NSG 3100 unit 1 , 2
• bed making: -Wear gloves, and possibly a gown if the situation warrants it
-Hold soiled linens away from your body and place them directly in a bin
-Draw sheet for patient transfers
-Call light within reach
-Side rails up(never have 4 up= restraint)
• critical thinking: the process of intentional higher level thinking to define a client's
problem, examine the evidence-based practice in caring for the client, andmake choices in the
delivery of care.
• clinical reasoning: the cognitive process that uses thinking strategies to gatherand analyze
client information, evaluate the relevance of the information, and decideon passible nursing
actions to improve the client's physiological and psychosocial outcome
• magnet facility: highest level of serving & education
• Why nurses need critical thinking: -Nurses incorporate knowledge from otherdisciplines
and fields
-Nurses deal with change in stressful environments
-Nurses make important decisions
-Critical thinking requires creativity which in turn helps nurses......
• psychical: mental cognition
• Fall Precautions: -Familiarize the client with the environment
-Teach back use of call light
-Keep call light within reach at all times
-Keep personal possessions within reach of the client
, -Handrails in room, bathroom, hallway
-Bed in low position and locked
-Non-slip, well-fitting footwearNightlights
-Keep floor clean and dry. Clean up spills promptly
-Keep areas uncluttered
• RACE: RescueAlarm
Contain Extinguish
• Seizure precautions: pad side rails
oral suction at bedside
• 4 P's: Postitioning CheckPain check
Possessions nearbyPotty them
• Restraint Guidelines: 1) A restraint can only be applied upon nurse's order
2) Resident's circulation and respiratory functions musn't be impaired
3) Bony prominences under restraint must be padded in order to prevent trauma
4) Restraint must be applied so that resident's body is in good alignment
• 2 circumstances for restraints: Nonviolent, non-self-destructive behavior(pulling out IV,
pulling on ventilator tubing, etc)
Violent, self-destructive behavior (harm to self, staff, or others)
• Sims position: lying on left side with right knee drawn up and with left arm drawnbehind,
parallel to the back
• lateral position: side lying position
• supine position: lying on back, facing upward
• prone position: lying face down
• Fowler's position: a semi-sitting position; the head of the bed is raised between45 and 60
degrees
• Semi-Fowler's Position: the head of the bed is raised 30 degrees; or the headof the bed is
raised 30 degrees and the knee portion is raised 15 degrees
• High Fowler's Position: A semi-sitting position; the head of the bed is raised60 to 90
degrees
• bed making: -Wear gloves, and possibly a gown if the situation warrants it
-Hold soiled linens away from your body and place them directly in a bin
-Draw sheet for patient transfers
-Call light within reach
-Side rails up(never have 4 up= restraint)
• critical thinking: the process of intentional higher level thinking to define a client's
problem, examine the evidence-based practice in caring for the client, andmake choices in the
delivery of care.
• clinical reasoning: the cognitive process that uses thinking strategies to gatherand analyze
client information, evaluate the relevance of the information, and decideon passible nursing
actions to improve the client's physiological and psychosocial outcome
• magnet facility: highest level of serving & education
• Why nurses need critical thinking: -Nurses incorporate knowledge from otherdisciplines
and fields
-Nurses deal with change in stressful environments
-Nurses make important decisions
-Critical thinking requires creativity which in turn helps nurses......
• psychical: mental cognition
• Fall Precautions: -Familiarize the client with the environment
-Teach back use of call light
-Keep call light within reach at all times
-Keep personal possessions within reach of the client
, -Handrails in room, bathroom, hallway
-Bed in low position and locked
-Non-slip, well-fitting footwearNightlights
-Keep floor clean and dry. Clean up spills promptly
-Keep areas uncluttered
• RACE: RescueAlarm
Contain Extinguish
• Seizure precautions: pad side rails
oral suction at bedside
• 4 P's: Postitioning CheckPain check
Possessions nearbyPotty them
• Restraint Guidelines: 1) A restraint can only be applied upon nurse's order
2) Resident's circulation and respiratory functions musn't be impaired
3) Bony prominences under restraint must be padded in order to prevent trauma
4) Restraint must be applied so that resident's body is in good alignment
• 2 circumstances for restraints: Nonviolent, non-self-destructive behavior(pulling out IV,
pulling on ventilator tubing, etc)
Violent, self-destructive behavior (harm to self, staff, or others)
• Sims position: lying on left side with right knee drawn up and with left arm drawnbehind,
parallel to the back
• lateral position: side lying position
• supine position: lying on back, facing upward
• prone position: lying face down
• Fowler's position: a semi-sitting position; the head of the bed is raised between45 and 60
degrees
• Semi-Fowler's Position: the head of the bed is raised 30 degrees; or the headof the bed is
raised 30 degrees and the knee portion is raised 15 degrees
• High Fowler's Position: A semi-sitting position; the head of the bed is raised60 to 90
degrees
