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The Unofficial NCLEX® Prep Podcast by NRSNG

Updated 4 days ago

Rank #197 in Medicine category

Education
Courses
Health & Fitness
Medicine
Read more

Your ultimate guide to NCLEX® prep and nursing school by NRSNG.com. The premier nursing podcast.

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Your ultimate guide to NCLEX® prep and nursing school by NRSNG.com. The premier nursing podcast.

iTunes Ratings

33 Ratings
Average Ratings
22
5
4
1
1

Finally

By AmberLarry - Jul 18 2017
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Something to play in the car and not waste any study time ever... because nursing school

NRSNG is exactly what the "doctor" ordered

By HOOCH STEELERS NATION - Feb 07 2017
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Thank you so much for creating these podcasts, your hard work is appreciated! The NRSNG program is a tremendous gift for all future nurses, it's exactly what the "doctor" ordered! I can't wait to see you on the other side and call you my colleague. ~ FUTURE RN

iTunes Ratings

33 Ratings
Average Ratings
22
5
4
1
1

Finally

By AmberLarry - Jul 18 2017
Read more
Something to play in the car and not waste any study time ever... because nursing school

NRSNG is exactly what the "doctor" ordered

By HOOCH STEELERS NATION - Feb 07 2017
Read more
Thank you so much for creating these podcasts, your hard work is appreciated! The NRSNG program is a tremendous gift for all future nurses, it's exactly what the "doctor" ordered! I can't wait to see you on the other side and call you my colleague. ~ FUTURE RN
Cover image of The Unofficial NCLEX® Prep Podcast by NRSNG

The Unofficial NCLEX® Prep Podcast by NRSNG

Latest release on Jun 25, 2018

Read more

Your ultimate guide to NCLEX® prep and nursing school by NRSNG.com. The premier nursing podcast.

Rank #1: Ep004: Identify Tasks for Delegation Base on Patient Needs

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  • NCSBN Delegation | ANA: Developing Delegation Skills
  • You will be responsible for delegating tasks to others; nursing assistants, other nurses, and so forth
  • Not all tasks are appropriate to delegate
    • You can only delegate tasks for which you are responsible for
    • Even after you have delegated a task, you are still ultimately responsible for it.  The person delegated to also assumes some responsibility, but it ultimately goes back to you.
  • Make sure the person you’re delegating tasks to has had the appropriate training, skills, and experience before having them complete tasks independently and unsupervised
  • Right task (for example, removing a foley)
  • Right circumstances (is the patient stable?  Is it a routine removal?)
  • Right person (is it the correct person to delegate this task to?)
  • Right direction or communication (are you communicating expectations clearly?)
  • Right supervision or feedback (do you need to supervise directly, or someone else? Is this someone else qualified to do so?  Do they know what complications to report to you?)
  • The nurse practice act, your state’s limitations, and your facility’s policies and procedures all can dictate which tasks you can delegate and who you can delegate to
  • Communication is vital: use the 5 rights of delegation
  • Follow up to make sure the task was completed appropriately
  • Evaluate effectiveness of staff members’ time management skills

The post Ep004: Identify Tasks for Delegation Base on Patient Needs appeared first on NRSNG.

Sep 26 2016

11mins

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Rank #2: Ep002: Advocating for Your Patient – What Does it Mean?

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Advocating – help the patient and their support system understand the clinical picture and identified treatment options, identify their wants/needs, support the patient, speak on their behalf if needed, and uphold and protect their rights

The foundation of being an advocate is checking your personal beliefs at the door to help the patient figure out what is best for them

Use resources to facilitate their decision-making process and decisions. Examples include:

  • Interpreter if not English-speaking
  • Case manager to facilitate identified agreed-upon discharge needs (hospice, SNF, nursing home, and so forth)

Educate staff as appropriate

The post Ep002: Advocating for Your Patient – What Does it Mean? appeared first on NRSNG.

Sep 16 2016

11mins

Play

Rank #3: Ep037 Report Patient Condition as Required by Law

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  • Abuse and neglect
    • Child, elderly, domestic
    • Know your local reporting agencies (Child Protective Services)
  • Communicable diseases
  • Vaccine Adverse Event Reaction System (VAERS, vaers.hhs.gov)
  • Report to Center for Disease Control (CDC)
  • 2016 list of reportable conditions: https://wwwn.cdc.gov/nndss/conditions/notifiable/2016/
  • Adverse reactions to vaccinations
  • Local organ procurement organizations with patients with a GCS less than 5 (may depend on state)
  • Gunshot wounds

The post Ep037 Report Patient Condition as Required by Law appeared first on NRSNG.

