Natcep day 31
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This document discusses general safety practices and procedures for oxygen and oxygen equipment. It identifies various modes of oxygen delivery including cannulas, masks, wall units, oxygen tanks, and oxygen concentrators. It outlines important safety precautions for oxygen use such as posting signs outside rooms, no smoking, avoiding static electricity, and ensuring oxygen equipment is secured and functioning properly. The role of nursing assistants is to report any issues or improper oxygen use to nurses.
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2. As the lead refinery representative on the unified incident command (UIC), what actions should be taken by the UIC to respond to this incident (please consider all receptors).
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naptha, kerosene, gasoline, and diesel hydrotreaters;
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You are the Refinery Emergency Response Coordinator for an incident at the SJV Refinery which has been in operation since 1966. The refinery processes 120,000 bbls of crude oil per day, which has a sulfur content of 2.5 percent. The refinery converts crude oil to naptha, light oil, and heavy oils using the Atmospheric/Vacuum Distillation Unit with key equipment such as the following:
naptha, kerosene, gasoline, and diesel hydrotreaters;
isomerization unit;
naptha reformer;
fluid catalytic cracker;
coker;
hydrocracker;
polymerization unit (petrochemical section of the refinery polymerizing olefin gases to produce polyethylene);
sulfur recovery Claus plant (catalytic reactors); and
distillate/gasoline blending tanks.
The refinery was initiating work on a major plant turnaround at the time of the incident to complete required maintenance repairs, mechanical integrity inspections, and modifications to existing equipment. Twenty contractor companies (approximately 150 employees) have been contracted to perform this work under the direction of refinery staff. All of the contractor workers completed the refinery orientation training.
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This document provides an introduction to blood collection, including the importance of proper techniques and safety precautions. It discusses the learning objectives, which focus on correct collection methods, specimen integrity, and quality assurance. Types of specimens that can be collected include whole blood, plasma, serum, and differences between them. Precautions like standard precautions, needle safety, and specimen handling are covered. Venipuncture, arterial, capillary and venous blood collection are also introduced.
NATCEP Day 33 Presentation
This document discusses depression and confusion in elderly residents. It defines depression and lists its signs and symptoms. Common causes of depression in the elderly include loss of loved ones, health, independence, and loneliness. The nurse aide's role is to recognize symptoms, encourage independence, monitor intake, and report changes. For confusion, possible medical and environmental causes are identified, along with symptoms like incoherence and hallucinations. Implications include fear, reduced contact and independence. Interventions include treating underlying causes, improving nutrition/hydration, and using reality orientation, validation therapy, and clear communication.
NATCEP Day 30 Presentation Revised
The crew has now been on the space station for 30 days conducting experiments and maintenance. They repaired a faulty oxygen generator and replaced a computer that was malfunctioning. Overall the crew is in good health and spirits and looking forward to completing their scheduled tasks over the next few weeks before returning home.
Basic Nutrition
Nutrition is the study of food and how it nourishes the body. It is important for wellness and preventing disease. The major nutrients that provide energy and building blocks for the body are carbohydrates, proteins, fats, vitamins, minerals, and water. Nutrients must be digested, absorbed, and metabolized by the body. Maintaining good nutrition involves eating a balanced diet from the five major food groups according to guidelines like MyPlate.
Urinary elimination & Catheters lecture
This document provides information on urinary elimination and catheters. It discusses catheter types including condom, straight, indwelling, and suprapubic catheters. Proper technique is outlined for inserting and removing catheters as well as caring for a patient with a catheter. Complications during insertion and their management are also reviewed.
The clinical laboratory
The document describes the organizational divisions and sections within a clinical laboratory. It outlines the departments of pathology, including anatomical pathology, cytology, histology, cytogenetics, and clinical pathology. The clinical pathology department contains sections for hematology, chemistry, blood bank, serology, microbiology, and urinalysis. Each section is described in terms of its functions, common tests performed, and specimen requirements. The document also discusses laboratory personnel roles and requirements.
Wound healing and care presentation
This document provides information on wound healing and care. It begins with objectives around wound observation, promotion of healing, and wound/drain care. It then covers anatomy of the skin including layers, functions, and risks for wound development. Types of wounds are defined including descriptions. Phases of wound healing and factors influencing healing are explained. Signs of infection and types of wound drainage are outlined. Dressing changes, wound complications, and observations are also summarized.
Natcep day 31 & 32
This document summarizes aging changes and common diseases affecting the cardiovascular, respiratory, endocrine, urinary, and nervous body systems and describes related nursing care. Key points include: the heart pumps less efficiently with age and arteries lose elasticity, increasing risk for hypertension, heart disease, and heart failure; lung capacity decreases and secretions increase risk for infections; diabetes and vitamin deficiencies impact fluid balance and nutrition; urinary changes cause incontinence and infections; and nervous system changes impact mobility, cognition, and sensitivity. The summary provides an overview of the main topics and systems covered in the document.
Natcep day 33
This document discusses depression and confusion in older adults. For depression, it defines the disorder, lists common signs and symptoms, potential causes, and the nurse aide's role in recognizing symptoms and providing interventions like one-on-one interaction and activities. For confusion, it identifies potential causes like medical issues and changes in environment. Symptoms include forgetfulness and inappropriate behavior. This can negatively impact residents, but causes can be minimized and interventions like reality orientation and validation therapy can help residents feel more secure.
