Monday, August 5, 2019

Do doctors ever do surgery on themselves


A nurse here.
I gave myself a flu shot. I didn’t want to go to the CVS and pay $20 for it. We had gallons of it for the patients and I wanted to get one. That day I knew I couldn’t be a drug user (or a diabetic who had to give himself insulin!)
I once tried to draw my own blood. That was a disaster. I should not have closed my eyes when I stuck the needle into my arm. I thought to myself, “Oh shit, I missed!” and I was screaming when I wiggled it around (the front desk staff came in and screamed when she saw what I was doing to myself.)
I wanted to send out some blood for tests (the doctor whom I worked with was out that week and she signed the orders a few days prior to that.) I wouldn’t trust her to draw my blood either because she had not done it for years.
Never again!
I was working along (as a school nurse) years ago. Although I had a nursing supervisor (my boss) who was down the hall from me, her needle skills were bad (she had not started an IV for ages while I was doing it almost weekly there.)

  Refer: Winton Sawatdee



Thursday, August 1, 2019

What is the most important part of being a good surgical nurse


First and foremost, we need to dissect what makes a “good” Nurse. I would say the key elements are having an empathetic, caring, and warm nature. You need to feel comfortable being around sick people and staying calm in stressful situations. You must be genuine and honest at all times, making sure you always put your patient first.
Secondly, Surgical Nurses are there to assist surgeons during surgery. This could be a minor or major procedure, but the fundamental requirements of a Surgical Nurse is the same.
Qualities of a good surgical nurse include being extremely organised, efficient, and forward thinking.
·         You must be okay with looking at blood, bone and other exposed body parts.
·         You must be able to comfort the anxious patient at what can be a very scary time for them.
·         Depending on local or general anaesthetic, you will need to talk to your patient and check on them throughout the surgery if they are awake.
·         You will need to advocate for them and uphold their dignity and rights at all times if they are asleep.
·         You will need to know what instrument the Doctor will require without him requesting it, and have it ready to put in his hand.
·         You need to be alert at all times, cleaning up blood off your patient so they are not covered in it.
·         You will need to cut sutures efficiently.
·         You will maintain a sterile field at ALL times.
·         Your job is basically to make the surgeons job as EASY as possible.

           Refer: Olivia Lewis



Tuesday, July 30, 2019

How many times do hospital nurses have to wash their hands and/or replace their gloves


It depends on how many patients they care for. They should be washing their hands with each patient contact and before they glove and after they glove also they need to wash them well after they use the BR. themselves. If the person has infectious stool or drainage you also would not want to move the organisms from one part of their body to the other. You never really know if there are breaks in the integrity of the gloves. So you would use one pair for wiping their peri area, then wash and re-glove to suction them. Some procedures only require that one uses clean gloves and others require sterile gloving. There are some procedures that do not require gloves at all, but proper hand washing technique is still the most important step in keeping well.

 

  Refer: Carmel Maalouf



Monday, July 29, 2019

Larix International Conference on Nursing

Larix International Nursing Conferences

Larix International is a group of ranking publishers and organizer’s for scientific conferences around the globe nesting well-known Doctors, Engineers, Scientists, and Industrialists. Larix is a self-functioning, independent organization wholly focused on arranging conferences in multi-disciplines of research on various science fields. The conferences are administered by global influential scientists and scientific excellence. We are even open for the upcoming scientists and scholars, who are in need of a platform to give their voice a much needed larger volume.

World Summit on Nursing and Women Health (Nursing 2019) is going to be organized in the beautiful city of Kuala Lumpur, Malaysia on November 23-24, 2019 at Holiday Inn Express, primarily focusing on the theme “Advanced Nursing for Trusted Care”.

THE NURSING

Nurses play an essential role in the health care industry because they are primarily focused on patient care. They work in a variety of specialties to help people improve their health and to prevent and heal illnesses and injuries. Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups, and communities, sick or well and in all settings. It includes the promotion of health, the prevention of illness, and the care of ill, disabled and dying people.

ALL ABOUT IT

Nurses and midwives account for nearly 50% of the global health workforce. There is a global shortage of health workers, in particular nurses and midwives, who represent more than 50% of the current shortage in health workers. The largest needs-based shortages of nurses and midwives are in South East Asia and Africa. For all countries to reach Sustainable Development Goal 3 on health and well-being, WHO estimates that the world will need an additional 9 million nurses and midwives by the year 2030. Nurses play a critical role in health promotion, disease prevention and delivering primary and community care. They provide care in emergency settings and will be key to the achievement of universal health coverage. Investing in nurses and midwives is a good value for money. The report of the UN High-Level Commission on Health Employment and Economic Growth concluded that investments in education and job creation in the health and social sectors result in a triple return of improved health outcomes, global health security, and inclusive economic growth. Globally, 70% of the health and social workforce are women compared to 41% in all employment sectors. Nursing and midwifery occupations represent a significant share of the female workforce.


DISCUSSIONS

Nursing Education & Nursing Management; Clinical Nursing; Surgical Nursing; Emergency Nursing Practice; Midwifery & Women health Nursing; Advanced Nursing Practice; Pediatric Nursing Disaster Nursing & Travel Nursing; Oncology Nursing; Nursing Primary Care; Cardiovascular Nursing Psychiatric and Mental Health Nursing; Nursing Informatics; Dental Nursing; Public Health & Community Health Nursing; Wound Care Nursing; Operating Room Nurse; Gerontology Nurse; Nursing Rehabilitation & Management; Nurse as Caregiver.