Jan 04 2017

5mins

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Rank #4: Ep038 Report Unsafe Practice of Health Care Personnel and Intervene as Appropriate

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  • Substance abuse/diversion
  • Improper care
  • Staffing practices

The post Ep038 Report Unsafe Practice of Health Care Personnel and Intervene as Appropriate appeared first on NRSNG.

Jan 06 2017

4mins

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Rank #5: Ep051: Implement Seizure Precautions for At-risk Patients

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  • Many disease processes can put patients at an increased risk for seizures
    • Brain injury or trauma
    • Drugs, medication
    • Withdrawing from alcohol or other drugs
    • Fevers
    • History seizure activity
    • See this list from John Hopkins about various causes of seizures
  • Patients can experience a seizure with little to no warning
  • Must provide a safe environment should this event occur, therefore all patients at risk for seizures should have precautions in place
  • Hospitals will have policies that outline specifics.  These most likely will include, but are not limited to:
    • Padded side rails
    • All 4 side rails up
    • Suction MUST be set up and ensure that it works appropriately
    • Ambu bag must be nearby

The post Ep051: Implement Seizure Precautions for At-risk Patients appeared first on NRSNG.

May 24 2017

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Rank #6: Ep043: Safety and Infection Control: Accident Prevention: Determine Patient/staff Member Knowledge of Safety Procedures

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  • Many facilities have various protocols on how to deal with various safety issues
    • Falls
    • Armed intruder
    • Large patient influx/at capacity
    • Infant abduction
    • Weather issues
    • Acts of terrorism
    • Unsafe/violent patients or visitors
  • Know what you need to do as a nurse for your personal safety and the safety of your patients
  • Participate in drills
  • Know how to safely exit building and expectations of how to get patients out

The post Ep043: Safety and Infection Control: Accident Prevention: Determine Patient/staff Member Knowledge of Safety Procedures appeared first on NRSNG.

Apr 21 2017

Play

Rank #7: Ep029: Obtaining Informed Consent

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        • What is informed consent?  Basically the patient is giving permission for treatment and acknowledging that they understand the risks and benefits of the procedure as well as the consequences for not receiving the treatment.
        • Wikipedia
        • The patient must be an adult that is mentally and emotionally competent to sign their own consent
          • Those that may not be able to consent for themselves:  unconscious, declared incompetent, under the influence of medications/alcohol/illegal drugs, or mentally impaired (for example, advanced dementia)
        • Questions must be answered
        • It is also signed by the health care provider performing the procedure and an adult witness (many times the nurse is the witness)
        • It is a LEGAL document
        • Identify appropriate person to provide informed consent for patient
          • The patient should always consent if it is medically appropriate
          • parent, legal guardian, health care power of attorney, next of kin
          • If patient is unable to consent themselves, you may need to reference advanced directives or work with case management to determine the appropriate person to get consent from
        • Make sure to use an appropriate interpreter if English is not the patient’s primary language
          • Interpreter must be from the facility, not the patient’s loved ones
        • There are different kinds of consent
          • Admission / consent to treat
          • Immunization
          • Blood transfusion
          • Surgical
          • Research
          • Special consents: organ donation, autopsy, restraints, photographs, food from home, and many others
        • It is really important to make sure the patient understands the procedure both at the consent is obtained and continually after
        • Consent should be placed in the chart – they are extremely important
        • Patient example:
          • A patient is admitted to the ICU for an obstructed bowel
            • An admission / consent to treat is obtained
          • The patient needs 2 units PRBC’s
            • The nurse obtains a consent to transfuse blood products
          • The patient needs to go to surgery for a bowel resection
            • The surgeon and nurse obtain consent for surgery
          • The patient has complications and qualifies for a research study
            • The patient signs consent for the study
          • The patient codes after surgery and has an anoxic brain injury; declared brain dead and is now an organ donor
            • The HCPOA signs consent for donation

The post Ep029: Obtaining Informed Consent appeared first on NRSNG.

