Nursing Tips
Caring for a restrained patient
When caring for a restrained patient, a new order is required every 24 hours.
Caring for a restrained patient
When caring for a restrained patient, a new order is required every 24 hours.
Unlicensed Assistive Personnel (UAPs)
Unlicensed Assistive Personnel (UAPs) may perform hygiene, bathing, CPR, patient ambulation, routine vital signs, and charting of I&Os.
Unlicensed Assistive Personnel (UAPs)
Unlicensed Assistive Personnel (UAPs) may perform hygiene, bathing, CPR, patient ambulation, routine vital signs, and charting of I&Os.
Nationally Notifiable Diseases
Some important nationally notifiable diseases include anthrax, botulism, chlamydia, gonorrhea, Lyme disease, meningococcal disease, pertussis, syphilis, and tuberculosis.
Nationally Notifiable Diseases
Some important nationally notifiable diseases include anthrax, botulism, chlamydia, gonorrhea, Lyme disease, meningococcal disease, pertussis, syphilis, and tuberculosis.
Ethics Committee
An ethics committee is an interdisciplinary team that may be used to provide guidance in the face of an ethical dilemma.
Ethics Committee
An ethics committee is an interdisciplinary team that may be used to provide guidance in the face of an ethical dilemma.
Occupational Health Nurse
An occupational health nurse provides screening, surveillance, and education to prevent workplace illness and injury.
Occupational Health Nurse
An occupational health nurse provides screening, surveillance, and education to prevent workplace illness and injury.
Acute Kidney Injury (AKI) : Oliguric Phase
The oliguric phase of acute kidney injury (AKI) is marked by urine output less than 400 mL/day. In the diuresis phase of AKI, urine output can reach 4 - 5...
Acute Kidney Injury (AKI) : Oliguric Phase
The oliguric phase of acute kidney injury (AKI) is marked by urine output less than 400 mL/day. In the diuresis phase of AKI, urine output can reach 4 - 5...
Documentation
Do not wait until the end of the shift to document. Instead, complete charting as soon as possible after performing a task or procedure.
Documentation
Do not wait until the end of the shift to document. Instead, complete charting as soon as possible after performing a task or procedure.
Tonic-clonic Seizure
After a tonic-clonic seizure, a patient enters the "postictal phase," and may exhibit confusion, sleepiness, or agitation.
Tonic-clonic Seizure
After a tonic-clonic seizure, a patient enters the "postictal phase," and may exhibit confusion, sleepiness, or agitation.
Seizure Precautions
If a patient is on seizure precautions, pad the bed side rails, and ensure oxygen, suction, and vital signs equipment is in the patient's room.
Seizure Precautions
If a patient is on seizure precautions, pad the bed side rails, and ensure oxygen, suction, and vital signs equipment is in the patient's room.
Alzheimer's Disease Key Interventions
Key nursing interventions for Alzheimer's Disease: Provide frequent reorientation, consistency with caretakers; Keep communication short, simple, and clear.
Alzheimer's Disease Key Interventions
Key nursing interventions for Alzheimer's Disease: Provide frequent reorientation, consistency with caretakers; Keep communication short, simple, and clear.
Anthrax
Anthrax is a deadly infectious disease which may be used as a bioterrorism agent. It can be treated with antitoxins and antibiotics (e.g., doxycycline, ciprofloxacin).
Anthrax
Anthrax is a deadly infectious disease which may be used as a bioterrorism agent. It can be treated with antitoxins and antibiotics (e.g., doxycycline, ciprofloxacin).
Atrial Fibrillation (A-Fib)
A patient with atrial fibrillation (A-Fib) experiences rapid but disorganized depolarization of the atria, causing them to quiver instead of fully squeezing.
Atrial Fibrillation (A-Fib)
A patient with atrial fibrillation (A-Fib) experiences rapid but disorganized depolarization of the atria, causing them to quiver instead of fully squeezing.
QD & Q.D.: Error-Prone Abbreviations
QD or Q.D. is an abbreviation meaning "daily." However, it is an error-prone abbreviation as it may be confused with QOD (every other day) or QID (four times a day). Instead,...
QD & Q.D.: Error-Prone Abbreviations
QD or Q.D. is an abbreviation meaning "daily." However, it is an error-prone abbreviation as it may be confused with QOD (every other day) or QID (four times a day). Instead,...
Disaster Preparedness
Disaster preparedness involves planning, training, and providing education for unavoidable disasters.
Disaster Preparedness
Disaster preparedness involves planning, training, and providing education for unavoidable disasters.
