...blood volume, froth, development at cellular level via action on thyroid hormone receptors. Adult Dose: PO 1.7 mcg/kg/day Side Effect: Life Threatening: Thyroid storm, cardiac arrest. Common: Anxiety, insomnia, tremors, headache, excitability, tachycardia, palpitations, angina, dysrhythmias, hypertension, nausea, diarrhea, increased or decreased appetite, cramps, menstrual irregularities, weight loss, sweating, heat intolerance, fever, alopecia, decreased bone mineral density. Contraindication: Adrenal insufficiency, recent MI, thyrotoxicosis, hypersensitivity to beef, alcohol intolerance (injonly) Nursing Implications (lab value, V/S, ect.): • Determine if the patient is taking anticoagulants, antidiabetic agents; document on chart, • Take B/P, pulse before each dose; monitor I&O ratio and weight every day in same clothing, using same scale, at same time of day. Nursing diagnoses: • Knowledge, deficient (teaching) • Noncompliance (teaching) Patient Education: • Teaching patient that product is not a cure but controls symptoms and that treatment is long term. • Instruct patient to report excitability, irritability, anxiety, sweating, heat intolerance, chest pain, palpitations, which indicate overdose. Drug Brand Name: Metformin (Rx) Drug Generic Name: Glucophage Classification: Antidiabetic, oral Action: Inhibits hepatic glucose production and increases sensitivity of peripheral tissue to insulin. Adult Dose: PO 500 mg bid or 80 mg q day initially,...
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...BACHELOR OF SCIENCE IN NURSING PROGRAM (University of Windsor, Lambton College, St. Clair College – Windsor & Thames) Health Assessment NRS 63-166 Fall 2011 Site: St Clair College, Thames Campus Teaching Faculty Linda O’Halloran Phone: 519-354-9714 Ext. 3233 E-mail: lohalloran@stclaircollege.ca Office Hours: Monday’s 1100 – 1200, Tuesday’s 1000 - 1600 or by appointment Course Location Room 118 Course Times: Monday’s 1200 – 1400 – lecture Labs: weekly- either Monday or Tuesday as per your schedule Lab Teaching Instructor Maureen Eyres Andrea Reddam Vanessa Schinkel ©Collaborative BScN Program 2010 ALL RIGHTS RESERVED INTRODUCTION TO COLLABORATIVE BScN PROGRAM Mission Statement As partners, the Faculty of Nursing at the University of Windsor with St. Clair College (Windsor and Thames Campuses) and Lambton College (Sarnia) undertake the shared commitment to excellence in the preparation of Bachelor of Science in Nursing (BScN) candidates who embody our core values and the best elements of the art and science of nursing, education, leadership, research, and practice in their professional journeys. Vision EXCELLENCE in nursing education, practice, and research. Core Values In the spirit...
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...Preparing for Perfection Patient safety plays an intricate role in the nursing profession. It is through the foundation of a germ free environment in which protocols are set in an effort to decrease patient morbidity and mortality. The operating room (OR) is a major sector of hospitals in which its core is maintaining an environment of sterility in an effort to reduce hospital acquired infections or surgical wound infections (Duncan & Mayo, 2004). The OR is a fast paced nursing specialty requiring expert training and mentorship for perspective candidates. According to Burnette (2007), nursing students felt like they were not adequately trained for the complexity of the OR during nursing school. As an effort to combat this, The Methodist Hospital began the Methodist Advancement into Professional Practice Program (MAPP). MAPP students are senior professional nursing school students with an interest of pursuing a career as an OR nurse. The internship is an aggressive two month program focusing on the skills required to function as a highly trained OR nurse. In an effort to uphold recommended standards and practices, the core curriculum is based on the fundamental elements of the Association of PeriOperative Nurses (AORN). During the first two weeks students began their training in a classroom setting where were introduced to the basic concepts of the OR. The next six weeks students will be engage in simulations labs of what was taught in the classroom setting. They will demonstrate mastery...
