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28 Dec 2013

10 Things to NEVER Say to a Nurse!



(Please Pass this On)

Nurses hear it all: The good, the bad, and the (very, very!) ugly. From pushy patients to bossy doctors, nurses handle it all with grace. But there are some things that can get under the most tolerant nurse’s skin. 

10. “Helloooooo, Nurse!”

Okay. We get it. We’ve all seen the cartoons with the buxom nurse who is swooned over by a wolf, or a man, or an Animaniacs character. It wasn’t funny or original the first dozen times you heard it, and it certainly hasn’t made a positive impact 10 years later.
You’re not an object to be fawned over. You’re saving lives here! You don’t have time to be ogled. Luckily, younger generations have probably never heard the phrase, so you can hope that it will be phased out soon.

9. “Do You Only Date Doctors?”

Puh-lease. Anyone who has actually spent any time around a doctor knows that dating one is next to impossible. Crazy hours. Constant stress. Big egos. Who wants to put up with that? Plus, everyone knows you shouldn’t “dip your pen in the company ink.” Spending 12-plus hours with someone can make you form an incredibly close bond, but that doesn’t mean your co-workers will make the best significant others.
Anyone who asks a nurse this is clearly watching too much Grey’s Anatomy and needs their head examined.

8. “C’mon. Nursing is Just Like on TV!”

What were we just saying about people who watch too much Grey’s Anatomy? While medical shows are a great form of entertainment – tons of nurses watch them, too – that doesn’t mean they are an accurate portrayal of when hospital life is like. Nursing organizations have even taken up arms against nurse-centered shows like Nurse Jackie and HawthoRNe. Prior to these shows, nurses were almost never the focus of a medical TV show. Nurses were merely in the background emptying bedpans or taking orders.
But we know the truth. Nurses are the foundation of any good health system. They don’t have time to be the center of attention because they are always cleaning up a (metaphorical) mess a doctor has left.

7. “Nurses Take Orders From Doctors”

Nurses work alongside other nurses. They report to other nurses. They belong to organizations and unions just for nurses. Edie Falco of Nurse Jackie put it perfectly when she said “Doctors diagnose. Nurses save lives.” When it comes down to it, nurses are the ones in the trenches. Because they spend the most time with patients, they can be counted on to know when something is wrong or if a patient has made any progress.Doctors and nurses may work side-by-side, but nurses are responsible for nurses.

6. “What’s Taking So Long?!”

Patients depend of nurses to keep their healtcare experience a positive one. But we all know that things can get hectic in the medical field. Emergencies and unpredictable accidents can happen on a daily basis which means patients may not always be seen when they thought they would. Having a patient gripe at you and ask “What’s taking so long?!” can be irritating, especially if you are trying your hardest to make sure everyone is taken care of. It’s in stressful situations like this that it’s sometimes easier to snap instead of calmly explain that you are doing your best.

5. “So…You Can Score Me Some Meds, Right?”

Shows like Nurse Jackie and House, MD make it seems like any nurse can walk right into a pharmacy and get whatever he/she wants. We know that’s totally not true, but those who aren’t in the medical field often believe it. Many nurses have friends or family members who ask them to score some meds they don’t have a prescription for – without even considering the fact that the nurse could lose her/his license!
Most nurses can laugh this off, but, for others, it’s a real problem. To banish this stereotype (and this request!), there needs to be continual education of consumers.

4. “What Does a Nurse Do?”

Coming from a 5th grader who is doing a report on what she wants to be when she grows up, this question is sweet. Coming from a snarky patient, this question is almost intolerable. What doesn’t a nurse do? Let’s see… Nurses care for patients, chart, memorize and administer medication, write care plans, take direction, give direction, handle emergencies, handle stress, handle “dirty jobs” doctors don’t want to do…
The list goes on and on.

