Dear Nurses

Friday, December 28, 2007

HAPPY NEW YEAR TO ALL NURSES

Updated 12/25

Wishing you the very best for the New Year.

Please enjoy the videos:

Sessions 38 - Happy Holiday
and Sessions 61- From holiday cheers to horrors


Learn more about : Travel and eating


Learn more about: All things food

HIPAA


Enjoy learning what you need to know about HIPAA.

SIMPLIFYING BASAL SKULL FRACTURE


Basal skull fractures are usually diagnosed by CAT scan.
They are difficult to see on X-Ray. The image above,
shows what the patient with a basal skull may look like.

It is important to be able to identify the signs of a basal
skull fracture.The crack in the base of the skull may cause
CSF ( cerebrospinal fluid) to leak from the nose or ear.
A halo ring may appear on the pillow. Cranial nerves
may also be damaged.

For more helpful information, please click on the links:
and enjoy learning. 
Updated 4 /23
Learn more about : Clinical judgement 

BASAL SKULL FRACTURE


Updated 1/25
Dear nurses, 
Dearnurses.com is no longer available.Learn more about 
ICP monitoring by clicking on the link: ICP monitoring



Basal skull fractures are usually diagnosed by CAT scan. 
They are difficult to see on X-Ray. The image above,
shows what the patient with a basal skull may look like.


It is important to be able to identify the signs of a basal
skull fracture.The crack in the base of the skull may cause
CSF ( cerebrospinal fluid) to leak from the nose or ear. 
A halo ring may appear on the pillow. Cranial nerves
may also be damaged.

 For more helpful information, please click on the links:















Sunday, December 23, 2007

MERRY CHRISTMAS TO ALL NURSES

Updated 12/25

Dear nurses,

Wishing you the very best for Christmas and 
the New Year.

Please enjoy the videos:

Sessions 38 - Happy Holiday
and Sessions 61- From holiday cheers to horrors


Learn more about : Travel and eating


Learn more about: All things food

MERRY CHRISTMAS TO ALL NURSES - AVOID HOLIDAY HORRORS!

Learn more about:


TRAUMA SERIES - IMPALED OBJECT




                                                         Impaled object

Updated 6/24


An object is considered to be impaled if it has penetrated and is fixed to the person.
It is a form of trauma. An object may become impaled in any part of the body and may
occur inside or outside.

Helpful hints:

-  an object becomes impaled in someone's body, it is advisable to secure the object
as close to the body as possible.
- Cover the object with a dressing or something clean.
- Monitor the site for bleeding and apply pressure if necessary.
  It is also advisable to monitor the person for signs of shock.
- Get help ASAP!



TRAUMA SERIES - IMPALED OBJECT

Updated  6/24

An object is considered to be impaled if it has penetrated and is
fixed to the person.It is a form of trauma. An object may become
impaled in any part of the body and may occur inside or outside.

                                             Impaled object

Helpful hints:

-  an object becomes impaled in someone's body, it is advisable to
   secure the object as close to the body as possible.
- Cover the object with a dressing or something clean.
- Monitor the site for bleeding and apply pressure if necessary.
  It is also advisable to monitor the person for signs of shock.
- Get help ASAP!

HIPAA AWARENESS

Guys,
Are you aware of the correct way to use HIPAA in the Clinical Setting? Some helpful situations are waiting for you. ENJOY!

Friday, December 14, 2007

HAVE A GREAT WEEK TO ALL NURSES - ENJOY NEW TOPICS

Dear nurses,

It is always a pleasure to serve you.
Below, new topics have been added.




Learn more about : Sepsis

DIABETIC CARE FOR NURSES - PART 4

Updated 8/25


Learn more about : DKA



Diabetic complications

Scenario: Sara is a young adult who was diagnosed 
with Type 2 diabetes, about a year ago. She has now
been admitted for visual problems.

Diabetic Retinopathy

Sara's eye exam reveals Diabetic Retinopathy. This 
condition affects the blood vessels in the eye. Poor
vision and possible blindness may result from leaking
and weakening of the blood vessels.

Diabetic Nephropathy

This condition may further complicated diabetes.
Poor renal function and possibly renal failure may
result. Hemodialysis then becomes necessary.


