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Drugs used in emergency and operation theatre
The document discusses various emergency drugs used to treat life-threatening conditions in the areas of cardiology, respiratory medicine, neurology, and endocrinology. It states that oxygen should be present on all emergency hospital trays as without it, brain death can occur within six minutes. For cardiac emergencies, it recommends drugs like glyceryl trinitrate for angina, aspirin for myocardial infarction, adrenaline for cardiac arrest, and dopamine or dobutamine for cardiogenic shock. For respiratory emergencies, it suggests salbutamol for asthma, furosemide for pulmonary edema, and cefriaxone for epiglottitis. Common treatments for seizures include diazepam,
TRACTION for nursing students
This document discusses traction, which uses weights and pulleys to gently pull broken or dislocated body parts back into position. It defines traction, outlines its purposes and principles, and describes types like skin and skeletal traction. Potential complications are noted. Nursing management focuses on skin integrity, traction care, observations, pain management, and activity as tolerated.
Preceptorship overview and framework
This document provides an overview and framework for preceptorship programs. It aims to support new staff through orientation and role transitions. Key elements include pairing a new staff member with a preceptor to facilitate learning, develop competencies, and provide feedback. Benefits include increased confidence, job satisfaction, and quality of care for patients. Effective preceptors act as role models, provide constructive feedback, and facilitate problem-solving skills. Upon completion, new staff should be confident and autonomous in delivering high quality care. The framework provides standards and tools to guide preceptorship implementation and monitoring.
Central venous catheterization
This document provides an overview of central venous catheterization. It discusses the types of central venous catheters including non-tunneled, tunneled, peripherally inserted central catheters, and implantable ports. It also covers indications, contraindications, techniques, complications, and tips for placement of central lines in the internal jugular, subclavian, and femoral veins. Ultrasound-guided central venous access is also discussed as the standard of care.
High alert medication
high alert medication by pharmacist muhaini abd hadi reference: guideline on safe use of high alert medications 1st edition 2011
MECHANICAL VENTILATOR
Mechanical ventilation is a medical term for artificial ventilation using mechanical means to assist or replace spontaneous breathing. There are two main types of mechanical ventilation: invasive which uses an endotracheal or tracheostomy tube, and non-invasive which uses face or nasal masks. Positive pressure ventilation pushes air into the lungs while negative pressure ventilation sucks air in by stimulating chest movement. Indications for mechanical ventilation include respiratory failure, ineffective gas exchange, and increased work of breathing. Complications can include pneumonia, lung damage, and diaphragm weakness.
Tracheostomy care and management
This document provides information on tracheostomy care and management. It defines key terms, outlines the indications for tracheostomy placement, potential complications, proper placement according to anatomy, and the steps for tracheostomy care and management. The goal of tracheostomy care is to maintain airway patency, cleanliness, comfort, and prevent displacement. It describes assessing the patient's respiratory status, secretions, and dressing before performing tracheostomy tube suctioning, cleaning, and dressing changes with the aim of removing secretions and maintaining a clean tracheostomy site.
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Coat of Arms Worksheet- Culture Questions
Sample of a Coat of Arms activity with 5 questions to use as an ice breaker for personal finance classes
Drugs used in emergency and operation theatre
The document discusses various emergency drugs used to treat life-threatening conditions in the areas of cardiology, respiratory medicine, neurology, and endocrinology. It states that oxygen should be present on all emergency hospital trays as without it, brain death can occur within six minutes. For cardiac emergencies, it recommends drugs like glyceryl trinitrate for angina, aspirin for myocardial infarction, adrenaline for cardiac arrest, and dopamine or dobutamine for cardiogenic shock. For respiratory emergencies, it suggests salbutamol for asthma, furosemide for pulmonary edema, and cefriaxone for epiglottitis. Common treatments for seizures include diazepam,
TRACTION for nursing students
This document discusses traction, which uses weights and pulleys to gently pull broken or dislocated body parts back into position. It defines traction, outlines its purposes and principles, and describes types like skin and skeletal traction. Potential complications are noted. Nursing management focuses on skin integrity, traction care, observations, pain management, and activity as tolerated.