3. “I’m Just a Nurse”

Just a nurse? No such thing! I’m sure you’ve heard a fellow nurse say something along these lines. Doesn’t it make you crazy?! Nurses are the backbone of any successful healthcare facility, so stand up and be proud!
Similarly, you might hear “I’m just an LPN.” Well, LPNs are nurses, too! (And don’t you forget it!)

2. “Anyone Can Be a Nurse”

What?! Anyone can deal with juggling 20-person patient loads, keeping track of dozens of medications, handling emergencies with grace, and charting it all correctly? (And more!) Yeah, right. Nursing is not for everyone, which is why not everyone is a nurse. Nurses have a special set of qualities that set them apart from everyone else.
Anyone can be a nurse? I’d like to see them try.

1. “Why Didn’t You Become a Doctor?”

This utterly annoying and disrespectful question comes in a variety of forms: “Why didn’t you become a doctor?” “Why don’t you want to be a doctor?” “Did med school sound too hard?” No matter the variance, the underlying insult is the same: Doctors are better than nurses. Not true! Let’s see a doctor take on everything a nurse handles with ease.
You know what they say: Behind every good doctor is a better nurse!

27 Dec 2013

Olal Cranky Man: Heart touching poem

When an old man died in the geriatric ward of a nursing home in an Australian country town, it was believed that he had nothing left of any value.
Later, when the nurses were going through his meager possessions, They found this poem. Its quality and content so impressed the staff that copies were made and distributed to every nurse in the hospital.

One nurse took her copy to Melbourne. The old man's sole bequest to posterity has since appeared in the Christmas editions of magazines around the country and appearing in mags for Mental Health. A slide presentation has also been made based on his simple, but eloquent, poem.

And this old man, with nothing left to give to the world, is now the author of this 'anonymous' poem winging across the Internet.

Cranky Old Man

What do you see nurses? . . .. . .What do you see?
What are you thinking .. . when you're looking at me?
A cranky old man, . . . . . .not very wise,
Uncertain of habit .. . . . . . . .. with faraway eyes?
Who dribbles his food .. . ... . . and makes no reply.
When you say in a loud voice . .'I do wish you'd try!'
Who seems not to notice . . .the things that you do.
And forever is losing . . . . . .. . . A sock or shoe?
Who, resisting or not . . . ... lets you do as you will,
With bathing and feeding . . . .The long day to fill?
Is that what you're thinking?. .Is that what you see?
Then open your eyes, nurse .you're not looking at me.
I'll tell you who I am . . . . .. As I sit here so still,
As I do at your bidding, .. . . . as I eat at your will.
I'm a small child of Ten . .with a father and mother,
Brothers and sisters .. . . .. . who love one another
A young boy of Sixteen . . . .. with wings on his feet
Dreaming that soon now . . .. . . a lover he'll meet.
A groom soon at Twenty . . . ..my heart gives a leap.
Remembering, the vows .. .. .that I promised to keep.
At Twenty-Five, now . . . . .I have young of my own.
Who need me to guide . . . And a secure happy home.
A man of Thirty . .. . . . . My young now grown fast,
Bound to each other . . .. With ties that should last.
At Forty, my young sons .. .have grown and are gone,
But my woman is beside me . . to see I don't mourn.
At Fifty, once more, .. ...Babies play 'round my knee,
Again, we know children . . . . My loved one and me.
Dark days are upon me . . . . My wife is now dead.
I look at the future ... . . . . I shudder with dread.
For my young are all rearing .. . . young of their own.
And I think of the years . . . And the love that I've known.
I'm now an old man . . . . . . .. and nature is cruel.
It's jest to make old age . . . . . . . look like a fool.
The body, it crumbles .. .. . grace and vigor, depart.
There is now a stone . . . where I once had a heart.
But inside this old carcass . A young man still dwells,
And now and again . . . . . my battered heart swells
I remember the joys . . . . .. . I remember the pain.
And I'm loving and living . . . . . . . life over again.
I think of the years, all too few . . .. gone too fast.
And accept the stark fact . . . that nothing can last.
So open your eyes, people .. . . . .. . . open and see.
Not a cranky old man .
Look closer . . . . see .. .. . .. .... . ME!!

