simple guide for basic nursing interventions
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for student orientation, productivity, nursing diagnosis framework, motivationTRANSCRIPT
Simple Guide for Basic Nursing Interventions
Golden Rule
“Consider and treat every patient as a Normal human being”
“Consider and treat every patient unique.”“Every patient has the right for many
considerations.”“Every patient has the right to be loved and
cared for.” and…“Even as Novice… Be confident and act to
your best as professional.”
Guide for Basic Nursing Intervention
Review the history (hx) of the patient (px).Be equipped on the theoretical and technical
aspects of the different areas of diseases (dx).
Continues update of knowledge through research.
A. Principles on Initial Contact with the Px.
Review the history (hx) of the patient (px).Review the px’s management and
treatment. (Ex. Diet, v/s, s/p, dx, IVF and etc…)
Review, review and review…
B. Management and Intervention
Note for the following:Physical setup of the environmentPresence of significant relations to the px.IV – volume, flow rate, number, main line and
side drip (check for SD/ML incorporation/dilution) and IV location of each line. IV level equal to 50cc or BELOW should be changed to avoid lapse.
Drain tubes connected to the px.
Continued…
Perform the review of system (ROS) and brief physical examination (PE) before and after px monitoring.
Utilize the General Health Status Assessment by obtaining subjective datas.
Be knowledgeable on the different process of Physical Examination and Neurologic Examination.
Continued…
If there are any CHANGES, UNUSSUAL or UNTOWARD SIGNS in the px; notify and report it to the clinical instructor, staff nurse and physician (as the need arise).
If in Doubt; throw it OUT. Ask first and do not intervene.
ALWAYS HAVE THE KNOWLEDGE AND PRESENSE OF YOUR IMMEDIATE SUPERVISOR (CI’S) BEFORE INTERVENING.
Continued…
Review and study all over again the case and documents of the px.
For better improvement and development of potentials through study:
“Do not just be a VERY BEAUTIFUL DECORATIONS by being stagnant; sit down and relax but DO SOMETHING WHICH IS VERY PRODUCTIVE…being productive is
priceless and appreciative.”
Easy Guide for Diagnosis Construction
A nursing diagnosis should be focused on the studied specialize area.
Always consider primarily independent intervention/action before dependent and collaborative.
To prioritize the problem that will be the basis for the diagnosis, should you consider the following: Maslows, 21 nursing problem, 14 BN and ABCD principle.
Continued…
The intervention and planning should be organized and systematized.
Not ALL intervention and planning are applicable, it’s a case to case basis.
Refer to NANDA
Diagnosis Conceptual Framework
DX = Medical-Surgical, Maternal & Child, Community Health, etc…
Related to (r/t) = Anatomy and Physiology or related factor (RF NANDA)
Secondary to = etiology or the disease process
Ex. Alteration in peripheral tissue perfusion r/t decreased peripheral blood flow (ischemia) secondary to Diabetes (disease process) as manifested by … (PE findings)
“We cannot live only for ourselves. A thousand fibers connect us with our fellow men.”-Herman Melville
“When it comes to our style, let us flow with the current of the river. When it comes to our principles and philosophies, let us stand like a rock in the middle of the rivers ragging water”
-Anonymous
ALARCA, Melvin Nizel M.*, College of Nursing
Extension Program and Services Coordinator,09155815589; [email protected]
Thank you very much!God Bless Us All!