Nursing Care Plans

This week we are working on our first nursing care plan. A nursing care plan consists of Assessment subjective (what the patient says) objective – physical assessment of patient Nursing Diagnosis These provide a basis for selection of nursing interventions.  Example: “acute pain related to (r/t)  pressure on spinal nerves as evidenced by pt oral …

Almost half way through…

Today was my check off for changing a Cental line dressing with Cardiac assessment and Male and Female Foley catheter insertion with Abdominal assessment.  I did fine on the two I did.  It was a coin flip to which I had to do.  I ended up with Female Foley Catheter instead of central line dressing. …

Booted from Lab –oops!

Went into the lab today with Ria to practice for the check offs tomorrow.  It will either be Central Venous Catheter Dressing change (with Cardiac assessment) or Female Catherization with abdominal assessment.  (We get to flip a coin to see what we have to do so need to be prepared for both.) I got booted …

Lab time today

Did some Lab time with Ria today. She’s so funny. She’s very real. She doesn’t give a shit what people think of her. We practiced the NT suctioning and the trach care with trach suctioning. She went over Ear drop/ Eye drops/ anal and vaginal suppositories. I think we actually have to jam a suppository …

First Check off.

Today was a bit of a tough day.  I spent 3 hours in the nursing lab yesterday (Sunday) preparing for this wound dressing change. It was a wet to dry packed wound dressing change -a sterile procedure. I went over and over the procedure and the critical elements.  We have a little acronym to help …

Keeping a Sterile Field

I had always thought that not touching something that is sterile keeps it sterile.  Apparently even placing your hand or arm above a sterile field (unless your sterile)  contaminates the field.  I never knew that.   I found this out when practicing packing a wound in class yesterday. I found some info to back this up. …