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THE CLINICAL SETTING - PART 2 A nurse's priorities When a nurse's priorities are wrong In the image above, Jenna is a new nurse. She has not fully understood the importance of safe nursing practices. Her desperation to be on time to meet a friend for lunch, took priority over patient safety. Jenna works in the ICU . The monitor alarm  of the patient in her care, was going off. She made no attempt to check if something was wrong. It is important to understand that a patient who is cared for in the ICU, requires a higher level of care. It is unfortunate Jenna did not prioritize.    Helpful information for the clinical nurse       In the image above, Lynn is a new graduate who   is full of expectation. She arrives early on her new   unit. But her hopes are shattered when her preceptor   suggested that she is too busy to do an orientation. It is unfortunate, but this does happen on occasion. Although Lynn is off to a rough start, there are s...

  THE CLINICAL SETTING FOR NURSES - PART 2 We continue to emphasize the importance of good clinical nursing. After the classroom and the high scores, there are many challenges that lay ahead. The clinical scenarios are designed to help the nurse take on the challenges that may occur, in the clinical setting. See below. Family teaching is also necessary Learn more about: The role of hormones                                       Dearnurses.net is no longer available. Above is a sample of the Apgar score. The Apgar score is an assessment done at 1 minute  and 5 minutes after the birth of the newborn .                            Dearnurses.net is no longer available. Prolapse of the umbilical cord during pregnancy may be a complication of breech birth . In breech presentation, the fetus faces the opposite direction...

THE CLINICAL SETTING FOR NURSES- PART 1 Every nurse, regardless of location, will experience the clinical setting.This aea of Nursing and its importance,  is often overlooked.  Learning in the classroom is essential. However, putting learning into action, takes different turns. This compilation of clinical scenarios, is designed to help the clinical nurse take on the challenges that lay ahead, in the clinical setting.  See below. Clinical appearance of the patient in DKA Scenario : Tom was admitted to the ICU , with the clinical picture of a patient in Diabetic Ketoacidosis (DKA). His blood glucose was 600. Tom has an altered level of consciousness (LOC).  He also has hyperglycemia (elevated blood glucose). Please watch the video below: Dehydration Signs and symptoms of DKA The patient in DKA requires  immediate intervention   and a level of care like ICU. Some signs that may appear includ e: - Hyperglycemia - Tachycardia (rapid heart rate) - Tachypnea...

  Scenario : In the image above, Mrs.M sustained  a fracture of the neck of the femur. ORIF (Open Reduction Internal Fixation) of her hip fracture was done in the Operating Room.  She will be cared for on the Orthopedic floor. Her orders include, an abductor pillow,to  prevent internal rotation.  Lung exercises, pain medication, skin care , dressing changes are included in the nursing care. ( See above for examples of doctor's orders). The largest bone vs. smallest The femur is the largest bone in the body. It is also known as the thigh bone.The stapes bone which is located in the middle ear, is the smallest bone in the body. Learn more about: Muscles, bones and joints Quiz questions 1) What does ORIF mean ? 2) Name 3 things that would be included in the nursing care ? 3) Which is the largest bone in the body?                Learn more about : The importance of   Therapy Fibromyalgia is identified as a nervous system...

The image above shows a Code blue in progress. This is  happening in the Emergency Room . Always follow your Institution's policies and procedures for Code Blue.  What is the role of the nurse who is assigned to the Code Blue? The nurse has an important role in effective communication. There are many responsibilities. - staying calm in a chaotic situation - giving clear instructions to coworkers - ensuring that MD orders are conveyed correctly - proper documentation of vital signs and all treatments /   interventions that take place ( defibrillation for example)   - the nurse becomes the " binding force                                                     Addressing lethal EKG rhythms Addressing lethal rhythms There are some EKG rhythms that are considered to be lethal. Instant intervention is necessary for good outcomes. Here are the most...

When a patient is admitted to the hospital, a history is taken and an assessment / documentation is done by the nurse. The doctor will also examine the patient and order lab values and diagnostic tests. This will help to establish a definitive diagnosis.    THE NURSING PROCESS What is ADPIE? A-assessment D -  diagnosis P - planning I -  implementation E - evaluation Whether you are the nurse who works in the PACU,  surgical floor , ER, or  critical care , it is important to remember that your quality of nursing care will impact patient outcomes. Learn more about the topics listed above :  Sessions 36  and  Dysphagia Scenario: Tim works in a dockyard. He was struck on the head with a heavy load. He was later taken to the Emergency Room for an evaluation. What is an MRI? An MRI ( Magnetic Resonance Imaging) is a radiological technique used to identify internal body structures.   It will also identify internal body structures such as ...