Preceptorship overview and framework
This document provides an overview and framework for preceptorship programs. It aims to support new staff through orientation and role transitions. Key elements include pairing a new staff member with a preceptor to facilitate learning, develop competencies, and provide feedback. Benefits include increased confidence, job satisfaction, and quality of care for patients. Effective preceptors act as role models, provide constructive feedback, and facilitate problem-solving skills. Upon completion, new staff should be confident and autonomous in delivering high quality care. The framework provides standards and tools to guide preceptorship implementation and monitoring.
Central venous catheterization
This document provides an overview of central venous catheterization. It discusses the types of central venous catheters including non-tunneled, tunneled, peripherally inserted central catheters, and implantable ports. It also covers indications, contraindications, techniques, complications, and tips for placement of central lines in the internal jugular, subclavian, and femoral veins. Ultrasound-guided central venous access is also discussed as the standard of care.
High alert medication
high alert medication by pharmacist muhaini abd hadi reference: guideline on safe use of high alert medications 1st edition 2011
MECHANICAL VENTILATOR
Mechanical ventilation is a medical term for artificial ventilation using mechanical means to assist or replace spontaneous breathing. There are two main types of mechanical ventilation: invasive which uses an endotracheal or tracheostomy tube, and non-invasive which uses face or nasal masks. Positive pressure ventilation pushes air into the lungs while negative pressure ventilation sucks air in by stimulating chest movement. Indications for mechanical ventilation include respiratory failure, ineffective gas exchange, and increased work of breathing. Complications can include pneumonia, lung damage, and diaphragm weakness.
Tracheostomy care and management
This document provides information on tracheostomy care and management. It defines key terms, outlines the indications for tracheostomy placement, potential complications, proper placement according to anatomy, and the steps for tracheostomy care and management. The goal of tracheostomy care is to maintain airway patency, cleanliness, comfort, and prevent displacement. It describes assessing the patient's respiratory status, secretions, and dressing before performing tracheostomy tube suctioning, cleaning, and dressing changes with the aim of removing secretions and maintaining a clean tracheostomy site.
Introduction to the Visual Infusion Phlebitis (VIP) score
The Visual Infusion Phlebitis score is a standardised approach to monitoring peripheral IV catheter sites.
The fact that it encourages site observation means that it also has an impact on other peripheral IV catheter problems such as dislodgement, infiltration and infection.
The innovation of this tool is the recognition of the visual nature of peripheral IV problems and the subsequent benefits of a visual tool to identify these issues early.
As health care workers we have a duty of care to monitor the condition of a patients IV site.
Failure to monitor IV sites is seen as failure in duty of care.
The VIP score is internationally acknowledged as a proven standardised tool for the monitoring of peripheral IV catheter sites.
Cabg ppt
CABG (coronary artery bypass graft) surgery reestablishes blood flow to the heart by grafting vessels around blocked coronary arteries. It is used to treat angina and relieve chest pain in patients with coronary artery blockages who cannot be treated with other methods. The procedure involves opening the chest, placing the patient on bypass to circulate blood, grafting vessels to bypass blockages, and closing the chest. Post-operative care requires intensive monitoring in ICU until stable. Complications can include irregular heart rhythms, infections, and death in rare cases.
CABG Bsc nursing
Coronary artery bypass grafting (CABG) is a surgical procedure that improves blood flow to the heart. During CABG, a healthy blood vessel is grafted to bypass blocked coronary arteries and restore blood flow to the heart muscle. The internal thoracic artery, radial artery, and saphenous vein are common graft conduits. The procedure requires general anesthesia and opening the chest via median sternotomy. Grafts are sewn to the coronary arteries above and below the blockages to reroute blood flow around them. Post-operative care focuses on monitoring for bleeding, arrhythmias, and other complications. Nursing care involves assessing the patient, providing wound care, managing pain, and educating on lifestyle changes and
Documentation and medical document in ICU 1.pptx
The document discusses principles and types of documentation in the ICU. It notes that documentation ensures continuity of care, provides legal protection, and records patient status, tests, treatments, and progress. Records must be written clearly, accurately, legibly, and in chronological order. Types of records include patient records, nurse and doctor notes, charts, intake/output records, and various logs. Records provide accurate information to guide care and have legal, educational, research, and administrative value. Proper care and storage of records is also outlined.