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...Abstract Nursing Informatics as we have learned over the course of this class is defined as computer science mixed with nursing and information science. This paper will present my view of the advantages of nursing informatics and how it has enhanced the quality environment in which we work as nurse's work and has changed how we care for our patients. The most basic advantage is that it improves communication between all disciplinarians of the health care industry and I will make my statement of how I believe this communication can be of advantage to all of the healthcare industry. The Advantages of Nursing Informatics and Quality Improvement The world of nursing is changing on a daily basis and we, as nurses need to adapt and change in order to provide our patients with the ultimate care they deserve. The hospital environment as a whole has changed over the years and is now a business and the patients are our customers. The advances and advantages of nursing informatics in my opinion will deliver safe and superior quality care for our customers in the health care industry. In 2008 a landmark report from the Robert Wood Johnson Foundation, "Nursing Time and Motion Study" it was revealed through a 36 hospital study, how important the workflow optimization is in the nursing field. I found this to be a very eye opening report as it revealed that less than 20% of a nurses' time is spent on patient care activities and only 7 % of the nurse's...
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...a new facility. Whether the profession is in nursing, retail, or management, employee orientation is essential. Orientation plays a critical role in improving an employee’s confidence and competence. Through this orientation the employee is able to get acquainted with other staff and obtain new information and skills that are required for his/her job. Without these skills and knowledge the employee cannot perform the duties that are required. Nursing is a profession with numerous specialties. Although basic nursing skills are required for all units different nursing skills are needed for specific specialties. Therefore, all nurses unfamiliar with that particular specialty will need orientation. The maternity unit is one specialty that requires skills and knowledge that are not common in other nursing specialties. These skills include the use of fetal heart monitors, uterine contraction monitors, assessment of patients in labor and cervical dilation, assessment of postpartum patients, and assessment of newborns. In addition to the need for learning new skills, orientation is also a requirement of the Joint Commission. Ludlow (2006) states that “guidelines delineated by the Joint Commission (JCAHO, 2003) support the need for all nurses to participate in an orientation program specific to their unit; even more so for those in a specialized area of nursing”. Step 1: Identify an Issue The importance of nursing orientation is evident; however, not every facility...
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...thinking, leadership, research and professional nursing role. Using simulated labs, computer programs and videotapes, the student will develop and master selected psychomotor skills. III. Required Text(s) Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2012). Fundamentals of Nursing (8th ed.). St. Louis, MO: Mosby/Elsevier. ISBN: 9780323079334 Perry. A. G., & Potter, P. A. (2009). Clinical nursing skills and techniques (7th ed.). ISBN10:0323052894 Wilkinson, J.M. & Ahern, N. R. (2009). Prentice Hall nursing diagnosis handbook with NIC interventions and NOC outcomes (9th ed.). Pearson: Upper Saddle River, NJ. 1 IV. Recommended/Supplemental Text or Reference Material Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2012). Study guide: Fundamentals of Nursing (8th ed.). St. Louis, MO: Mosby/Elsevier. ISBN: 9780323084697 American Psychological Association (2010). Publication manual of the American Psychological Association ( 6th ed.), Washington, DC: Author V. Course Objectives: Upon completion of this course the students will be able to: 1. Use scientific rationale to demonstrate basic psychomotor nursing skills. 2. Demonstrate basic skills in nursing documentation. 3. Identify the influence of culture on the health beliefs and practices of selected groups. 4. Identify ethical principles and standards in nursing practice. 5. Identify the purposes and roles of the Maryland government in legislating nursing practice. 6. Describe the relationship between critical...
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...The first nursing intervention for this nursing diagnosis is to give “permission” to express and deal with anger at the situation in acceptable ways. Being free to express anger appropriately allows it to be dissipated, so underlying feelings can be identified and dealt with. Thus, strengthening the patient’s coping skills (Doenges, 2016, pg. 635). The second nursing intervention for this nursing diagnosis is to discuss the use of psychotropic medication. Notably, medication may be used to decrease anxiety, lift mood, aid in the management of behavior, and ensure rest until the patient regains control of own self. Lithium may be used to reduce explosiveness; low-dose psychotropics may be used when loss of contact with reality is a problem (Doenges, 2016, pg. 636). These nursing interventions can be properly evaluated by the patient expressing his own feelings and reactions during the nurse’s shift. The patient and family should be inculcated about the potential side effects of all prescribed drugs and the importance of reporting any adverse effects. The patient should also be guided on the support groups, community resources, and counseling services that are available to the...