Fibrocystic Breast Changes: Patient Education
A patient with fibrocystic breast changes may experience breast pain and/or movable, tender, rubber-like cysts in the upper outer quadrant of the breast.
Fibrocystic Breast Changes: Patient Education
A patient with fibrocystic breast changes may experience breast pain and/or movable, tender, rubber-like cysts in the upper outer quadrant of the breast.
Chemically-impaired Employee
An employee who is chemically-impaired while on the job should be immediately removed from the work setting, provided safe transportation home, and should attend a formal meeting to discuss the...
Chemically-impaired Employee
An employee who is chemically-impaired while on the job should be immediately removed from the work setting, provided safe transportation home, and should attend a formal meeting to discuss the...
Determinants of Health
Determinants of health include environmental factors (e.g., access to healthy food, pollution, public safety) and social factors (e.g., racism, support systems, education).
Determinants of Health
Determinants of health include environmental factors (e.g., access to healthy food, pollution, public safety) and social factors (e.g., racism, support systems, education).
Abdominal Aortic Aneurysm
A patient with an Abdominal Aortic Aneurysm may have a pulsating abdominal mass with a bruit. Do NOT palpate this due to the risk for rupture!
Abdominal Aortic Aneurysm
A patient with an Abdominal Aortic Aneurysm may have a pulsating abdominal mass with a bruit. Do NOT palpate this due to the risk for rupture!
Migrant Workers: Increased Risks
Migrant workers are at increased risk for work-related injuries, pesticide/chemical exposure, skin cancer, dermatitis, communicable disease, and dental problems.
Migrant Workers: Increased Risks
Migrant workers are at increased risk for work-related injuries, pesticide/chemical exposure, skin cancer, dermatitis, communicable disease, and dental problems.
Positional Plagiocephaly
Positional plagiocephaly is cranial asymmetry caused by prolonged pressure on one side of the skull. A child with this diagnosis may require helmet therapy, where a custom-made helmet is worn...
Positional Plagiocephaly
Positional plagiocephaly is cranial asymmetry caused by prolonged pressure on one side of the skull. A child with this diagnosis may require helmet therapy, where a custom-made helmet is worn...
Sinus Bradycardia
A patient with sinus bradycardia will likely require no treatment. However, if they are symptomatic, treatment with atropine or a pacemaker may be indicated.
Sinus Bradycardia
A patient with sinus bradycardia will likely require no treatment. However, if they are symptomatic, treatment with atropine or a pacemaker may be indicated.
Edema Scoring
Edema is documented by the depth of the indentation left by pressing a finger over the edematous area. A score of 0 means there is no pitting edema.
Edema Scoring
Edema is documented by the depth of the indentation left by pressing a finger over the edematous area. A score of 0 means there is no pitting edema.
Sterile Field Preparation
During sterile field preparation, open the top flap away from your body first. Then open the flap on the right side using the right hand, and the left side using...
Sterile Field Preparation
During sterile field preparation, open the top flap away from your body first. Then open the flap on the right side using the right hand, and the left side using...
Hyperpituitarism
A patient with hyperpituitarism may require surgical treatment with a hypophysectomy.
Hyperpituitarism
A patient with hyperpituitarism may require surgical treatment with a hypophysectomy.
Canes: Patient Teaching
Educate patients that canes should be held on the strong side with the handle at the level of the wrist.
Canes: Patient Teaching
Educate patients that canes should be held on the strong side with the handle at the level of the wrist.
Bethanechol
Bethanechol, used to treat non-obstructive urinary retention, stimulates cholinergic receptors
Bethanechol
Bethanechol, used to treat non-obstructive urinary retention, stimulates cholinergic receptors
Sundowning
Sundowning is a common finding in Alzheimer's Disease, which is increased confusion or agitation in the evening.
Sundowning
Sundowning is a common finding in Alzheimer's Disease, which is increased confusion or agitation in the evening.
Cardiac Tamponade
A patient with paradoxical pulse and an EKG showing electrical alternans should be evaluated for cardiac tamponade.
Cardiac Tamponade
A patient with paradoxical pulse and an EKG showing electrical alternans should be evaluated for cardiac tamponade.
Closed Drain: Nursing Care
After emptying a closed drain (e.g., Jackson-Pratt, Hemovac), fully compress the canister and replace cap in order to ensure negative pressure is applied to the area.
Closed Drain: Nursing Care
After emptying a closed drain (e.g., Jackson-Pratt, Hemovac), fully compress the canister and replace cap in order to ensure negative pressure is applied to the area.
Cranial Nerve VIII Function Assessment
Cranial Nerve VIII (Vestibulocochlear/Acoustic) function can be assessed with the whisper test, Rinne test, and/or Weber test.
