wash daily using tepid water, inspect daily, wear cotton socks and shoes, dry and moisturize
DOS for diabetic foot care daily, file rough edges straight across
Go barefoot, moisturize between the toes, soak feet in hot water, cut toenails; see podiatrist,
DONT's for diabetic foot care: wear open toe shoes
reservoir host where the germs live (people, food, water, animals, soil)
susceptible host sick person, babies/children, elderly, weakened immune system, unimmunized
What does RACE stand for? rescue, alarm, contain, extinguish
history of breast or lymph node surgery, presence of an AV fistula/shunt device used in dialysis,
When should the nurse not perform a blood
presence of PICC line/IV infusing, presence of cast/injury to arm
pressure?
bleeding precautions: use soft toothbrush and electric razor. Monitor for signs of frank(new) and
precautions needed for pts on coumadin
occult(old) blood
(warfarin)
Provide a professional interpreter to read/write/translate for the patient. Provide written
How the nurse can best meet the cultural needs information in the patients language
of the patient who speaks a different language
Situation
Background
what does SBAR stand for? Assessment
Recommendation
make suggestion for a care plan
reinforce RN teaching
perform vitals and assessments
what an LPN can legally do delegate non nursing tasks
administer medications
administer IV push meds
administer blood products
what an LPN should not do start IVs/hang first IV bag
write care plans
what is the systolic number? the top number and the first sound heard (heart at work)
what is the diastolic number? The bottom number and when the sound stops (heart at rest)
term that means breath/difficulty breathing Dyspnea
HR ( 60-100) RR (12-20)
normal ranges for heart rate and respirations
bath used to relieve dry skin and pruritus medicated (oatmeal, cornstarch, Epsom salt)
tachycardia fast heart rate
tachypnea fast breathing
bradycardia slow heart rate
bradypnea slow breathing
compassion, empathy, advocacy, professionalism, responisble, accountable
examples of ethical principles used in pt care
what is professionalism? having the knowledge and skills. Treating people with respect and dignity
how the LPN can best meet the religious or ask the patient their preferences
cultural needs of the patient
infants, elderly, smokers, Chronic disease (COPD, diabetes), persons living in crowded
who is most at risk for developing HAIS? conditions, ad compromised or weakened immune systems (HIV, cancer)
how the LPN can best meet the educational provide material written in their language. Learn a few words in the pt language
needs of the patient
subjective data what the patient tells you (symptoms)
objective data what the nurse assesses by using the senses (fear, hear, smell)/ signs
, remove and provide ROM
assessment that is done every 2hrs when pt is in assess skin, circulation, toileting and nutrition/fluid needs
restraints assess behavior to determine to continue or remove
get MD order every 24hr
use if pt is harmful to self or others
try alternative measures first
monitor/assess pt every 15minutes, 1hr and 2hrs
tie quick release knot
DOs regarding the use of restraints communication with family
document pt response
tie to moveable part of the bed
use as a form of punishment
DONT's regarding pt restraints apply tightly
use without an MD order
priority nursing action if a pt falls assess the pt then assist to bed
where is the location of the apical pulse? left mid-clavicular, 5th intercostal space
provide care based on the pts individual needs
how can the nurse provide patient centered care?
safest way the ambulate pts? Use a gait belt
insert using sterile technique
perform catheter care/per-care every shift and as needed
use catheters only when needed
charge per order and prn
how can the LPN help prevent CAUTIs>? avoid using for a long period of time
empty drainage bag when half full. Keep lower than bladder and off the floor
tympanic temperature site ear
temporal temperature site forehead
axillary temporal site armpit
skin
fall
baseline vitals
patient assessments that must be completed by history and physical
the nurse upon admission medication reconciliation
knowing the difference between right and wrong
what is ethics? doing the right thing all the time, even when no one is looking
accepting money/gifts
violations of HIPPA
neglecting/mistreating/abusing pts or not reposting abuse
allowing coworkers to drink/use drugs or steal from pts/facility
ethical violations done by nurses influencing pts to have surgeries/procedures; receive chemo/radiation, experiment with
medications
active listening
summarizing
offering self
clarifying
asking open-ended questions
therapeutic communication techniques silence
touch
maintain professionalism
maintain privacy (bath blanket)
how the nurse can best meet the personal needs ask the pt their preferences (allow choices)
of a pt who is modest encourage the pt to participate in activities
oral care for conscious pt high fowlers
DOS for diabetic foot care daily, file rough edges straight across
Go barefoot, moisturize between the toes, soak feet in hot water, cut toenails; see podiatrist,
DONT's for diabetic foot care: wear open toe shoes
reservoir host where the germs live (people, food, water, animals, soil)
susceptible host sick person, babies/children, elderly, weakened immune system, unimmunized
What does RACE stand for? rescue, alarm, contain, extinguish
history of breast or lymph node surgery, presence of an AV fistula/shunt device used in dialysis,
When should the nurse not perform a blood
presence of PICC line/IV infusing, presence of cast/injury to arm
pressure?