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...Associate versus baccalaureate degree in nursing Dawne McCammon Grand Canyon University Professional Dynamics NRS - 430V Melissa Adams January 26, 2014 Associate versus baccalaureate degree in nursing According to the JAMA Network, registered nurses in the United States are able to receive their basic education in a ADN and BSN program in colleges and universities... Although there are a variety of educational programs preparing RNs, some studies have suggested that baccalaureate-prepared nurses are more likely to demonstrate professional behaviors important to patient safety such as problem solving, performance of complex functions, and effective communication. ("Educational Levels," n.d) A large number of situations have been reported in the research studies reviewed. No major differences are noted between the cognitive abilities of students in baccalaureate and associate degree programs. (Davis-Martin, 1990, p. 2) Associate degree nurses are able to perform well in technical roles for which they have been prepared, as well as in some leadership roles for which they were not originally prepared. I am a prime example of that associate degree nurse who has been performing in leadership roles over the years this is due to on the job training and attending management courses. Baccalaureate nursing practice incorporates the roles of assessing, critical thinking, communicating, providing care, teaching, and leading. (, 2) As a result of the...
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...Professional Nursing Reflection M. Ott University of Wyoming Introduction to Higher Education in Nursing NURS 3010 April 14, 2013 Professional Nursing Reflection Nursing is a practice that has been described as a science an art. It has many definitions and many philosophies that guide its practice. Nursing lacks a singular, definitive theory or philosophy. Individual develop their own philosophies and theories based on their values, beliefs and professional identities. As registered nurses that are seeking to advance our education and become professional nurses, defined as a registered nurse with a Bachelor’s of Science Degree in Nursing (BSN), we need to be able to describe our current professional identities. We need to use the critical thinking skills that are so essential to the practice of nursing to analyze how we apply current theories and philosophies to our own nursing practice. How do our personal theories and philosophies compare to the current thoughts out there today and how can we develop a plan to continue to grow professionally as nurse leaders? We are simply applying certain steps in the nursing process to our way of thinking about our practice and future growth – assess, plan, and implement. I. Professional Identity – Knowledge, Theory and Philosophy I am currently a direct care provider in an emergency department at a Level I trauma center academic hospital. As an emergency room registered nurse (ER RN) I know that I am in...
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...Associate Degree Nursing Program NURS 122 Concept Care Map Evaluation Rubric: Maternal-Newborn |Value/categories |0 |1 |2 | |Assessment with Pathophysiology | < 90% data filled |> 90% data filled in |Complete with | | |incorrectly |correctly |Pathophysiology | |Lab work/rationale or reason for| | | | |labs | | | | | |0 |1 |2 | | |95% lab work and reasons | | |documented |documented |documented | |Step 3 - Care Map |0 |1 |2 | |Problem category Physiological |2 appropriate problems with|3 appropriate problems with|4 or more appropriate | |and psychological related to |Reason for admit and key |Reason for admit and key |problems with Reason for | |stages of postpartum |assessments |assessments |admit and assessments | | ...
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...Professional Nursing Reflection Professional Nursing Reflection Nursing is a practice that has been described as a science an art. It has many definitions and many philosophies that guide its practice. Nursing lacks a singular, definitive theory or philosophy. Individual develop their own philosophies and theories based on their values, beliefs and professional identities. As registered nurses that are seeking to advance our education and become professional nurses, defined as a registered nurse with a Bachelor’s of Science Degree in Nursing (BSN), we need to be able to describe our current professional identities. We need to use the critical thinking skills that are so essential to the practice of nursing to analyze how we apply current theories and philosophies to our own nursing practice. How do our personal theories and philosophies compare to the current thoughts out there today and how can we develop a plan to continue to grow professionally as nurse leaders? We are simply applying certain steps in the nursing process to our way of thinking about our practice and future growth – assess, plan, and implement. I. Professional Identity – Knowledge, Theory and Philosophy I am currently a direct care provider in an emergency department at a Level I trauma center academic hospital. As an emergency room registered nurse (ER RN) I know that I am in a unique role as a provider of care. The American Nursing Association has recognized emergency nursing as a specialty...
