Cover image of The Unofficial NCLEX® Prep Podcast by NRSNG
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Rank #92 in Medicine category

Education
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The Unofficial NCLEX® Prep Podcast by NRSNG

Updated 3 days ago

Rank #92 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.

Read more

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

The Best Episodes Ranked Using User Listens

Updated by OwlTail 3 days ago

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

Play

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

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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

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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

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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

Play

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

Play

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

Play

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

Play

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

Play