Hourly Rounding for Falls Prevention in the Emergency Department Sandra Patchel‚ RN‚ CEN Chamberlain College of Nursing NR451 Professor Anderson February 01‚ 2013 Hourly Rounding for Falls Prevention in the Emergency Department Introduction Patient falls are one of the most frequently reported adverse events in the Emergency Department (ED)‚ and can lead to serious injuries‚ such as head injuries or fractures‚ or can result in death. Falls can lead to an increased length of stay for the patient
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A patient with a C7 spinal cord injury states he must hve the flu because he has a bad headache and nausea. The initial action of the nurse is to check the patient’s temperature. take the patient’s blood pressure. elevate the head of the bed to 90 degrees. call the physician. The priority nursing intervention for a patient with facial trauma is Administration of IV fluids at a rapid rate. Application of a dressing to control facial bleeding. Clearing the airway of blood and debris
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Postpartum Hemorrhage Jorge Garcia‚ MD December‚ 2001 Outline Case History Definition Rapid diagnosis Treatment Review risks Case History. Healthy 32 yo G2P1+0. Previous C/S 2 years back Augmented vaginal delivery with vacuum extraction‚ with episiotomy On admission uterus will contracted. Lochia normal Second day Patient complaining of continues sever pain prescribed as pressure on the rectum side which was not relieved by analgesia. Lochia was minimal‚ episiotomy
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Vomit-tilt head to side‚ lower head of bed‚ suction‚ basin Yonkers-suctioning equipment specific to mouth suctioning Interventions- Assessment-continuous Position- semi fowler‚ rolled towel under neck or pillow under shoulders to keep airway clear Hypotension-caused by drugs (paralytics dilate)‚ can contribute to nausea Shock- is all about perfusion. Need adequate perfusion to kidneys‚ brain‚ lungs‚ and heart. Shock is related to hypovolemia. Give blood and fluid based on what they are losing. If
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When I first started into my research‚ it seemed that every online RLS community‚ or article I read online‚ talked about the approach that scientists were taking due to the connection they’ve drawn between dopamine levels and RLS. Personally‚ I think they’re looking in the wrong direction. The direction they should be looking at is the relationship between inflammation and RLS. Dopamine may play a part in the long run‚ but it is a secondary concern. If you deal with the inflammation‚ you will
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Please find a guided reading tool and extra resources for your assigned reading for February 4 and 5. You will be participating in a modified Team Based Learning strategy for this content‚ and coming to class prepared by reading your text is imperative. I acknowledge that there is a GREAT DEAL of information contained in this chapter. This guided reading tool is an attempt to assist you focuses on the reading. While it may be extremely helpful to do so‚ it is not required for you to write the
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Today in clinical I got the chance to work with the CNA. This was a great experience for me since I have never worked in the health care field. This allowed me to have one on one experience with the CNA. I was able to see and do things I have never done before. While at the hospice house I was able to do some CNA work‚ but this was a little different since the patients at the Fountain Inn nursing home was mobile and some was able to speak and let you know what they wanted and didn’t want. I really
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Homeostasis is a state of equilibrium that tends to be a main goal in many scenarios in living organisms‚ including those within the body. One of which includes the human body temperature which usually is around approximately thirty-seven degrees celsius or ninety-eight and six tenths degrees fahrenheit. This temperature is ideal for the human body because at this temperature it is not too warm as to where the body would have to continually eat and take in nutrients in order to maintain it’s metabolism
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5 parts of the run: 1. scene survey/ ABCDE’s A. scene survey a. location b. clues at scene c. weather d. time of day e. patient position f. determine MOI or nature of illness g. consider back up h. Anything about the patient that jumps out at you! i. Age‚ sex/Wt. Walk up to patient introduce yourself and check for pulse. Determine the C/C B. ABCDE’s C-spine if any suspected trauma or injuries r/o later if not needed a. Airway-determine if the airway is open if closed open with
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Ch. 56-61 (cont) Head Injury -trauma to head‚ including chg in LOC -traumatic brain injury= incr potential for poor outcome -immediately after‚ 2h after‚ 3 wk after‚ death common -*abnormal motor reflex‚ alt eye mvmt‚ hypotension= hypoxia= decr O2 in brain‚ incr ICP greater than 20 GCS measures speech‚ eye‚ motor -if greater than 8= 90% chance recov -if less than 8= 30-70% chance recov Scalp lac- most common type‚ profuse bld‚ complication is infx -skull fx- linear‚ depressed‚ simple
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