Thursday, 15 November 2018

Nurses: Caring patients with Injuries

Nurses perform a vital and strategic role at the forefront of care. Nurses use their capability to assess and treat wounds and ostomies. PTs reassure ambulation and proper positioning of patients, along with promoting optimal function. Pharmacists have the ability to examine a patient’s in-hospital and home medications for interactions, communicate with physicians and encourage any changes in medications. OTs assists with patient transfers and re-positioning while providing helpful resources and equipment recommendations. Registered dieticians and nutritionists assist in wound healing by performing a thorough nutritional assessment, looking for signs of malnutrition or other dietary deficiencies. This assessment determines nutrition needs that can aid in the healing process.
“Skin and Body injuries are extremely prevalent,”

Re-positioning patients every two hours is a high priority to avoid pressure injuries. The need to examine potential problem areas of the body also is a necessity for healthcare clinicians. Some areas are ones clinicians may not expect or regularly check. Hospital-acquired pressure injuries are among the conditions considered preventable by the Centres for Medicaid and Medicare Services. Thus, healthcare facilities are not reimbursed for treating these injuries when they are acquired by a patient in the hospital. A thorough skin assessment is very important when a patient arrives. This protects a healthcare facility from potential litigation and also serves as a baseline for caring for the patient. That assessment is critical to the healthcare system and the patient. If the facility doesn’t document these injuries in the first 24 hours, Hospitals are legally liable from Medicare. Effective nursing management strategies for adults with severe traumatic brain injury (STBI) are still a remarkable issue and a difficult task for neurologists, neurosurgeons, and neuro nurses

A list of justified indications and scientific rationale for nursing management of these patients are continuously evolving. The objectives of the study are to analyse the pertinently available research and clinical studies that demonstrate the nursing management strategies for adults with STBI and to synthesize the available evidence based on the review in the included studies, data were extracted and evaluated according to the objective. Narrative analysis was adopted to write this review. Patients with STBI have poor prognosis and require quality care for maximizing patients' survival. With a thorough knowledge and discernment of care of such patients, nurses can improve these patients' neurological outcomes.

Thursday, 8 November 2018

Nurses practice in a variety of roles within healthcare organizations, whether they may be public or private, inpatient or outpatient. RNs also may hold non-traditional roles in insurance corporations, pharmaceutical companies, healthcare device manufacturers, or software application vendors. RNs can practice clinically by providing direct patient care; they can hold management positions; and they can also support clinical nursing and patient care activities, such as the work done by informatics nurses.
As a nurse, free time is hard to come by and time management is a crucial part of thriving in your career. Well, believe it or not, some of these websites can be more useful than what you learned during training. You need to be informed on the latest technology and healthcare developments, as well as constantly improve your productivity and patient understanding in order to be a successful nurse. This is where reading comes in handy – a sound nursing blog that does can really make a difference in your career informative and engaging and daily work routine.

Informatics nurses are registered nurses with a clinical background, which is critical to understanding the workflow of clinical nurses as well as the working environment of the various care settings.
There are a number of different types of nurses in the informatics field. The American Nurses Association's (ANA) Nursing Informatics: Scope and Standards of Practice defines an informatics nurse specialist (INS) as an RN who has been formally prepared at the graduate level in informatics or a related field, and an informatics nurse (IN) as a generalist who has informatics experience but does not have graduate level education on the subject.
The ANA Scope and Standards of Practice have listed the major functional areas for informatics nurses, which include:
·         Administration, leadership and management - either directly with clinical informatics departments or in combination with other functional areas such as serving as project managers.
·         Analysis - using data to synthesize knowledge, inform decision support, and manage outcomes as well as taxonomies.
·         Compliance and integrity management - helping make sure organizations are meeting all the national laws and standards such as HIPAA, FDA, Joint Commission etc.
·         Consultation - serving both internally or externally as a resource.
·         Coordination, facilitation, and integration - serving as the translator between end-users and IT experts.
·         Development - translating user requirements into solutions.
·         Education and professional development - ranges from teaching the end-user to use a device or application to educating the next generation of nurses and the general public.
·         Policy development and advocacy - being an advocate for consumers, hospital units, and the institution as a whole; also helping shape policies and standards at the state, national and organizational level.
·         Research and evaluation - conducting research in a variety of informatics topics that impacts both caregivers and consumers.

Thursday, 1 November 2018

 Emergency First Aid for Nurses

Emergency is a dynamic for nurses to know what to do when faced with an emergency. For instance, we should all know what to do with a object of a road accident or someone with an injury as simple as a burnt finger. These cases happen every day, and most of the time, nurses are expected to make available for first aid care. We should learn not only how to stay as peaceful as possible, but also what to do while waiting for help to attain.