Remember this poem when you next meet an older person who you might brush aside without looking at the young soul within. We will all, one day, be there, too!

PLEASE SHARE THIS POEM (originally by Phyllis McCormack; adapted by Dave Griffith)

The best and most beautiful things of this world can't be seen or touched. They must be felt by the heart!

26 Dec 2013

Poverty and kidney selling in Pakistan

How people sells thier kidneys
Reasons and excelators

Poverty and Kidney selling in Pakistan: Short film by NursingInfo

Senior citizens of Pakistan: where do we stand?

Aging is a natural process. Worldwide around 605 million people are above age 65 years. they are facing many problems in developed as well as in developing countries. In Pakistan the problem is in rising situation. Although we are Islamic values which give respect to the elder people. In globalization we are changing our trends. Old age houses are gaining popularity in Pakistan. people in homes are also many problems like exclusion from decision making, separation of Married sons, health problems and low social status in society.

I would like to suggest you to read 
SOCIO-ECONOMIC PROBLEMS OF PERSONS WITH OLD AGE IN DISTRICT DIR LOWER KHYBER PAKHTUNKHWA PAKISTAN by 
Hamid Alam
, Farman Ali, Umar Daraz, Waqar Ahmad, Ibrahim 
Department of Social Work and Sociology, 
University of Malakand, 
PAKISTAN. 
 This is a study done in Dir lower , based on purposive sampling in three different villages.

24 Dec 2013

Blood compatibility group

This table explains that which can donate blood to which. Which group can be transfused to other

23 Dec 2013

21 Dec 2013

Medication errors by Nurses: Reasons a research study


Abstract

Aims & objectives

Medication administration errors represent one of the major concerns in patient safety. We aimed to study the rate using more robust methods for the correct results.

Backgrounds

Very few studies have been carried out on medication administration error frequency. Previous studies of medication error frequency have used mainly surveys of clinical nurses, which may result in substantial undercounts.

Design & Methods

We developed a checklist using basic medication guidelines including the Five Rights, infection recommendations and medication recording rules. After validity and reliability were confirmed, we performed direct observation using a checklist to evaluate the medication activities of clinical nurses.

Results

We observed total 293 cases of medication activities, collected data and calculated adherence ratios per item. Only 45·6% of nurses verified the amount of medication indicated on the vial at least once for at least one-second. In addition, only 6·5% read the name of the patient from the wristband. Administering the medication at the correct time guideline was observed 41·0% of the time. The guideline regarding hand washing before external and oral medications was followed only 4·5% of the time, although this figure was much higher for intravenous medications at 96·6%. Overall, among 31 categories regarding drug administration, 17·2 (± 3·6) items per person were followed, whereas 5·7 (± 1·2) items per person were violated.

Conclusion

Thus, the results overall showed low rates of adherence to guidelines, suggesting that many medication administration guidelines are not strictly followed. We found key instances in which nurses did not follow the guidelines, including many from the Five Rights. About one in four elements were violated overall.
Full article here

Difference between STEMI and NSTEMI


Urinary retention: PPT

Urinary Retention Benign Prostatic Hypertrophy


18 Dec 2013

Man's severed hand grafted to ankle after accident :




Doctors in China have saved a man's severed hand by grafting it onto his ankle. Xiao Wei lost his right hand in an accident at work, but could not have it reattached to his arm immediately. Instead the hand was kept alive by stitching it to Xiao's left ankle, enabling him to borrowing a blood supply from arteries in the leg

Nurse

Nurses are next best to angles

16 Dec 2013

Biostats Quizz: Sampling techniques

1. Random sampling or probability sampling includes all the following techniques, except:
A. Simple random sampling
B. Stratified random Sampling
C. Cluster sampling
D. Purposive Sampling
2. Gender, age-class, religion, type of disease, and blood group are measured on:
A. Nominal scale of measurement
B. Ordinal scale of measurement
C. Interval scale of measurement
D. Ratio scale of measurement

