ALL FOR NURSING

Nasogastric Tube (NGT) Ø   Gavage (feeding) / Lavage (suctioning) Ø   Select the nostril that has greater airflow. Ø   Assist the client to a high fowler’s position Ø   NEX technique (nose-ear-xiphoid) Ø   Checking the patency: ü   Aspirate stomach contents and check the pH, which should be acidic ü   Introduce 10-30 ml of air into the NGT and auscultate at the epigastric area, gurgling sound is heard ü   The most accurate method of assessing the placement of NGT is X-ray study Ø   Before feeding assess residual feeding contents. To assess absorption of the last feeding, if 50 ml or more, verify if the feeding will be given. Ø   Height of feeding is 12 inches above the point of insertion. Ø   Ask the client to remain in position for at least 30 min Ø   Common Problems of Tube Feedings ·          Vomiting ·       ...

Urinary Catheterization Ø  Use appropriate size of catheter Male: Fr 16-18 Female: Fr 12-14 Ø  Place the client in appropriate position: Male: Supine, legs abducted and extended Female: Dorsal recumbent Ø  Locate the urinary meatus properly: Male: at the tip of the glans penis Female: between the clitoris and vaginal orifice Ø  Lubricate catheter with water soluble lubricant before insertion Male: 6 – 7 inches Female: 1 – 2 inches Ø  Length of catheter insertion: Male: 6 – 9 inches Female: 3 -4 inches Ø  Anchor catheter properly: Male: laterally or upward over the lower abdomen / upper thigh Female: inner aspect of the thigh Nursing Interventions to Induce Voiding/Urination v  Provide privacy v  Assist the patient in the anatomical position of voiding v  Serve clean, warm and dry bedpan (female) or urinal (male) v  Allow the client to listen to the sound of running ...

  Standard Precautions / Universal Precautions Applies to ALL BODY FLUIDS Includes: 1.       HAND WASHING 2.       Personal Protective Equipment (sequence of removing PPE’s) gloves-mask-gown-eyewear-cap 3.       Safe use of sharps 4.       Removing spills of blood and body fluids 5.       Cleaning and disinfecting equipment Transmission Based Precautions • Airborne precautions A single room under negative pressure ventilation with a wash hand basin The door must be kept closed at all times except during necessary entrances and exits. Disposable paper towels A high efficiency mask, if available, should be worn when entering the room of a patient with known or suspected tuberculosis. • Droplet precautions Put on a standard mask prior to entering the isolation room.  Hands must be washed with an antisepti...

MODE OF TRANSMISSION it indicates the potential of the disease; conveyance of the agent to the host; it can be by common source transmission, contact source, air-borne transmission. There are four main routes of transmission By Contact Transmission             1. Direct contact ( person to person )             2. Indirect contact ( usually an inanimate object)             3. Droplet contact ( from coughing, sneezing, or                             talking, or talking by an infected person) By Vehicle Route ( through contaminated items)             1. Food – salmonellosis    ...

  Field Health Service Information System ( FHSIS)   Individual Treatment Record (ITR ) Fundamental building block or foundation FHSIS.   Target Client List (TCL) Such lists will be of considerable value to midwives/nurses in monitoring service delivery to clients in general and in particular to groups of patients identified as “targets” or “eligibles” for one or another program of the Department   Summary Table Composed of Health Program Accomplish and Morbidity Diseases   The Monthly Consolidation Table (MCT) FHSIS Reporting   Monthly Form 1.       Program report (M1) 2.       Morbidity report (M2)   Prepare by Midwife   Every 2 nd week of the month is the submission   Quarterly Form 1.       Program report (Q1) 2.       Morbidity report (Q2)   Prepared by Nurse   Every 3 rd wee...

Professional Regulation Commission (PRC) and Board of Nursing (BoN) announces that July and December 2013 Nursing Board Exam or Nurse Licensure Examination (NLE) has been moved to earlier dates. PRC-BON Resolution No. 2013-14 series of 2013 issued last February 15, 2013 states that the rescheduling of NLE was due to difficulty in securing appropriate examination rooms. So they had to move the nursing board exam in a schedule where there are no classes and exam rooms were readily available.  From July 6-7 (Saturday and Sunday) first batch of NLE for 2013, the commission moved dates to June 2-3 (Sunday and Monday). December 15-16 (Sunday and Monday) exam also moved to December 7-8 (Saturday and Sunday).  

A new respiratory illness similar to the Sars virus that spread globally in 2003 and killed hundreds of people has been identified three patients given treatment in Britain. What is this new virus? The new virus is a type of coronavirus. Coronaviruses are a large family of viruses, which includes the common cold and Sars (severe acute respiratory syndrome). The new virus is not Sars. There have been 11 confirmed cases of the infection around the world.Three cases have been identified in the UK. The first was a patient flown in from Qatar for treatment. The second was linked to travel to the Middle East and Pakistan. Genetic analysis of the first UK case was carried out in a laboratory in Saudi Arabia, and its genetic material subsequently sequenced in a laboratory in the Netherlands.The second UK case was later shown to be genetically the same. It is thought that the virus which infected the second patient then spread to a close relative.