Nov 23 2016

8mins

Play

Rank #8: Ep070: Safety and Infection Control Standard Precautions Understand Communicable Diseases

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  • Airborne – isolation room, negative pressure room, must wear appropriate mask and additional PPE (gown, gloves)
    • Measles
    • Varicella
    • Tuberculosis
  • Droplet – isolation room, surgical mask okay, gown, gloves
    • Meningitis
    • Pertussis
    • Pneumonia
    • Influenza
  • Contact – isolation room, gown and gloves
    • Colonized organism, or present of / infection with an MDRO
    • MRSA, VRE
  • Enteric – contact precautions but must wash hands with soap and water, no hand sanitizer
    • Clostritium difficile

The post Ep070: Safety and Infection Control Standard Precautions Understand Communicable Diseases appeared first on NRSNG.

Jul 10 2017

Play

Rank #9: Ep028: Practice in a Manner Consistent with a Code of Ethics for Registered Nurses

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The post Ep028: Practice in a Manner Consistent with a Code of Ethics for Registered Nurses appeared first on NRSNG.

Nov 21 2016

5mins

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Rank #10: Ep021: Nursing Documentation

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  • If it wasn’t documented, it wasn’t done!

        • Nurses are responsible for documenting many things. Some of which include:
          • Care plans
          • Medications (many facilities use barcode scanning)
          • Nursing notes
          • Assessments (focused, head to toe, vascular access devices, lines, tubes, airways, pain, sedation, restraints)
          • Patient education
        • Pay close attention to documentation training courses; the faster and more efficient you are at charting, the less time you spend in front of the computer
        • Have the mentality when you’re charting that you want whomever reads it in the future to have a clear picture of what was happening with the patient at any point in their stay while you’re caring for them.
        • Write like it’s going to be read in a deposition in the future
        • Always document the facts and things that you’ve seen or done, never assume anything
          • For example, if you walk into your patient’s room and they are on the floor and the patient says they fell..
            • Do not chart: “Patient fell.”
            • Chart: “Walked into patient’s room, noted patient lying on ground at the foot of the bed.”

The post Ep021: Nursing Documentation appeared first on NRSNG.

Nov 04 2016

9mins

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Rank #11: Ep005: Case Management: Explore Resources to Maintain Independence

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  • Become familiar with your community’s resources that can be helpful to patients attempting to maintain independence
  • Nursing homes, respite care, SNF, home health agencies, Meals on Wheels
  • Consider insurance coverage, Medicare, Medicaid, family support and availability to utilize resources

The post Ep005: Case Management: Explore Resources to Maintain Independence appeared first on NRSNG.

Sep 28 2016

8mins

Play

Rank #12: Ep 047: Safety and Infection Control: Accident Prevention: Idenitfy and Faciliate Correct use of Infant and Child Car Seats

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  • Really important, especially with first time parents
  • Can be easily done incorrectly, not as straightforward as some anticipate
  • Some facilities may have it as part of policy to make sure family knows how to properly use before leaving

The post Ep 047: Safety and Infection Control: Accident Prevention: Idenitfy and Faciliate Correct use of Infant and Child Car Seats appeared first on NRSNG.

May 01 2017

Play

Rank #13: Ep049: Protect Patient from Injury

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  • Falls: initiate fall risk care plan if appropriate, make sure patient is safe to ambulate, initiate all fall precautions
  • Electrical hazards
  • Unsafe behavior from other patients or visitors

The post Ep049: Protect Patient from Injury appeared first on NRSNG.

May 19 2017

Play

Rank #14: Ep054: Verify Appropriateness and/or Accuracy of a Treatment Order

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  • Do not blindly follow orders; practice with a questioning attitude
  • Quote from Scrubs, the TV show
    • Nurse (to doctor): “Doug wanted me to give him 500,000 mg of morphine… I thought I’d check with you first before I killed a man.”
  • Doctors and ordering providers may order or write for the incorrect thing when they meant something different, they may have put an order in on the wrong chart, or wrote an incorrect dosage.  
  • This is why there are many checks and balances… the ordering provider, the pharmacist, the nurse and so forth
  • Report errors and incidents appropriately

The post Ep054: Verify Appropriateness and/or Accuracy of a Treatment Order appeared first on NRSNG.

May 31 2017

Play

Rank #15: Ep075 Safety and Infection Control Standard Precautions Use Appropriate Technique to Set up a Sterile Field

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  • Definition
  • Sterile gloves, mask, and other necessary sterile supplies
  • Maintain sterile technique
  • Follow appropriate protocol if sterile field is broken

The post Ep075 Safety and Infection Control Standard Precautions Use Appropriate Technique to Set up a Sterile Field appeared first on NRSNG.

