Check airway maintenance with C spine protection, a nurse must note the skin color, assess conscious level, and chest movement of the patient if the patient unconscious, the medical team should open the airway by using the jaw-thrust maneuver. 2. Check breathing and ventilation, a nurse I should note if the patient is not breathing, call a hospital emergency code and start CPR. (Trauma) 3. Circulation with hemorrhage, a nurse must assess the level of consciousness, such as the Glasgow coma score and AVPU which are “alert, voice, pain and unresponsive” to control hemorrhage, check the radial and carotid pulses, check for another external bleeding.
The ethics committee may use the following two ethical principles to make the decision regarding Marianne’s proposed surgery. The first is to use the principle of autonomy. This principle, “the substituted judgment test professes to make the same decision the patient would, if he were capable.” (Austin, Brooke, & Glenn, 2004, p. 317) The second is the principle of beneficence or the best interest standard. This principle is to make the decision on “what's best for the patient, given his current circumstances.” (Austin, Brooke, & Glenn, 2004, p. 317) Critical Thinking Exercise A nurse by her professional code of ethics and licence standards is required to act as the patient advocate. When a nurse witnesses another health care provider “acting in a way that could endanger the health or safety of a patiet, they should make a report of what they witnessed.” (Austin, Brooke, & Glenn, 2004, p. 363 ) The concept of moral agency should guide the nurse when reporting witnessed or suspected malpractice.
Rubbing your hands together helps in the removal of microorganisms and other germs from the surface of your skin. Next, rinse your hands by placing them under the warm water, holding your hands lower than your elbows allowing the water to remove all soap from your hands, being careful not to touch the sink. Keeping your hands lower than the elbow will allow all soap and germs to flow off your hands easily rather than flow up the arm. Remember, the sink can be contaminated and have germs on it, so avoid touching it and re-infecting your hands. Finally, dry your hands with a paper towel thoroughly and use the paper towel to turn off the faucet before you throw it away.
We’ll go over a few simple tools you need, and then take you through the blowout process. What you need: • Clean, conditioned hair • A Blow Dryer • Heat-Protective Styling Product (preferably mousse or foam) • A Comb • A Vented Brush • A Round Brush • Clips for Controlling the Hair As with many styling demonstrations, we want to start with the hair having been freshly shampooed and conditioned. This ensures an even starting point for our styling. Residual styling products can leave the hair stiff and can change the look of the hair during the styling process. It’s important to know what’s in the hair when you’re planning to try out new techniques, and it’s doubly important to know what is in the hair when you’re trying to get a feel for how a technique is supposed to work.
Breaks anywhere on the skin should be covered with a waterproof dressing. Medical advice should be sought for skin damage caused by other medical conditions e.g. eczema, psoriasis. All healthcare staff should be ‘bare below the elbow’. Hands should be washed: · After visiting the toilet · Before handling food · When the hands are visibly soiled.
So what are the causes of these infections and how can the nurse prevent them from occurring? Current Practice The current practice for the licensed practical nurse in incision care is doing what they are told. The doctor or surgeon who performed the procedure chooses whether the care should be sterile or clean technique. Usually they are clean technique. This means they wear clean gloves and use supplies that are already open and usually in a mass container.
The student nurse will reflect on health promotion issues as this stood out to me in several areas, The student nurse discovered that although we can nurse a patient back to health it is so important to make the patient aware of how necessary it is for them to participate in their care by adhering to what is recommended to them by various members of the Multidisciplinary Team and the devastating consequences that the patient can encounter if advice is ignored. The student nurse will use the Gibbs (1988) reflective cycle, this encouraged thinking systematically about all phases of an activity. Gibbs (1988) is descriptive with regards to feelings, evaluation, analysis, conclusions and action plans, therefore ideal for this assignment. Although I experienced many different aspects of care regarding health promotions this assignment will concentrate mainly on a single event that will stay with me throughout my nursing career. According to Scottish Government (2010) Healthcare Quality Strategy for NHS Scotland, nurse’s carers and people at the heart of the healthcare and care delivery services should improve conditions in NHS Scotland and the care provided, on reading this strategy I understand a nurses responsibility, but the importance of patient participation in their own care is invaluable and the cooperation and communication with the Multidisciplinary Team is essential to complete patient care package to the highest standard.
Examples are; when discarding urine into the toilet after calculating in/outs, during oral care, or when dealing with open wounds or dressing changes. As I looked at the open boxes of small, medium, and large gloves I thought to myself “can’t anyone come and reach in a box and potentially spread any bacteria, fungi, or viruses from their hands to the inside and inner edges of the box.” Gloves are theoretically supposed to protect from spreading infectious agents between patients and healthcare professionals. So, what if a nurse actually exposed more infectious agents to a patient with one of the most common items used to prevent the spread of infectious agents. How ironic, I thought. Looking online, I seeked articles specifically on microorganisms that can be found on the non-sterile unused gloves.
As the lather thickens, the kicking and clawing should subside, but it is always a good idea to position the cat so that her legs extend away from you. Once you have washed the cat thoroughly, you are ready to rinse and dry her. First, wash away the excess soap with water from the tub. Then, without loosening your grip on the cat, douse her fur thoroughly with warm water from the
A Communication Based Reflective Essay This essay is a reflective account of a situation in practice where an aspect of communication played a crucial role in the care given. Reflection is essential for health professionals as it helps to prevent habitual practice and improves quality of care (Crawford, Brown & Bonham, 2006). For the purposes of this essay I am using Gibbs (1998) reflective cycle. I have chosen this model as it ensures that the experience is reflected in a logical order using six distinct stages. A woman self referred from home to delivery suite contracting, after examination the woman was found to be in the latent stages of labour.