ATTENDEES AND AUDIENCE

Leading world Doctors, Registered Nurses, Professors, Research fellows and many more from leading universities, companies, and medical research institutions, hospitals sharing their novel researches in the arena of Nursing, Health care & Medicine.
Join the US,
·        To Build networking Opportunities, Grow Your Professional Network
·        Your Knowledge Base
·        Expand Your Resources
·        Meet Experts & Influencer's Face to Face
·        Learning In a New Space
·        Break Out of Your Comfort Zone
·        New Tips & Tactics
·        Greater Focus

·        The Serendipity of the Random Workshop

Friday, July 26, 2019

Why don't dental nurses ever speak to patients


It may be the strategy of the individual dentist. Staff in my practice converse w/ patients to put them at ease and because the assistant needs patient cooperation for some procedures the staff does. The more the staff can do the easier it is on the dentist. At the same time this can be risky because contradictions happen; patients can like the dentist but complain about staff and leave the practice and worse go on social media and vent their complaint. Some dentists have very successful practices built by making sure their staff stays focused and limits undesirable consequences of a talkative staff. The relationship there is clearly between the dentist and the patient. To conclude: it varies on the management style of the dentist and I left out the status/persona of patient clientele.

Refer: Michael Starkey



Wednesday, July 24, 2019

What are some current trends in pediatric nursing


Oh, thanks for asking me to answer but what seems like a few years ago has actually been 30 years since I worked as an RN in a neonatal and then pediatric ICU, while finishing school for a year. I can tell you the trends then but that wouldn’t help so maybe this referral will. It was a great, wonderful experience and all the people I worked with are 30 years older for real but have not changed in my mind. It goes so fast. If you don’t have your own children they say it’s easier on you emotionally. I suppose that must be right.
This is great:  It’s not paraphrased because how can you paraphrase it? But the site asked why, and I don’t take any credit for the great work.  Please go to the website and see the people that wrote this. They ask a couple questions first before you can access the material but it’s freely given out. Again, I  don’t claim copyright.
Trends IN PEDIATRIC NURSING PRACTICE
■ Increased numbers of children requiring mental health
services
■ Increased numbers of children becoming ill as a result of
antibiotic- resistant organisms
■ Increased usage of blood conservation techniques for
hospitalized children
■ Increased emphasis on provision of safety education
(e.g., Internet safety, dealing with bullying)
■ Increased admissions based on environmental risk factors,
such as dangerous living environments, unstable households,
and risky behaviors
■ Increased admissions based on deficient knowledge base
of caregivers, such as not following or understanding the
treatment regimen
■ Increased admissions based on lack of primary care
access
■ Earlier onset of puberty and its ramifications for
adolescent sexual health
■ Shift in the focus of medical/nursing care from
disease treatment to health promotion and disease
prevention
■ Provision of health education in the school system
■ Increased incorporation of families in the overall care of
children
■ Increased numbers of children requiring home-care
provision
■ Increased prevalence of autism spectrum disorders and
childhood depression, requiring more education and
research in these areas
■ Increased childhood incidence of the following
conditions:
■ Obesity
■ Hypertension
■ Diabetes
■ Asthma

 Refer: Robert House



Tuesday, July 23, 2019

Do mental health nurses ever give needles to patients


We don’t call them “needles.” We call them syringes. In 25+ years of psych nursing, I would estimate that I’ve given approximately 10,000 IM injections.
The number is so large not because I’m a crazy Nurse Ratched as so many would like to believe, but because psych patients get sick, just as non-psych patients do. The large numbers add up with flu clinics, volunteering to give TB sub-Q injections at a free health care clinic for veterans for several years, and other medications which are ideally given IM for best, quickest results.
During flu clinics, we thoroughly but plainly explained the benefits of getting the immunization. We agreed that everyone found needles unpleasant. We had good relationships with most of our patients.
To make the process more painless, we assembled an assortment of dinosaurs which both patients and staff found entertaining to arrange while anticipating the injection. We also provided a small but tasty sweet treat (if medically OK) after it was done.
Probably we give more injections than any other type of nurse. My second-most unusual and outstanding skill is giving nearly painless IM’s, thanks to flu clinic practice. The other is parallel parking.
On many occasions we do give injections to agitated and out of control patients. We don’t do it lightly. It requires an order from an MD, specifically for that dose. We don’t like sticking needles into people already in great distress, but if they are so agitated they are in danger of hurting themselves or others, there are not that many options, and I’m including quiet time, calming rooms, seclusion rooms, de-escalation, etc.
Because my specialty was alcohol and drug addiction, many of the IM’s were given because of the way alcohol and drugs destroy the body. A person in the throes of DT’s needs ativan may need magnesium to lower the chance of seizures, etc. The agony that DT causes is so great IM’s are the best choice.
Many of our patients come to us in very ill health. IVDA’s often have STDs, which require an IM dose of antibiotics. Many have full-blown AIDS and very compromised immune systems. TB is also very frequent. I could fill pages with the illnesses rampant on a psych unit.
As far as insulin—depending on the unit and patient, some patients are allowed to administer their own, as the goal of the unit is to get patients functional and able to care for themselves properly on discharge.