Cranial Nerve VIII Function Assessment
Cranial Nerve VIII (Vestibulocochlear/Acoustic) function can be assessed with the whisper test, Rinne test, and/or Weber test.
Unstageable Pressure Wound
A pressure wound base which is covered in slough or eschar is considered to be unstageable.
Unstageable Pressure Wound
A pressure wound base which is covered in slough or eschar is considered to be unstageable.
Atropine: Nursing Care
Because atropine has anticholinergic side effects, it is often administered during surgery to decrease secretions.
Atropine: Nursing Care
Because atropine has anticholinergic side effects, it is often administered during surgery to decrease secretions.
Lordosis, Kyphosis, and Scoliosis
Lordosis (excessive curvature of the lumbar spine) is a common finding in pregnancy and in toddlers. Kyphosis (excessive curvature of the thoracic spine) is a common finding in the older...
Lordosis, Kyphosis, and Scoliosis
Lordosis (excessive curvature of the lumbar spine) is a common finding in pregnancy and in toddlers. Kyphosis (excessive curvature of the thoracic spine) is a common finding in the older...
Tension Pneumothorax
A patient with a tension pneumothorax is likely to have tracheal deviation towards the unaffected side. Assess respiratory status in any patient with this finding!
Tension Pneumothorax
A patient with a tension pneumothorax is likely to have tracheal deviation towards the unaffected side. Assess respiratory status in any patient with this finding!
What is an Aggregate?
An aggregate is a subgroup or population that share characteristics or concerns (e.g., LGBT+ residents of the same neighborhood).
What is an Aggregate?
An aggregate is a subgroup or population that share characteristics or concerns (e.g., LGBT+ residents of the same neighborhood).
Ethambutol: Patient Teaching
A patient taking ethambutol for tuberculosis should be educated to have regular vision screenings and report changes in vision to the prescriber.
Ethambutol: Patient Teaching
A patient taking ethambutol for tuberculosis should be educated to have regular vision screenings and report changes in vision to the prescriber.
Cranial Nerve I (Olfactory) Assessment
Cranial Nerve I (Olfactory) can be assessed by asking the patient to identify a scent (e.g., soap, coffee) while occluding one nostril at a time.
Cranial Nerve I (Olfactory) Assessment
Cranial Nerve I (Olfactory) can be assessed by asking the patient to identify a scent (e.g., soap, coffee) while occluding one nostril at a time.
Hearing Loss: Nursing Care
For patients with hearing loss, decrease background noise, face the patient, do not shout, and rephrase (but do not repeat) if they do not understand.
Hearing Loss: Nursing Care
For patients with hearing loss, decrease background noise, face the patient, do not shout, and rephrase (but do not repeat) if they do not understand.
Elevated hBNP
A patient with elevated hBNP (> 100 pg/mL) should be evaluated for Heart Failure.
Elevated hBNP
A patient with elevated hBNP (> 100 pg/mL) should be evaluated for Heart Failure.
Assessing Bowel Sounds
Bowel sounds cannot be called "absent" until the nurse has listened for five minutes without hearing bowel activity.
Assessing Bowel Sounds
Bowel sounds cannot be called "absent" until the nurse has listened for five minutes without hearing bowel activity.
Spironolactone
Because spironolactone is a potassium-sparing diuretic, monitor the patient for signs of hyperkalemia. Educate patients to avoid salt substitutes, as most of these contain potassium.
Spironolactone
Because spironolactone is a potassium-sparing diuretic, monitor the patient for signs of hyperkalemia. Educate patients to avoid salt substitutes, as most of these contain potassium.
Food Deserts
Food deserts are geographic areas that lack sufficient access to grocery stores and healthy food options.
Food Deserts
Food deserts are geographic areas that lack sufficient access to grocery stores and healthy food options.
Eating Disorders
Bulimia Nervosa is an eating disorder characterized by binge eating followed by compensatory measures to avoid weight gain (e.g., vomiting, laxative use, extreme exercise). Anorexia Nervosa is an eating disorder characterized by...
Eating Disorders
Bulimia Nervosa is an eating disorder characterized by binge eating followed by compensatory measures to avoid weight gain (e.g., vomiting, laxative use, extreme exercise). Anorexia Nervosa is an eating disorder characterized by...
Patient Identifiers
All assessments should involve identifying the patient with two patient identifiers (e.g., name, DOB, MRN#). Remember: room number is NOT a valid patient identifier!
Patient Identifiers
All assessments should involve identifying the patient with two patient identifiers (e.g., name, DOB, MRN#). Remember: room number is NOT a valid patient identifier!
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