Jul 21 2017

Play

Rank #16: Ep064: Handling Hazardous and Infectious Materials as a Nurse

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  • Never touch the device/implant
  • Label things appropriately
  • Follow protocol/policy/procedure specifically
  • Ensure patient is in private room to prevent exposure to other patients and their loved ones
  • Maintain distance between yourself and device consistently
    • If necessary use shield (like lead apron)
  • Handle linen and all patient care items per policy
    • Typically linen and trash disposed of in specific manner with appropriate labeling and only removed at specific intervals

The post Ep064: Handling Hazardous and Infectious Materials as a Nurse appeared first on NRSNG.

Jun 23 2017

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Rank #17: Ep 046: Safety and Infection Control: Accident Prevention: Verify Prescriptions that may Contribute to an Accident or Injury

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  • (This does not include medications)
  • At home oxygen and supplies, CPAP’s, assistive devices, drains, tubes, and so forth.
  • Make sure assistive devices are sized appropriately
    • Crutches not too tall, walker not to short, and so forth
  • Make sure they know how to use assistive devices
  • Make sure they know who to call if they have an issue or if it malfunctions (and after-hours numbers)

The post Ep 046: Safety and Infection Control: Accident Prevention: Verify Prescriptions that may Contribute to an Accident or Injury appeared first on NRSNG.

Apr 28 2017

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Rank #18: Ep052: Make Appropriate Room Assignments for Cognitively Impaired Patients

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  • If a patient is confused, impulsive, forgetful, or agitated, make sure they have a room close to the nurse’s station
  • Do not put these patients at the end of the hall, where it’s harder to hear them if they call out (maybe they can’t figure out how to use the call bell, forget about how to use it, refuse to use it… and so forth)
  • Place them in a room near the nurse’s station, in which staff are frequently walking by or are in earshot of the patient

The post Ep052: Make Appropriate Room Assignments for Cognitively Impaired Patients appeared first on NRSNG.

May 26 2017

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Rank #19: Ep056: Determine Which Patients(s) to Recommend for Discharge in a Disaster Situation

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  • Important that only the sickest ones are in the facility
    • Think patients on ventilators or respiratory support, on vasoactive medications, patients that would likely die or have profound, life-altering effects  if not receiving care they can only receive in the hospital

The post Ep056: Determine Which Patients(s) to Recommend for Discharge in a Disaster Situation appeared first on NRSNG.

Jun 05 2017

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Rank #20: Ep020: Provide and Recieve Report

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  • Report will look different in various areas of the hospital
    • ED report is very short and concise
    • Critical care report is very detailed
    • Floor report is more detailed than the ED, but less detailed than critical care
    • Some facilities use standardized report forms (for example, SBAR)
    • Basically communicating info from one shift to the next:
      • What the nurse needs to know to safely care for the patient for the next 12 hours and coordinate care within the healthcare team
    • When receiving report, wait until reporting nurse is done to ask questions

The post Ep020: Provide and Recieve Report appeared first on NRSNG.

Nov 02 2016

9mins

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Ep049 Protect Patient from Injury

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        • Falls: initiate fall risk care plan if appropriate, make sure patient is safe to ambulate, initiate all fall precautions
        • Electrical hazards
        • Unsafe behavior from other patients or visitors

The post Ep049 Protect Patient from Injury appeared first on NRSNG.

Jun 25 2018

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What Was it Like to be a Nurse During Hurricane Harvey? Nurse Erika Share Her Story

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When a natural disaster strikes, patients don’t magically stop being sick.  I am honored to share the story of Erika RN BSN, who stayed in the hospital 108 hours during Hurricane Harvey providing care for her patients.

I am honored to count myself among the ranks of such amazing nurses.

We all know, going into nursing, that we will care for patients selflessly.  The #harveynurses exemplify what it means to be a nurse so perfectly.

If you are wondering how you can help with the aftermath, we wrote a post about it here.

I want to express a sincere thank you to those nurses who so bravely and selflessly represented nurses during the storm and now, throughout the cleanup.

Our goal at NRSNG has always been to provide tools and confidence to help nurses succeed.  This interview should instill a great deal of confidence in your choice to be a nurse.  You are entering the ranks of the BEST profession in the world!

Listen to the episode here:

The post What Was it Like to be a Nurse During Hurricane Harvey? Nurse Erika Share Her Story appeared first on NRSNG.