3. Which scale of measurement has an absolute zero?
A. Nominal
B. Ordinal
C. Interval
D. Ratio

4. The variable which is influenced by the intervention of the researcher is called:
A. Independent
B. Dependent
C. Discrete
D. Extraneous

5. The statistical approach which helps the investigator to decide whether the outcome of the study is a result of factors planned within design of the study or determined by chance is called:
A. Descriptive statistics
B. Inferential statistics
C. Normal distribution
D. Standard deviation

6. Which of the following methods is a form of graphical presentation of data?
A. Line Diagram
B. Pie diagram
C. Bar diagram
D. Histogram

7. All the following are measures of central tendency, except:
A. Mean
B. Median
C. Mode
D. Variance

8. Which measure of central tendency is Influenced by extreme scores and skewed distributions?
A. Mean Copyright@ http://nursingplanet.com/Quiz
B. Median
C. Mode
D. Range
9. A measure of central tendency which is calculated by numbers arranging in numerical order is:
A. Standard deviation
B. Range
C. Median Copyright@ http://nursingplanet.com/Quiz
D. Mode
10. The proportion of observations fall above the median is:
A. 68%
B. 50%
C. 75%
D. 95%

11. The indices used to measure variation or dispersion among scores are all, except:
A. Range
B. Variance
C. Standard deviation
D. Mean
12. A measure of dispersion of a set of observations in which it is calculated by the difference between the highest and lowest values produced is called:
A. Standard deviation
B. Variance Copyright@ http://nursingplanet.com/Quiz
C. Range
D. Mode
13. A statistic which describes the interval of scores bounded by the 25th and 75th percentile ranks is:
A. Inter quartile range
B. Confidence Interval
C. Standard deviation
D. Variance Copyright@ http://nursingplanet.com/Quiz

14. The Median value is the:
A. 25th percentile
B. 50th percentile
C. 75th percentile
D. 95th percentile

15. Large standard deviations suggest that:
A. scores are probably widely scattered.
B. there is very little deference among scores.
C. mean, median and mode are the same
D. the scores not normally distributed.

16. The formula given below is computational formula for:
A. Variance
B. Mean Copyright@ http://nursingplanet.com/Quiz
C. Standard deviation
D. t-statistic

17. The squire of the standard deviation is the:
A. Variance.
B. Standard error
C. Z-score Copyright@ http://nursingplanet.com/Quiz
D. Variance

18. Which is NOT a characteristic of normal distribution?
A. Symmetric Copyright@ http://nursingplanet.com/Quiz
B. Bell-shaped
C. Mean = median = mode
D. Negative skewness
19. Skewness is a measure:
A. of the asymmetry of the probability distribution
B. decides the distribution may have high or low variance
C. of central tendency
D. None of the above
20. The formula given below is used to calculate:
O= Observed frequency
E= Expected frequency
A. t-test statistic
B. chi-squire statistic
C. correlation coefficient
D. Standard deviation
Answer Key

Answers

Answer Key 
1. D
2. A
3. D
4. B
5. B
6. D
7. D
8. A
9. C
10. B
11. D
12. C
13. A
14. B
15. A
16. C
17. D
18. D
19.A
20. B

References
  1. Polit H, Beck C T. Nursing research. 8th ed. New Delhi: Williams and Wilkins; 2008.
  2. Burns N, Grove S K. Understanding nursing research. 4th ed. New Delhi: Elsevier; 2007.
  3. Park JE, Park K. Text Book of Preventive and Social Medicine. 19th Edition. Jabalpur: M.S. Banarsidas Bhanot; 2007.
  4. Questions from entrance examinations relevant to nursing conducted in India. (NIMHANS/AIIMS/Manipal/Kerala/All India etc..)
  5. Cohen J. Statistical Power Analysis for the Behavioral Sciences. Erlbaum, Hillsdale, NJ; 1988.