Nursing care plans
it includes the nursing care plan examples related to the respiratory system and their intervention in ideal format. check this for your reference. it help us to know the planning. its given according to NANDA nursing diagnosis.
Hemodynamic Monitoring
Hemodynamic monitoring involves the invasive measurement of pressures within the heart and vessels to assess cardiovascular function and tissue perfusion. It utilizes a catheter connected to a transducer and monitor. Catheters can be placed in the pulmonary artery via the jugular or subclavian vein, in the right atrium, or in arteries like the radial or femoral. This allows the direct measurement of pressures in these areas to guide treatment for issues like shock. Complications can include infections, arrhythmias, or embolisms, so the insertion site must be carefully monitored.
Ryles tube
This document discusses different types of feeding tubes, including Ryles tube, Levin tube, Salem pump, Miller Abbot tube, and Sengstaken-Blakemore tube. It notes that these tubes are manufactured from non-toxic PVC, used for both nutrition and aspiration, and are typically 50-60cm in length. Specifically, it mentions that a Levin tube is single lumen and used for gastro-duodenal feeding. It also lists contraindications for nasogastric tube placement, such as severe midface trauma, recent nasal surgery, coagulation abnormalities, esophageal varices or stricture, recent banding of esophageal varices, and moderate to severe neck or facial fractures.
2. Assessing the need for tpn
A comprehensive nutritional assessment should be performed prior to central line placement for parenteral nutrition (PN) and include anthropometrics, clinical information, nutrition intake history, and biochemical data. This assessment establishes baseline nutrition measurements, identifies deficits, determines risk factors, and identifies medical or psychosocial factors influencing nutritional support. The goals are to achieve adequate nutritional status and determine if malnutrition is present or developing. Nutritional support and monitoring must be an ongoing process. Parenteral nutrition requiring access to a central vein requires documentation of proper central line placement in the superior vena cava.
Emergency Care in Nursing
The document provides information on key concepts in emergency nursing. It defines emergency care and the concept of emergency nursing. It outlines the scope and principles of emergency nursing practice. These include establishing airway and ventilation, controlling hemorrhage, and conducting thorough assessments. The document also discusses principles of emergency management, triage, common emergencies like airway obstruction and hemorrhage, and how to manage injuries such as wounds, abdominal trauma, and heat stroke.
Care of critical ill patient
This document provides an outline for the care of critically ill patients. It begins with definitions and notes that critically ill patients require intense nursing care and monitoring of medical and surgical treatment. It describes the anatomy, etiologies, signs/symptoms, investigations and management considerations for treating critically ill patients. Specific conditions that may require intensive care such as acute respiratory failure, sepsis, and congestive heart failure are also discussed. The treatment section emphasizes multisystem support and monitoring to stabilize the patient until the underlying condition can be addressed.
International patient safety goals
This document outlines six international patient safety goals for healthcare organizations. The goals are to: 1) identify patients correctly using at least two patient identifiers; 2) improve effective communication among caregivers by writing down and reading back verbal orders; 3) improve safety of high-alert medications by addressing storage of concentrated electrolytes; 4) ensure correct-site, correct-procedure, correct-patient surgery through verification and timeout procedures; 5) reduce healthcare-associated infections through hand hygiene policies and programs; and 6) reduce risk of falls through assessment and risk reduction measures for at-risk patients. Requirements are provided for each goal.
Customer centric workshop
The document describes a customer centric workshop hosted by MacInnis Marketing. The workshop aims to help companies create a customer-centric culture by defining their values and mapping out the customer journey. Participants review the business model, set goals, and gain insights from customer and employee surveys. Employees learn how their roles impact customers. The full-day workshop, which includes games and team building, maps the customer experience and identifies areas of focus. Participants leave with worksheets, templates, and a written marketing plan to improve customer experience and build an aligned employee culture.
POSTOPERATIVE CARE .