Sep 04 2017

19mins

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Ep080 Safety and Infection Control Use of Restraints Monitorevaluate patient response to restraintssafety device

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  • Evaluate routinely, based on kind of restraint
    • IE if it’s a violent restraint, q15 min at minimum
  • Assess skin q30min, remove q2hr and provide ROM, fluids, toileting, food, and so forth
  • Renew order if still needed

The post Ep080 Safety and Infection Control Use of Restraints Monitorevaluate patient response to restraintssafety device appeared first on NRSNG.

Aug 02 2017

Play

Ep077 Safety and Infection Control Standard Precautions Evaluate whether aseptic technique is performed correctly

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  • Great reference for this:  Common Breaks in Sterile Techniques, published by the AORN Journal
  • Common breaks
    • Not noticing compromised packaging
    • Not noticing moisture on or in the package
    • Unsterile person touching the sterile field
    • Outside, unsterile packaging, touching inside sterile packaging
    • Not watching out for each other and letting each other know when compromised or almost compromised
  • May work in the OR or help with sterile procedures on your unit
    • In OR, you’re in different scrubs… most likely not in your unit however… may need to wear a gown if at bedside and helping
      • For example, assisting an MD putting in a CVC
  • Non-sterile people shouldn’t be within 12 inches of the sterile field

The post Ep077 Safety and Infection Control Standard Precautions Evaluate whether aseptic technique is performed correctly appeared first on NRSNG.

Jul 26 2017

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Ep076 Safety and Infection Control Standard Precautions Evaluate Infection Control Precautions Implemented by Staff Members

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  • Hand washing compliance is being met
  • Trash is disposed of properly
  • Staff is consistently wearing appropriate PPE

The post Ep076 Safety and Infection Control Standard Precautions Evaluate Infection Control Precautions Implemented by Staff Members appeared first on NRSNG.

Jul 24 2017

Play

Ep075 Safety and Infection Control Standard Precautions Use Appropriate Technique to Set up a Sterile Field

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  • Definition
  • Sterile gloves, mask, and other necessary sterile supplies
  • Maintain sterile technique
  • Follow appropriate protocol if sterile field is broken

The post Ep075 Safety and Infection Control Standard Precautions Use Appropriate Technique to Set up a Sterile Field appeared first on NRSNG.

Jul 21 2017

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Ep074 Safety and Infection Control Standard Precautions Utilize Appropriate Precautions for Immunocompromised Patients

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  • Varies depending upon facility.  Can include:
    • No fresh flowers or fruits
    • Ill visitors are not permitted
  • Many people institute or order “reverse isolation” however, per the CDC it “was not found to improve outcomes for neutropenic patients, and isolation is a negative experience for the patient,” and therefore removed from the CDC’s classifications of isolation precautions in the 1980’s.  (Quote from below article, written by a nurse educator)
  • Debunking Reverse Isolation from nursecode.com
  • CDC 2007 Guidelines for Isolation Precautions

The post Ep074 Safety and Infection Control Standard Precautions Utilize Appropriate Precautions for Immunocompromised Patients appeared first on NRSNG.

Jul 19 2017

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Ep073 Safety and Infection Control Standard Precautions Educate Patient and Staff Regarding Infection Control Measures

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  • For example; if a patient is on contact isolation, we must educate the patient and family about the use of gowns, gloves, and hand washing, as well as ensure the staff is aware as well (HIPAA compliant signage) before providing patient care
  • Depends on level of precaution, but all will involve hand hygiene, gown and gloves
  • Provide written information to enhance understanding

The post Ep073 Safety and Infection Control Standard Precautions Educate Patient and Staff Regarding Infection Control Measures appeared first on NRSNG.

Jul 17 2017

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Ep072 Safety and Infection Control Standard Precautions Follow Procedures when Reporting a Patient with Communicable Disease

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The post Ep072 Safety and Infection Control Standard Precautions Follow Procedures when Reporting a Patient with Communicable Disease appeared first on NRSNG.

Jul 14 2017

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Ep070: Safety and Infection Control Standard Precautions Understand Communicable Diseases

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  • Airborne – isolation room, negative pressure room, must wear appropriate mask and additional PPE (gown, gloves)
    • Measles
    • Varicella
    • Tuberculosis
  • Droplet – isolation room, surgical mask okay, gown, gloves
    • Meningitis
    • Pertussis
    • Pneumonia
    • Influenza
  • Contact – isolation room, gown and gloves
    • Colonized organism, or present of / infection with an MDRO
    • MRSA, VRE
  • Enteric – contact precautions but must wash hands with soap and water, no hand sanitizer
    • Clostritium difficile

The post Ep070: Safety and Infection Control Standard Precautions Understand Communicable Diseases appeared first on NRSNG.