Learn more about: Poor circulation














DIABETIC CARE FOR NURSES - PART 5

Updated 8/25

This topic has been updated. Please click
on the link for more information: Hypoglycemia






Learn more about : Medication error

TRAUMA SERIES - HEMOTHORAX IN THE CLINICAL SETTING


For more helpful information on trauma and its aftermath, simply click on the link:
and enjoy learning.

TRAUMA SERIES - HEMOTHORAX IN THE CLINICAL SETTING

Updated 4/24
Dear nurses, 
Dear nurses.com is no longer available. Please click on the link:
for more updated information.



For more helpful information on trauma and its aftermath, simply click on the link:
http://www.dearnurses.com/
and enjoy learning.

IDENTIFYING HEMOTHORAX IN THE CLINICAL SETTING

 
Updated 4/24
Dear nurses,

For more updated information, please click on the link:

IN ORDER TO INTERVENE, IT IS IMPORTANT TO KNOW WHAT TO
LOOK FOR. HOPE YOU ENJOYED THE CLINICAL EXAMPLE.
THERE IS MORE HELPFUL CLINICAL INFORMATION ON HEMOTHORAX,
(Chapter 6) ENJOY LEARNING.

Friday, December 07, 2007

BE SAFE THIS CHRISTMAS SEASON

My fellow nurses,

Have a very MERRY CHRISTMAS. Please remember to be SAFE during this busy season. Avoid too much overtime and take good care of your patients!
Enjoy learning more about the Clinical Setting.

MERRY CHRISTMAS TO ALL NURSES

THIS IS A VERY SPECIAL TIME OF THE YEAR FOR ALL OF US. SO, MY FELLOW NURSES HAVE A VERY MERRY CHRISTMAS!

UNDERSTANDING A PNEUMOTHORAX



A pneumothorax may occur for a number of reasons. 
In the above scenario, Mr.S was admitted with a history
of lung cancer.


Signs and symptoms of a pneumothorax:
- breath sounds are diminished on the affected side
- tracheal deviation away from the side of the pneumothorax
- distended neck veins
- the heart may also become compressed

More helpful information about pneumothorax can
be accessed , by clicking on the link: 
Pneumothorax and quiz questions





ADDRESSING A PNEUMOTHORAX

Updated 12/24

What causes a pneumothorax?

A - A pneumothorax may occur for different reasons. It may be described as spontaneous, open or closed. Regardless of the cause, it is important for the nurse to act FAST in order to resolve the problem.
Causes of a pneumothorax include , but are not limited to :
- penetrating chest wounds like a gunshot or stab wound
- barotrauma ( PEEP used with mechanical ventilation 
- may occur spontaneously.
So , it is important to take quick action.

Saturday, December 01, 2007

IDENTIFYING ATRIAL FIBRILLATION IN THE CLINICAL SETTING

Updated 2/ 26

        Atrial fibrillation is a rapid , irregular arrhythmia.
 It is caused by the atria (upper heart chambers)
beating rapidly and out of character. There is no P
 wave on the EKG. This topic continues : Here

Scenario: The patient above, had surgery three days ago.
He is on anticoagulation therapy (Heparin) for DVT. 
Anticoagulants are blood thinners. Their purpose is to
 prevent blood from clotting too easily. 

 Patients with atrial fibrillation may be placed on
 anticoagulation therapy.

This topic continues : Here

Scenario: In the image above, Ann is an opera
singer. While on stage, she suddenly starts having
trouble getting her words out. Her right arm also
feels weak. These symptoms are classic of someone
experiencing a stroke. This topic continues : Here

See new information above.

ATRIAL FIBRILLATION IN THE CLINICAL SETTING



Atrial fibrillation is a rapid , irregular arrhythmia.
 It is caused by the atria (upper heart chambers)
beating rapidly and out of character. There is no P
 wave on the EKG. This topic continues : Here

Scenario: The patient above, had surgery three days ago.
He is on anticoagulation therapy (Heparin) for DVT. 
Anticoagulants are blood thinners. Their purpose is to
 prevent blood from clotting too easily. 

 Patients with atrial fibrillation may be placed on
 anticoagulation therapy.

This topic continues : Here

Enjoy watching the videos:



Learn more about: Heart facts and the EKG

 

TRAUMA SERIES



Updated 2/26

Dear nurses,  
Trauma Series is no longer available.

New information and links have been 
added below. Enjoy learning!

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:
                                                    Medical abbreviations - Part 2
                                                       ICP for the layperson


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