Postoperative care involves close monitoring of patients after surgery to detect complications. It begins immediately after surgery, with vital signs checked frequently like every 15 minutes. The main signs observed are pulse, breathing, skin features, blood pressure, fluid intake and output, abdominal girth, urination amount and time, and bowel movements. Signs of issues with fluid levels, breathing difficulties, leg pain, wound site bleeding or drainage, and specific concerns of the surgeon are also monitored. Patients remain until stable vitals, adequate oxygen intake, minimal pain, sufficient urination, and good breathing are seen.
Reflective practice
1) The author, a student nurse, found that a postoperative patient was in pain and had a distended abdomen, contrary to the previous nurse's assessment that the patient was confused.
2) Ultrasound revealed the patient had a residual urine volume of 998mls. Inserting a catheter drained 1650mls of urine, relieving the patient's pain and discomfort.
3) The author learned the importance of comprehensive assessment, advocacy, and challenging colleagues' practices that could put patients at risk, to fulfill their duty of care and prevent potential health issues.
Hemodynamic monitoring
This document discusses hemodynamic monitoring, which refers to measuring the pressure, flow, and oxygenation of blood within the cardiovascular system. It is most commonly done through arterial blood pressure monitoring, central venous pressure monitoring, and pulmonary artery catheter pressure monitoring. These invasive monitoring methods provide information about how well the heart is pumping and circulating blood throughout the body. The document outlines the purposes, indications, equipment, procedures, complications, and nursing responsibilities for each of these hemodynamic monitoring methods.
Care bundles training ppt
The document discusses various care bundles used to improve patient outcomes. It defines a care bundle as a set of interventions that significantly improves patient outcomes when used together. It then provides details on specific care bundles to prevent surgical site infections, catheter-associated urinary tract infections, central line-associated bloodstream infections, and ventilator-associated pneumonia. Each bundle lists the set of interventions that are included.
POST CARDIAC SURGICAL CARE
The document discusses the post-cardiac surgical management of patients in the intensive care unit (ICU). It outlines the types of patients admitted to the ICU, including those recovering from open or closed heart surgery. It describes the preparations made for receiving patients, including cleaning beds, preparing monitors, ventilators, and emergency equipment. It also outlines the various procedures and care provided in the ICU, such as monitoring, laboratory tests, medication administration, positioning, fluid balance maintenance, and discharge criteria when patients are stable and ready to be transferred from the ICU.
care of CABG patient.ppt
CABG surgery involves taking a vein or artery from the leg or chest and grafting it to bypass blockages in the coronary arteries. It is primarily done to relieve chest pain and improve survival for patients with severe coronary artery disease. Nursing management includes preoperative teaching, monitoring the patient during surgery, and postoperative care like managing pain, maintaining fluid and electrolyte balance, and teaching self-care activities.
Venturi Mask for Oxygen Delivery Administration
Romsons is a leading medical and surgical device manufacturing company known for developing high-quality venturi masks.
Nurse educator kpi
The document discusses key performance indicators (KPIs) for nurse educators. It provides steps to create KPIs for nurse educators, including defining objectives, identifying key result areas and tasks, and determining how to measure results. The document also discusses types of KPIs and common mistakes to avoid when developing KPIs, such as creating too many or ones that do not change based on goals. Additional KPI materials can be found on the listed website.
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Introduction to the Visual Infusion Phlebitis (VIP) score
The Visual Infusion Phlebitis score is a standardised approach to monitoring peripheral IV catheter sites.
The fact that it encourages site observation means that it also has an impact on other peripheral IV catheter problems such as dislodgement, infiltration and infection.
The innovation of this tool is the recognition of the visual nature of peripheral IV problems and the subsequent benefits of a visual tool to identify these issues early.
As health care workers we have a duty of care to monitor the condition of a patients IV site.
Failure to monitor IV sites is seen as failure in duty of care.
The VIP score is internationally acknowledged as a proven standardised tool for the monitoring of peripheral IV catheter sites.
Cabg ppt
CABG (coronary artery bypass graft) surgery reestablishes blood flow to the heart by grafting vessels around blocked coronary arteries. It is used to treat angina and relieve chest pain in patients with coronary artery blockages who cannot be treated with other methods. The procedure involves opening the chest, placing the patient on bypass to circulate blood, grafting vessels to bypass blockages, and closing the chest. Post-operative care requires intensive monitoring in ICU until stable. Complications can include irregular heart rhythms, infections, and death in rare cases.