Jul 10 2017

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Ep069: Safety and Infection Control Standard Precautions Assess Patient Care area for Sources of Infection

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  • Whenever you’re providing care, ensure you’re keeping everything clean (or sterile, if required)
  • Examples of situations…
    • When you remove the cap from the spike on your IV tubing to start IV fluids, it cannot touch anything else other than sterile part of the IV bag it needs to be inserted into
    • Clean up bodily fluids properly
      • Appropriate wipes
      • Using appropriate precautions for patients on chemo
      • Dispose of the items appropriately
    • Scrub that hub!
    • Wash your hands guys…
      • May need to remind/reinforce patients and family to wash their hands
    • If you’re using the bedside table while giving meds, performing a procedure, and so forth… make sure it is cleaned off appropriately
    • All connections on lines, drains and airways are covered and cleaned appropriately
      • Appropriate foley catheter, central line care

The post Ep069: Safety and Infection Control Standard Precautions Assess Patient Care area for Sources of Infection appeared first on NRSNG.

Jul 05 2017

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Ep068: Safety and Infection Control Security Plan Use Critical Thinking in Situations Related to Security Planning

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  • Apply principles of triage and evacuation procedures/protocols
    • Check out Episode 059 for triage principles
    • Know how to evacuate patients
      • Horizontally before vertically
      • Know what to do for specific units
  • Know how to use specific equipment to quickly transfer patients
    • Medsleds
    • Transport ventilators, Ambu bags
    • Prioritize patient equipment
  • Know specific policies and procedures
  • Participate in institution security plan
    • Newborn nursery security
    • Bomb threats
    • Active shooter
    • Weather alerts (hurricane, tornado, and so forth)

The post Ep068: Safety and Infection Control Security Plan Use Critical Thinking in Situations Related to Security Planning appeared first on NRSNG.

Jul 03 2017

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Ep067: Safety and Infection Control Safe Use of Equipment Inspect Equipment for Safety Hazards

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  • Examples of equipment include frayed electrical cords, loose/missing parts, IV pumps that malfunction, exposed wiring
  • All equipment must be inspected and signed off on before using with a patient
  • If a patient brings in their own electrical equipment (like a phone charger), inspect it before allowing use
  • Equipment must be routinely inspected
  • Know process for identifying, tagging, and removing unsafe or broken equipment so that it is fixed promptly
  • Teach patient and loved ones about the safe use of equipment needed for health care
    • Check outlets and cords for frayed or damaged parts
    • IV pumps, SCD’s pumps, wound vacs, respiratory equipment, ventilators, tube feeding pumps, monitors
    • Instruct not to touch them and if they are alarming to alert staff to address
    • Provide education, do not assume patient knows how to use equipment
  • Facilitate appropriate and safe use of equipment
    • Do not use electrical items near a water source (sink)
    • Educate, reinforce
  • Remove malfunctioning equipment from patient care area and report the problem to appropriate personnel
    • Tag appropriately and store in a place so that it is not circulated back into regular use without having issue addressed.
  • If a patient experiences an electrical shock, ensure device is turned off before touching the patient to prevent yourself getting shocked

The post Ep067: Safety and Infection Control Safe Use of Equipment Inspect Equipment for Safety Hazards appeared first on NRSNG.

Jun 30 2017

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Ep066: Safety and Infection Control Reporting Incident Identify Where Reporting of Incident is Appropriate

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  • Acknowledge and document practice error per policy
    • For example, medication error, accidental needlestick, incorrect order entry, patient transferred to incorrect unit
  • Evaluate response to error/event/occurrence
    • Evaluate patient
    • Does a process need to change to prevent this from occurring in the future or was it human error?

The post Ep066: Safety and Infection Control Reporting Incident Identify Where Reporting of Incident is Appropriate appeared first on NRSNG.