bleeding precautions: use soft toothbrush and electric razor. Monitor for signs of frank(new) and
precautions needed for pts on coumadin
occult(old) blood
(warfarin)
Provide a professional interpreter to read/write/translate for the patient. Provide written
How the nurse can best meet the cultural needs information in the patients language
of the patient who speaks a different language
Situation
Background
what does SBAR stand for? Assessment
Recommendation
make suggestion for a care plan
reinforce RN teaching
perform vitals and assessments
what an LPN can legally do delegate non nursing tasks
administer medications
administer IV push meds
administer blood products
what an LPN should not do start IVs/hang first IV bag
write care plans
what is the systolic number? the top number and the first sound heard (heart at work)
what is the diastolic number? The bottom number and when the sound stops (heart at rest)
term that means breath/difficulty breathing Dyspnea
HR ( 60-100) RR (12-20)
normal ranges for heart rate and respirations
bath used to relieve dry skin and pruritus medicated (oatmeal, cornstarch, Epsom salt)
tachycardia fast heart rate
tachypnea fast breathing
bradycardia slow heart rate
bradypnea slow breathing
compassion, empathy, advocacy, professionalism, responisble, accountable
examples of ethical principles used in pt care
what is professionalism? having the knowledge and skills. Treating people with respect and dignity
how the LPN can best meet the religious or ask the patient their preferences
cultural needs of the patient
infants, elderly, smokers, Chronic disease (COPD, diabetes), persons living in crowded
who is most at risk for developing HAIS? conditions, ad compromised or weakened immune systems (HIV, cancer)
how the LPN can best meet the educational provide material written in their language. Learn a few words in the pt language
needs of the patient
subjective data what the patient tells you (symptoms)
objective data what the nurse assesses by using the senses (fear, hear, smell)/ signs
, remove and provide ROM
assessment that is done every 2hrs when pt is in assess skin, circulation, toileting and nutrition/fluid needs
restraints assess behavior to determine to continue or remove
get MD order every 24hr
use if pt is harmful to self or others
try alternative measures first
monitor/assess pt every 15minutes, 1hr and 2hrs
tie quick release knot
DOs regarding the use of restraints communication with family
document pt response
tie to moveable part of the bed
use as a form of punishment
DONT's regarding pt restraints apply tightly
use without an MD order
priority nursing action if a pt falls assess the pt then assist to bed
where is the location of the apical pulse? left mid-clavicular, 5th intercostal space
provide care based on the pts individual needs
how can the nurse provide patient centered care?
safest way the ambulate pts? Use a gait belt
insert using sterile technique
perform catheter care/per-care every shift and as needed
use catheters only when needed
charge per order and prn
how can the LPN help prevent CAUTIs>? avoid using for a long period of time
empty drainage bag when half full. Keep lower than bladder and off the floor
tympanic temperature site ear
temporal temperature site forehead
axillary temporal site armpit
skin
fall
baseline vitals
patient assessments that must be completed by history and physical
the nurse upon admission medication reconciliation
knowing the difference between right and wrong
what is ethics? doing the right thing all the time, even when no one is looking
accepting money/gifts
violations of HIPPA
neglecting/mistreating/abusing pts or not reposting abuse
allowing coworkers to drink/use drugs or steal from pts/facility
ethical violations done by nurses influencing pts to have surgeries/procedures; receive chemo/radiation, experiment with
medications
active listening
summarizing
offering self
clarifying
asking open-ended questions
therapeutic communication techniques silence
touch
maintain professionalism
maintain privacy (bath blanket)
how the nurse can best meet the personal needs ask the pt their preferences (allow choices)
of a pt who is modest encourage the pt to participate in activities
oral care for conscious pt high fowlers