CABG Bsc nursing
Coronary artery bypass grafting (CABG) is a surgical procedure that improves blood flow to the heart. During CABG, a healthy blood vessel is grafted to bypass blocked coronary arteries and restore blood flow to the heart muscle. The internal thoracic artery, radial artery, and saphenous vein are common graft conduits. The procedure requires general anesthesia and opening the chest via median sternotomy. Grafts are sewn to the coronary arteries above and below the blockages to reroute blood flow around them. Post-operative care focuses on monitoring for bleeding, arrhythmias, and other complications. Nursing care involves assessing the patient, providing wound care, managing pain, and educating on lifestyle changes and
Documentation and medical document in ICU 1.pptx
The document discusses principles and types of documentation in the ICU. It notes that documentation ensures continuity of care, provides legal protection, and records patient status, tests, treatments, and progress. Records must be written clearly, accurately, legibly, and in chronological order. Types of records include patient records, nurse and doctor notes, charts, intake/output records, and various logs. Records provide accurate information to guide care and have legal, educational, research, and administrative value. Proper care and storage of records is also outlined.
Nursing care plans
it includes the nursing care plan examples related to the respiratory system and their intervention in ideal format. check this for your reference. it help us to know the planning. its given according to NANDA nursing diagnosis.
Hemodynamic Monitoring
Hemodynamic monitoring involves the invasive measurement of pressures within the heart and vessels to assess cardiovascular function and tissue perfusion. It utilizes a catheter connected to a transducer and monitor. Catheters can be placed in the pulmonary artery via the jugular or subclavian vein, in the right atrium, or in arteries like the radial or femoral. This allows the direct measurement of pressures in these areas to guide treatment for issues like shock. Complications can include infections, arrhythmias, or embolisms, so the insertion site must be carefully monitored.
Ryles tube
This document discusses different types of feeding tubes, including Ryles tube, Levin tube, Salem pump, Miller Abbot tube, and Sengstaken-Blakemore tube. It notes that these tubes are manufactured from non-toxic PVC, used for both nutrition and aspiration, and are typically 50-60cm in length. Specifically, it mentions that a Levin tube is single lumen and used for gastro-duodenal feeding. It also lists contraindications for nasogastric tube placement, such as severe midface trauma, recent nasal surgery, coagulation abnormalities, esophageal varices or stricture, recent banding of esophageal varices, and moderate to severe neck or facial fractures.
2. Assessing the need for tpn
A comprehensive nutritional assessment should be performed prior to central line placement for parenteral nutrition (PN) and include anthropometrics, clinical information, nutrition intake history, and biochemical data. This assessment establishes baseline nutrition measurements, identifies deficits, determines risk factors, and identifies medical or psychosocial factors influencing nutritional support. The goals are to achieve adequate nutritional status and determine if malnutrition is present or developing. Nutritional support and monitoring must be an ongoing process. Parenteral nutrition requiring access to a central vein requires documentation of proper central line placement in the superior vena cava.
Emergency Care in Nursing
The document provides information on key concepts in emergency nursing. It defines emergency care and the concept of emergency nursing. It outlines the scope and principles of emergency nursing practice. These include establishing airway and ventilation, controlling hemorrhage, and conducting thorough assessments. The document also discusses principles of emergency management, triage, common emergencies like airway obstruction and hemorrhage, and how to manage injuries such as wounds, abdominal trauma, and heat stroke.
Care of critical ill patient
This document provides an outline for the care of critically ill patients. It begins with definitions and notes that critically ill patients require intense nursing care and monitoring of medical and surgical treatment. It describes the anatomy, etiologies, signs/symptoms, investigations and management considerations for treating critically ill patients. Specific conditions that may require intensive care such as acute respiratory failure, sepsis, and congestive heart failure are also discussed. The treatment section emphasizes multisystem support and monitoring to stabilize the patient until the underlying condition can be addressed.