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...NURSING CARE PLAN COURSE: Basic Adult Health CLIENT INITIALS: DATE OF ADMISSION: AGE: GENDER: JL June 13, 2011 85 M HT: WT: ALLERGIES: 140 lbs. NKA CODE STATUS: FULL RACE/ETHNICITY: CULTURAL CONSIDERATIONS: Caucasian None RELIGION/SPIRITUAL CONSIDERATIONS: Unknown OCCUPATION/HOBBIES/RECREATIONAL ACTIVITIES: Retired LIVING SITUATION/WITH WHOM: (home, assisted living, LTC, etc) Lives with daughter. SOCIAL HISTORY: (tobacco, ETOH, illicit drugs, family dynamics) Quit smoking many years ago, no history of ETOH or drug use. NURSING CARE PLAN ADMITTING MEDICAL DIAGNOSIS: Client's principal admitting diagnosis was leukocytosis. Definition: (from Taber’s) “An increase in the number of leukocytes (usually above 10,000/mm3) in the blood. It occurs most commonly in disease processes involving infection, inflammation, trauma, or stress, but it also can result from the use of some medications” (Venes, 2009, p. 1327). Etiology/pathophysiology: ( NOT from Taber’s or Wikipedia) Etiology: Causes of leukocytosis are infection, inflammation, tissue damage, immune reaction, bone marrow problems, medications, and stress (Drug Information Online, 2011). Pathophysiology: “Leukocytosis can be a reaction to various infectious, inflammatory, and, in certain instances, physiologic processes (eg, stress, exercise). This reaction is mediated by several molecules, which are released or regulated in response to stimulatory events that include growth or survival factors (eg, granulocyte...
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...Nursing 101 The Art and Science of Nursing Spring 2013 PRE-REQUISITES AND CO-REQUISITES: None COURSE CREDITS AND COURSE HOURS: 3 credits (3, 1, 2) GRADING SCALE: Refer to 2011/2012 CNC Calendar, p. 110 COURSE DESCRIPTION: This course introduces the beginning student to the dimensions of professional nursing practice. Through group and individual learning activities, students are introduced to concepts, professional nursing practice, issues & trends in nursing, and the Canadian health care system. This course establishes the foundation for your future nursing career. COURSE STRUCTURE: Classes are delivered using lecture, discussion, group work, and lab and clinical experiences. There is also an online component to the course. Please visit the Nursing 101 Moodle shell regularly for readings and submission of assignments. There are required readings assigned for each week and material from these readings will be applied during class activities. It is expected that students will have completed the required readings, as this will help facilitate each students’ active participation in the course and the achievement of learning outcomes. All required and supplemental readings are testable material. STUDENT REQUIREMENTS: PARTICIPATION IN ALL LAB AND CLINICAL SESSIONS IS MANDATORY. FAILURE TO ATTEND YOUR SCHEDULED SESSION WILL RESULT IN FAILURE OF NURSING 101. (See policy regarding illness in student handbook & CRNBC Fitness to Practice Requirements). You must...
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...Case Study of DKA Patient Anonymous Student Name College or University Name Your Nursing Class # Instructor’s Name November 18, 2011 R.C. is a 42 year old Native-American male that presents to the ER today generally looking ill and, appears to be 10 years older than his stated age. He is dehydrated, and has had Type 1 diabetes, which was diagnosed ten years ago. He has been sick for the last 2 days; as stated by his wife, “I brought him in today (ER) because he is just not getting any better.” Mrs. C. also said that her husband has vomited, over the last 2 days. R.’s chief complaint (c/c) is abdominal pain, voiding frequently, and hasn’t been taking insulin due to nausea. Vital signs (RR) 32, and oxygen saturation (SAO2) 95%. He is alert & orientated (A&O) A&O x 1 (oriented only to person), and his mouth and mucous membranes are very dry. Doctor’s Orders: After seeing Mr. C. the doctor orders: CBC, Chem Panel, Electrolytes, UA with ketones, ABG, 12 lead EKG, and sliding scale insulin to be given IVP, oxygen at 2L/min per nasal cannula, and IV bolus of 500 cc/NS. After initiating a peripheral IV catheter, blood samples are drawn for labs and the nurse administers the 500 cc/NS and rechecked VS: Temperature (T) 100.3, P-106, BP-92/56, and RR-28. Labs The labs return with blood glucose of 625, K+5.3, bicarb (HCO3) 8 mEq/l, large amounts of ketones in urine and serum. ABG of pH-7.19, PO2-89, CO2-25, and HCO3-15. EKG The EKG is noted for...
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...Improving Nursing Shift Changes Introduction Nursing hand-offs rank high in situations where errors occur, often due to how shift changes are structured as much as mistakes by individual nurses (Halm, 2013). Wooldridge Place, for example, has a number of systemic deficiencies that contribute to communication breakdown between shifts and compromise patient care. It is anticipated that switching to a bedside handoff and addressing factors that contribute to negative outcomes from shift changes will allow Wooldridge to increase its patient safety and standards of care, and to meet National Patient Safety Goals and reduce overall costs to the organization. Background Significance While medical record-keeping is vital to patient care, nurses also...
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