linda's story continues: Here



Learn more about : Organizational Skills


Learn more about : Communication skills

WHY LINDA WHY ?

Updated 11/24

Linda is responsible for the patients in her care. Making decisions 
using bad judgement, could ultimately impact a patient's outcome.

Learn more about: Here


Scenario 1: In the image above, the nurse in the green 
top has been enjoying a lengthy conversation with a friend. 
She has no idea one of the patients is having chest pain.

The doctor arrives to confront the situation. It is important 
for the nurse in a clinical area to be vigilant and use good
clinical judgement. Monitoring of the patients in the ER, 
is a priority.

This topic continues here.

Learn more about : Neurological assessment

WHAT IF YOU WERE IN YOUR COWORKER'S SITUATION?



Updated 8/25

Dear nurses,
New topics have been added below.
Enjoy Learning!



Dear nurses,

Regardless of where a nurse works, good
communication is of utmost importance

How good are your communication skills?
Have you helped your coworker today?
Have a good week.



Learn more about: Triage

Learn more about : Critical thinking


Learn more about : Neurological assessment

HAVE A HEART LINDA !

Linda's story starts : Here
Updated 3/26

Dear nurses,

New information has been added below.
Enjoy learning!



The standards of care are an essential part of  the
Nursing profession. It provides guidelines within a
framework of practices.
Learn more about : The standards of care

Learn more about : Nursing communication

It takes "all hands on deck" to complete the work.

It is important to recognize that classroom skills
are different from clinical skills. A nurse's
performance in the work place takes on a different 
challenge from the classroom.

Learn more about: Hemodynamic Monitoring and

Saturday, May 19, 2007

HAVE A GREAT WEEK- ENJOY LEARNING MORE

Updated 3/26
Dear nurses,
Enjoy learning more

It takes "all hands on deck" to complete the work.

It is important to recognize that classroom skills
are different from clinical skills. A nurse's
performance in the work place takes on a different 
challenge from the classroom.

Learn more about: Hemodynamic Monitoring and


What does TBI mean ?

This means Traumatic Brain Injury. 
In the image below, a surfer hits his head on the pier.
He sustains a TBI and a Subarachnoid hemorrhage.



He was admitted to the ICU for treatment. An EVD was
placed by the doctor. Please click on the links for more
helpful information:


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

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.

Learn more about : Sepsis



 

In the image above, there are people taking a stroll
in the park. Although no one stops to think about 
each action that is taken, muscles, bones and joint
are at work.

The human body is made up of muscles, bones and 
joints of different sizes. Bones and joints have very
important work to do. They work in unity, to provide
support for the body, as well as protecting vital 
organs.

Learn more about: Muscles, bones and joints










HOPE YOU HAD A GOOD WEEK


Hi guys,


Hope you had a good week.

A CHF ( CONGESTIVE HEART FAILURE) CASE STUDY

Updated 4/26


Dear nurses,
The CHF case study is no longer available.
New information and links have been added below.


Scenario: In the above scenario, Mr. R is anxious
and feeling short of breath. 

The patient in Congestive heart failure, will display
signs of anxiety, due to lack of oxygen.The damaged
heart cannot pump blood as efficiently as a healthy 
heart. 

Chest pain and shortness of breath will likely be present. 
As a result of heart damage, fluid backs up into the lungs.

The patient who has an anterior wall myocardial infarction
may develop CHF. A higher level of care is usually needed. 

Watch the videos: Hemoynamic monitoring

The image above, gives an indication of what 
happens to the patient in Congestive heart failure.

Causes include : Hypertensionmyocardial infarction,
cardiomyopathy are some examples. See above image.

CHF ( CONGESTIVE HEART FAILURE) AND SHORTNESS OF BREATH

Updated 4/26

Dear nurses,
New information has been added below.



Scenario: In the above scenario, Mr. R is anxious
and feeling short of breath. 

The patient in Congestive heart failure, will display
signs of anxiety, due to lack of oxygen.The damaged
heart cannot pump blood as efficiently as a healthy 
heart. 

Chest pain and shortness of breath will likely be present. 
As a result of heart damage, fluid backs up into the lungs.

The patient who has an anterior wall myocardial infarction
may develop CHF. A higher level of care is usually needed. 

Watch the videos: Hemoynamic monitoring

The image above, gives an indication of what 
happens to the patient in Congestive heart failure.

Causes include : Hypertensionmyocardial infarction,
cardiomyopathy are some examples. See above image.



Learn more about: Organizational skills


Learn about : the ABG and Code Blue




CHF ( CONGESTIVE HEART FAILURE) IS RESOLVED

Dear nurses,
Updated 4 /26

Dearnurses.com / CHF Case study is no longer available. Please click
on the links below, for more updated information:
Do you know your heart





Learn about : the ABG and Code Blue

Learn more about : The Circulatory System

WHAT HAPPENS IN CHF ( CONGESTIVE HEART FAILURE)?

Updated 4/26



Scenario: In the above scenario, Mr. R is anxious
and feeling short of breath. 

The patient in Congestive heart failure, will display
signs of anxiety, due to lack of oxygen.The damaged
heart cannot pump blood as efficiently as a healthy 
heart. 

Chest pain and shortness of breath will likely be present. 
As a result of heart damage, fluid backs up into the lungs.

The patient who has an anterior wall myocardial infarction
may develop CHF. A higher level of care is usually needed. 

Watch the videos: Hemoynamic monitoring

The image above, gives an indication of what 
happens to the patient in Congestive heart failure.

Causes include : Hypertension, myocardial infarction,
cardiomyopathy are some examples. See above image.


Learn more about : The Circulatory System



Learn about : the ABG and Code Blue


 

CLINICAL ASSESSMENT OF CHF ( CONGESTIVE HEART FAILURE)

Updated 4/26



Scenario: In the above scenario, Mr. R is anxious
and feeling short of breath. 

The patient in Congestive heart failure, will display
signs of anxiety, due to lack of oxygen.The damaged
heart cannot pump blood as efficiently as a healthy 
heart. 

Chest pain and shortness of breath will likely be present. 
As a result of heart damage, fluid backs up into the lungs.

The patient who has an anterior wall myocardial infarction
may develop CHF. A higher level of care is usually needed. 

Watch the videos: Hemoynamic monitoring



MD orders will include : Assessment, continuous monitoring
of the cardiac and respiratory status, diuretics, 
drugs such as
Digoxin, lab values and more.


Learn more about : The Circulatory System



Learn about : the ABG and Code Blue


 

Saturday, May 12, 2007

HAPPY MOTHER'S DAY

Happy mother's day to all moms and enjoy learning more about the Clinical Setting.

WHAT IF YOUR PATIENT HAD AN ILEUS

Updated 5/25


A paralytic ileus may develop, after surgical intervention. 
Enjoy watching the video : Bowel obstruction



Paralytic ileus is a postoperative complication. It may occur in any 
post surgical patient. It is caused by anesthetics.

What are some of the symptoms of this condition?
Absent bowel sounds, abdominal pain and distention.

It is important to check for bowel sounds in the postoperative period.
Documentation is also important. 
If there are no bowel sounds, MD should be notified for further orders.

The doctor orders tests such as X-Ray and CT scan  to confirm diagnosis. 
Insertion of a nasogastric tube is also ordered by MD .