Nurses should Keep DRS in mind

·         Danger (check the scene for danger), 

·         Response (check for the victim’s consciousness) and 

·         Send someone to call for help.

Also, Nurses should remember the ABCDs in giving first aid:

·         Airway, 

·         Breathing, perform 

·         CPR (if necessary)/ Control major bleeding and 

·         Defibrillate, if available (and if necessary).

Is the object’s airway (mouth and throat) free from foreign objects that may cause blockage? Is the victim breathing?  Does the prey have severe bleeding? The three P‘s must also be kept in mind when giving first aid. These are the responsibilities of every first aider:
·         To Preserve life and give initial emergency care and treatment to people who are sick or injured,
·         to Protect unresponsive/ unconscious people, to Prevent the condition of the victim to worsen and to
·          Promote the victim’s recovery.

Cuts and scrapes need proper care to avoid infection or complications. The first things you should do are to clean the wound and stop the bleeding.
·         It is best to rinse the wound with cool water. Thorough cleaning reduces the risk of infection and certain complications like tetanus.
·         Remember that you have to stop bleeding by applying gauze or a clean piece of cloth to the wound firmly but gently.
·         You can add more gauze if blood soaks through, and continue applying pressure.
Puncture wounds, cuts, scrapes or amputations may cause external bleeding that needs immediate medical attention. Prior to giving care, make sure that you don protective gloves or any barrier between you and the patient that can minimize transmission of disease.
·         Bleeding may be controlled with direct pressure. You can use a sterile dressing, a clean piece of cloth, diaper or a sanitary napkin.
·         Do not remove the dressing even when it gets soaked with blood. Instead, add more material and continue pressure.
·         Do not move limb if you suspect any fractures. Otherwise, elevate the wound higher than the level of the heart.
·         As soon as bleeding is controlled, apply dressing and observe for shock.
Nosebleeds are very common, and are usually caused by dryness, allergies, infection, increased blood pressure and aggressive nose picking among others.
Bleeding from the nose for more than twenty (20) minutes may be considered a medical emergency and immediate medical attention is necessary.
·         To help someone whose nose is bleeding, assist him to sit upright and lean forward. This will help in reducing the blood pressure in the veins of the nose, thus, minimizing the bleeding. Also, leaning forward is necessary to prevent the victim from swallowing the blood.
·         Squeezing the soft part of the nose using the thumb and the index finger for about ten to fifteen minutes or placing an icepack on the bridge of the nose may also help stop the bleeding.

Thursday, 25 October 2018

Yoga Nurse
Yoga Nurse aims to uplift nurses through self-care practices, such as yoga. Founder, Annette, hopes to change the nursing culture by changing the nursing consciousness. Her instructions on her blog can benefit nurses, patients, caregivers, and other medical professionals. What is Yoga Nursing? Yoga Nursing® is a new brand, trend & movement in health care, nursing and yoga, holistic RN, stress relief, back safety expert and medical yoga therapist. Yoga Nursing unites the ancient wisdom of yoga with the modern science of nursing. Its mission is to train and create a global army of modern nightingales, yoga nurses, who will learn and teach the Yoga Nursing Sacred Remedy— in order to enlighten the ailing health care system and relieve stress, anxiety, pain and suffering for both nurses and their patients. The physical and mental health benefits of practicing yoga are well-documented. One recent study focused on the benefits of yoga for nurses.

In fact, nurses who practice and teach yoga would be the first to tout its benefits for their peers and encourage them to join the ranks of people practicing yoga. As nurses and teachers, practicing yoga has become an integral part of their lives. As a nurse, I know chronic stress is widespread in and out of health care,” said Certified Yoga Nurse.

“Practicing and sharing yoga is an exercise in self-awareness or self-assessment.”

A Kentucky Nurses Association member, Churchill believes, Awareness allows me to detect stress, anxiety, and pain early on. When I apply my yoga self-care tools, I feel more relaxed, calm, and comfortable.
Chicago-based Toni Scott, MSN, RN, founder of Yoga tones, agreed. “I actually stumbled upon yoga when I first moved to Chicago and recognized how unhealthy I had become,” she explained. After the first class, I knew that I had to go back. The first benefit I got from yoga was becoming more self-aware.
Besides yoga’s benefits to them personally, these nurses are motivated to help others discover how might improve their lives. Facilitating students’ growth also helps the teacher to grow, according to Stewart. “Teaching has become one of the greatest joys of my life,” she said, “and it keeps me on my toes with my own practice.” In particular, teaching gentle yoga to students primarily in their 50s to 80s has helped her learn more about how people can develop a meaningful practice despite their physical challenges.