International patient safety goals
This document outlines six international patient safety goals for healthcare organizations. The goals are to: 1) identify patients correctly using at least two patient identifiers; 2) improve effective communication among caregivers by writing down and reading back verbal orders; 3) improve safety of high-alert medications by addressing storage of concentrated electrolytes; 4) ensure correct-site, correct-procedure, correct-patient surgery through verification and timeout procedures; 5) reduce healthcare-associated infections through hand hygiene policies and programs; and 6) reduce risk of falls through assessment and risk reduction measures for at-risk patients. Requirements are provided for each goal.
Customer centric workshop
The document describes a customer centric workshop hosted by MacInnis Marketing. The workshop aims to help companies create a customer-centric culture by defining their values and mapping out the customer journey. Participants review the business model, set goals, and gain insights from customer and employee surveys. Employees learn how their roles impact customers. The full-day workshop, which includes games and team building, maps the customer experience and identifies areas of focus. Participants leave with worksheets, templates, and a written marketing plan to improve customer experience and build an aligned employee culture.
POSTOPERATIVE CARE .
Postoperative care involves close monitoring of patients after surgery to detect complications. It begins immediately after surgery, with vital signs checked frequently like every 15 minutes. The main signs observed are pulse, breathing, skin features, blood pressure, fluid intake and output, abdominal girth, urination amount and time, and bowel movements. Signs of issues with fluid levels, breathing difficulties, leg pain, wound site bleeding or drainage, and specific concerns of the surgeon are also monitored. Patients remain until stable vitals, adequate oxygen intake, minimal pain, sufficient urination, and good breathing are seen.
Reflective practice
1) The author, a student nurse, found that a postoperative patient was in pain and had a distended abdomen, contrary to the previous nurse's assessment that the patient was confused.
2) Ultrasound revealed the patient had a residual urine volume of 998mls. Inserting a catheter drained 1650mls of urine, relieving the patient's pain and discomfort.
3) The author learned the importance of comprehensive assessment, advocacy, and challenging colleagues' practices that could put patients at risk, to fulfill their duty of care and prevent potential health issues.
Hemodynamic monitoring
This document discusses hemodynamic monitoring, which refers to measuring the pressure, flow, and oxygenation of blood within the cardiovascular system. It is most commonly done through arterial blood pressure monitoring, central venous pressure monitoring, and pulmonary artery catheter pressure monitoring. These invasive monitoring methods provide information about how well the heart is pumping and circulating blood throughout the body. The document outlines the purposes, indications, equipment, procedures, complications, and nursing responsibilities for each of these hemodynamic monitoring methods.
Care bundles training ppt
The document discusses various care bundles used to improve patient outcomes. It defines a care bundle as a set of interventions that significantly improves patient outcomes when used together. It then provides details on specific care bundles to prevent surgical site infections, catheter-associated urinary tract infections, central line-associated bloodstream infections, and ventilator-associated pneumonia. Each bundle lists the set of interventions that are included.
POST CARDIAC SURGICAL CARE
The document discusses the post-cardiac surgical management of patients in the intensive care unit (ICU). It outlines the types of patients admitted to the ICU, including those recovering from open or closed heart surgery. It describes the preparations made for receiving patients, including cleaning beds, preparing monitors, ventilators, and emergency equipment. It also outlines the various procedures and care provided in the ICU, such as monitoring, laboratory tests, medication administration, positioning, fluid balance maintenance, and discharge criteria when patients are stable and ready to be transferred from the ICU.
care of CABG patient.ppt
CABG surgery involves taking a vein or artery from the leg or chest and grafting it to bypass blockages in the coronary arteries. It is primarily done to relieve chest pain and improve survival for patients with severe coronary artery disease. Nursing management includes preoperative teaching, monitoring the patient during surgery, and postoperative care like managing pain, maintaining fluid and electrolyte balance, and teaching self-care activities.
Venturi Mask for Oxygen Delivery Administration
Romsons is a leading medical and surgical device manufacturing company known for developing high-quality venturi masks.
Nurse educator kpi
The document discusses key performance indicators (KPIs) for nurse educators. It provides steps to create KPIs for nurse educators, including defining objectives, identifying key result areas and tasks, and determining how to measure results. The document also discusses types of KPIs and common mistakes to avoid when developing KPIs, such as creating too many or ones that do not change based on goals. Additional KPI materials can be found on the listed website.
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