Jun 28 2017

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Ep065: Safety and Infection Control Home Safety Assess Need for Patient Home Modifications

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  • Examples include lighting, handrails, kitchen safety
  • Apply knowledge of patient pathophysiology to home safety interventions
    • Are they hard of hearing, have visual deficits?
    • Do they have the dexterity to use handrails or a LifeAlert?
    • Can they use their home oxygen/respiratory equipment?
    • Can they call someone if there’s an issue?  
  • Educate patient on home safety issues
    • Hot water heater setting
    • Appropriate lighting on the interior and exterior of the home
    • Rugs
    • Cleanliness
    • Stairs
    • Pets
    • Medication labeling
    • Ability to lift things (pot full of hot water)
  • Encourage the patient to use protective equipment when using devices that can cause injury
    • When disposing of used needle/syringes/medical equipment
    • Oven mitts for kitchen safety
    • Respiratory equipment
  • Evaluate patient care environment for fire/environmental hazard
    • Complete a walk through
    • Note concerns like rugs, things that are difficult to see, space heaters, electric blankets, smoking, steps, electrical cords, compromised electrical equipment
    • Keep exits clear and clearly marked
    • Assess if patient has fire extinguisher
    • Assess if patient knows who to call if fire/emergency occurs
    • If patient has oxygen at home, make sure they understand the fire hazard concern
    • RACE / PASS

The post Ep065: Safety and Infection Control Home Safety Assess Need for Patient Home Modifications appeared first on NRSNG.

Jun 26 2017

Play

Ep064: Handling Hazardous and Infectious Materials as a Nurse

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  • Never touch the device/implant
  • Label things appropriately
  • Follow protocol/policy/procedure specifically
  • Ensure patient is in private room to prevent exposure to other patients and their loved ones
  • Maintain distance between yourself and device consistently
    • If necessary use shield (like lead apron)
  • Handle linen and all patient care items per policy
    • Typically linen and trash disposed of in specific manner with appropriate labeling and only removed at specific intervals

The post Ep064: Handling Hazardous and Infectious Materials as a Nurse appeared first on NRSNG.

Jun 23 2017

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Ep063: Identify Bio-hazardous, Flammable and Infectious Materials

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  • Follow procedures for handling biohazardous materials
  • Ensure proper labeling is in place
    • For example, linen used with a patient with chemotherapy
  • Demonstrate safe handling techniques to staff and patient
  • Never recap needles, can result in a needlestick
  • Utilize proper storage devices for used needles
    • Color-specific (typically red or orange), leak-proof, puncture resistant

The post Ep063: Identify Bio-hazardous, Flammable and Infectious Materials appeared first on NRSNG.

Jun 21 2017

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Ep061: Provide Instruction and Information to Patient About Body Positions that Eliminate Potential for Repetitive Stress Injuries

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  • Carpal tunnel, back injuries are common examples
  • Encourage appropriate body mechanics and not merely treating pain when it occurs
  • Proper posture is essential
  • Encourage working with physician and deciding appropriate supportive devices

The post Ep061: Provide Instruction and Information to Patient About Body Positions that Eliminate Potential for Repetitive Stress Injuries appeared first on NRSNG.

Jun 16 2017

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Ep059: Participate in Disaster Planning Activities/Drills

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  • Nurses must participate so their role is known and appropriate
  • Help to identify must-have equipment, potential issues or obstacles to providing care
  • Have an emergency contact tree to contact all staff when/if disaster occurs

The post Ep059: Participate in Disaster Planning Activities/Drills appeared first on NRSNG.

Jun 12 2017

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Ep058: Implement Emergency Response Plans

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  • Nurses frequently use a color-coding system to triage patients, as identified by the facility
    • Example:
      • Red: highest priority, life-threatening yet survivable injuries
      • Yellow: medium priority, injuries but not life-threatening
      • Green: low priority, can wait an extended time, non life threatening
      • Black: deceased on arrival, or actively dying
    • Have both an internal and external plan
      • This is what you do when you’re already at work
      • This is what you do when you’re at home, but a disaster has occurred and aid is needed at the facility

The post Ep058: Implement Emergency Response Plans appeared first on NRSNG.

Jun 09 2017

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iTunes Ratings

33 Ratings
Average Ratings
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1

Finally

By AmberLarry - Jul 18 2017
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Something to play in the car and not waste any study time ever... because nursing school

NRSNG is exactly what the "doctor" ordered

By HOOCH STEELERS NATION - Feb 07 2017
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Thank you so much for creating these podcasts, your hard work is appreciated! The NRSNG program is a tremendous gift for all future nurses, it's exactly what the "doctor" ordered! I can't wait to see you on the other side and call you my colleague. ~ FUTURE RN