Friday, 5 October 2018

A nurse is what you do. It is what you are……………
Nursing is continuously will be a inspiring and challenging profession. Nurses hold people's lives in their hands and to continue to be great nurses, we must always strive to recover the excellence of care we provide. That isn't easy if we don't have proper feedback, and the information necessary to help us improve. Response is vital to helping nurses thrive and grow in their roles.  In today's healthcare environment we meet many challenges every day that perhaps didn't exist even a few months ago. One major goal no matter what your niche is to reduce costs while maintaining quality. The challenge then becomes how to work smarter and not harder because reducing costs can also translate to cutting staff.  That works only if you have the buy-in of everyone, and the information to help staff understands what and why. In home health and hospice, for example, Medicare drives the ship and regs change frequently. If we don't help staff understand the purpose and the effects of those changes, we don't get the buy-in we need to be successful. Hospitals have gone through many changes in the past few years as well.

The key element is meeting reimbursement and providing quality care, Schedule flexibility, work-life balance and engaging in regular self-care activities are some of the most important issues of today’s nurse. When considering which nursing career pathway to pursue, one should decide what is most important to them regarding these issues. Full-time staff nurse positions are usually less flexible in scheduling, but offer stability related to income, benefits and paid time off. Agency nursing can be very flexible in scheduling; however they do not offer reimbursements or remunerated time off. There is a lot to reflect. So to help you navigate both staff nursing positions and agency nursing positions, we’ve created this easy list of pros and cons:
·         Stable Income
·         PTO & Benefits
·         Build Rapport with Colleagues
·         Comprehensive Orientation with Mentor/Preceptor
·         Facility Provided Continuing Education
·         Quickly Adjust to Facility Policy and Protocol
·         Higher Pay per hour
·         Schedule Flexibility
·         Ability to Travel to New Places
·         Meet New People
·         Learn more about Nursing
·         Gain Additional Experiences
·         Less Flexible Scheduling
·         Increased Work-Duty Demands from Facility Management
·         Less Pay per hour
·         Inability to Take Vacation When You Want
·         Hours Not Guaranteed
·         No PTO & Benefits
·         Limited to No Orientation
·         Hours Depend on Patient Census
·         Limited Facility Access/Restricted Access
·         No Facility Provided Continuing Education
·         Possibility of Being Away from Family and Friends During Contracts

Friday, 31 August 2018

 Holistic Nurse: Caring is an essence of nursing
Holistic Nursing care is a comprehensive model of caring and love which is believed to be the heart and soul of the science of nursing. The way of life behind holistic Nursing care is based on the idea of holism which accentuates that for human beings the whole is greater than the sum of its parts and that mind and spirit that affect the body. Holistic Nursing care is described as a comportment that recognizes a person as a whole and acknowledges the interdependence among the one who has biological, social, psychological and spiritual aspects.
Holistic Nursing care includes a wide range of approaches like medication, education, communication, self-help and complementary treatment. In holistic nursing all the aspects of patients and their effects on the treatment process are considered and the patients’ thoughts, emotions, cultures, opinion and attitudes are influences speedy recovery, happiness and satisfaction. Holistic Nursing care respects human dignity: The relationship between the nurses and the patients is based on respect, relative openness, equality, mutuality and patients to participate in resolution assembly in this kind of caring. Providers of holistic Nursing care consider a patient as a whole within his/her environment and realize that a patient is made up of a body, mind and spirit.

Holistic Nursing care increases the depth of care to understand the patient’s status and to resolve their needs. Educating patients about self-care and helping them to perform their daily activities independently is part of holistic Nursing care. Palliative care is part of holistic Nursing care which improves the quality of a patient's life and their emotional and physical well-being. Holistic Nursing care increases self-awareness and self-confidence in patient and causes nurses to better understand the effects of an illness on a person's entire life and his/her true needs.
To know more, join us @world holistic nursing 2018

Thursday, 9 August 2018

Nurse: Just another word to describe a person strong enough to tolerate anything and soft enough to understand anyone.

Words are very powerful. They can either you to greatness or make you feel like crap. Therefore, it’s best to choose the sentences you hear and the ethics you believe. After all, we are all given a choice ever day to wallow in self-pity or push ourselves to achieve great things despite our imperfections.Nurses are no exception. One’s success in the nursing profession is not determined by how much theoretical knowledge a nurse possesses, but how resili
ent you are to apply everything you’ve learned–and that includes the principle of caring.
We are trained to care for strangers. However, there are times when our character is tested, and we feel as though every pinch of inspiration to do our job well has left us. This is when inspirational Nursing quotes come into the picture.Words that are very inspirational, even if they were uttered by someone from many centuries ago, can brighten our day and uplift our souls. These quotes are extremely helpful especially during trying times at work, like when we’re dealing with demanding patients or coping with one death after another.

Nurses: Caring patients with Injuries

Nurses perform a vital and strategic role at the forefront of care. Nurses use their capability to assess and treat wounds and ostomies. ...