Natcep day 30
The crew of the NATCEP mission has now completed 30 days in space. They continue conducting experiments on the effects of long term space exposure and have begun preparations for returning to Earth in 10 days. All systems on the space station remain operational and the crew is in good health as they near the halfway point of their 2 month mission.
Natcep day 29 part two
This document discusses the feelings and actions related to resident admission and discharge from long-term care facilities. At admission, residents may feel lonely, lost, angry, depressed, confused or relieved. Families may feel guilt. Nurse aides should prepare the resident's room, greet them, provide an orientation, assist with personal items, observe abilities, and check on them frequently. At discharge, residents can feel anxious or worried about the change. Nurse aides should allow residents to discuss anxieties, help gather belongings, and transport according to facility policy.
Natcep day 28
Immobility can lead to many complications for the body. Nurses use range of motion exercises and encourage activity to prevent issues like pressure ulcers, muscle atrophy, and blood clots. Good nursing care includes repositioning patients every two hours, promoting self-care activities, keeping good alignment, and range of motion exercises for all major joints. Devices like trapezes, foot boards, and trochanter rolls can also help maintain position and mobility.
Natcep day 25 26 27
This document provides information on measuring and assessing vital signs, including temperature, pulse, respirations, and blood pressure. It defines each vital sign and what constitutes normal ranges. For each vital sign, the document outlines how to measure it accurately, what can cause variations from normal ranges, appropriate documentation, and situations requiring reporting abnormalities. The document concludes with instructions to practice vital sign assessment techniques on peers.
NATCEP Day 22
This document provides information on bowel and bladder training programs. It discusses the goals of establishing regular elimination patterns and maintaining self-esteem. Preparation factors like reviewing past patterns and establishing routines are also covered. The document then outlines the steps for both bowel and bladder training, which include diet, exercise, scheduled times and positive reinforcement. It provides details on normal and abnormal bowel elimination, as well as how aging impacts the gastrointestinal tract. Signs of constipation and methods to prevent or relieve it are listed. The role of STNAs in observing, reporting, and providing skin care and toileting assistance to incontinent residents is also summarized.
NATCEP Day 24
This document discusses measuring fluid intake and output (I&O) to monitor fluid balance and identify potential imbalances. It defines fluid balance as equal intake and output, while imbalance is excessive retention or loss. Measuring I&O is important for diagnosis, treatment monitoring, and daily weights. Intake of all liquids and foods that liquefy at body temperature should be measured in mL. Output like urine and emesis must also be measured following safety protocols. Regular I&O measurements can help identify issues related to aging, disorders, or medical interventions that could disrupt fluid balance.
Urinary Elimination & Catheters
This document provides information on urinary elimination and catheters. It discusses catheter types including condom, straight, indwelling, and suprapubic catheters. It outlines proper procedures for catheter insertion and removal, including preparing the patient, lubricating the catheter, and deflating the balloon before removal. Potential problems during insertion like inserting into the vagina are addressed. The document also covers care of patients with catheters, including emptying bags and providing peri-care. Urinary diversions are briefly discussed.
Natcep day 19 & 20
This document discusses urinary elimination and catheters. It provides objectives about the urinary system, changes with aging, signs of infection, incontinence prevention and treatment, catheter care, and observations of catheterized residents. The urinary system filters waste from the blood through the kidneys and ureters into the bladder, then through the urethra. With aging, the system becomes less efficient and muscles weaken, increasing risk of infection and incontinence.
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Syllabus
Chapter-1
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Chapter 3
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2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
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Natcep day 31
- 1. General Safety Practices & Procedures for Oxygen & Oxygen Equipment NATCEP Day Thirty-One
- 2. Identify modes of oxygen delivery Identify safety precautions for oxygen use Identify equipment conditions that could jeopardize the use and application of oxygen Discuss the role limits of NA and oxygen setup Objectives Slid e2
- 3. Cannula Mask Tracheotomy Mask Wall Unit Oxygen Tank Oxygen Cylinder Oxygen Concentrator Methods of Oxygen Delivery Slid e3
- 4. Precautions for O2 safety should be posted outside room No SMOKING Electrical equipment should be grounded. Avoid the use of an electrical razor when oxygen is in use. Avoid static electricity as much as possible. Proper Transportation Safety Precautions Slid e4
- 5. Container secured? Fittings tight? Pressure gauge functioning? Equipment Considerations Slid e5
- 6. Report repair needs to the charge nurse immediately Report to the nurse if the resident is using the oxygen improperly. Oxygen tubing may be a fall and strangulation risk – keep off the floor. Nurse adjusts settings for oxygen flow. The STNA’s Role Slid e6
- 7. Prosthetic Devices NATCEP Day Thirty-One
- 8. Describe the purpose of prosthetic devices List examples of prosthetic devices available Discuss care of resident with prosthetics Discuss ways to care for prosthetic devices, including storage Objectives
- 9. Purpose ◦ Replacement of a missing part by an artificial substitute Examples ◦ Artificial eyes ◦ Limbs ◦ Hearing Aids Prosthetic Devices
- 10. Prosthetics
- 11. Check plan of care Follow the directions of the nurse before assisting with prosthetic devices Care Provided?
- 12. Storage ◦ Label properly ◦ Stored according to facility procedures Cleaning ◦ According to facility procedures or manufacturer’s instructions Caring for Prosthetic Devices