Biostatistics Quizz Sampling

K meanings: Nursing Language


Be Nice to nurse !



15 Dec 2013

Nursing Research Quiz online

Nursing care Plans : Test your knowldge


NO 
YB 
YS 
NA 
C-1
I use critical thinking, professional judgment and reasoned decision-making to develop care plans. 
C-2
I have the knowledge and ability develop care plans and establish client care priorities. 
C-3
I involve clients in identifying their preferred health outcomes. 
C-4
I anticipate potential health problems or issues and their consequences for clients.
C-5
I explore and develop a range of possible care alternatives and approaches with clients.
C-6
I am aware of the influence of positional power relationships when negotiating priorities of care with clients.
C-7
I encourage client ownership of their care plans.
C-8
I develop care plans with other health team members to ensure continuity of care.
C-9
I know when consultation is required with other team members or health related sectors.
C-10I make clients aware of, and assist them to access, community health and wellness resources.

I: Infusion Therapy Quiz online

I: Infusion Therapy 
No.
Competency 
NO 
YB 
YS 
NA 
I-1 I know human anatomy and physiology, specifically the circulatory system, fluids, and electrolytes. 
I-2I know the principles of infusion therapy. 
I-3I know the related terminology such as infusion, interstitial and intravenous.
I-4I can differentiate between peripheral lines, central lines, implanted ports, and epidurals.
I-5I can initiate, monitor, maintain, regulate, discontinue and evaluate peripheral infusion therapy.
I-6I can identify common intravenous solutions according to type of solution, additional contents, and indications for use.
I-7I know how to set-up and prime an infusion line.
I-8I can use a variety of infusion therapy equipment.
I-9I have the ability to calculate infusion rates.
I-10I can recognize complications of intravenous therapy as related to etiology, clinical manifestations, and take preventative nursing measures.
I-11I can resolve common problems associated with peripheral intravenous therapy.
I-12I can initiate, flush, monitor and discontinue heparin and saline locks in established peripheral infusion sites.
I-13I can prepare and administer medications for infusion as per medication order.
I-14I can provide retrograde push medications via peripheral intravenous infusions in specific settings.
I-15I can initiate, monitor and regulate Total Parenteral Nutrition (TPN).
I-16I have knowledge of the peripheral venous system.
I-17I can identify common IV puncture sites.
I-18I can initiate and discontinue peripheral infusion and remove infusion catheter.
I-19 I know the different types of central lines and the terminology used by my agency.
I-20I am aware of the risks associated with central lines. 
I-21I can provide basic care to a client with a central line as per agency policy.
I-22I can monitor the central line infusion.
I-23I can provide additional care to a client with a central line.
I-24I can maintain central venous pressure while providing care of the central line.
I-25I know the purpose of hypodermoclysis.
I-26I can provide medications and fluids via hypodermoclysis.
I-27I can initiate, monitor, maintain, regulate, and evaluate hypodermoclysis infusion.
I-28I can identify and describe complications of hypodermoclysis related to etiology and clinical manifestation.
I-29I know how to discontinue hypodermoclysis.
I-30I can document hypodermoclysis therapy.
I-31I know the circulatory system and components of blood and blood products.
I-32I know the normal lab values pertaining to blood transfusion. 
I-33I know the common blood transfusions according to composition and indications for use.
I-34I have knowledge of blood typing and cross-matching of blood.
I-35I have knowledge and awareness of the ethical and religious beliefs regarding blood transfusions.
I-36I have knowledge and understanding of client's legal right to refuse blood or blood products.
I-37 I can set up for a blood administration.
I-38I know how to obtain blood or blood products from blood bank as per agency policy.  
I-39I check patient identification with label on blood or blood product. 
I-40I can monitor and regulate administration of blood or blood products.
I-41I can recognize a reaction to blood or blood products and change blood infusion to normal saline.
I-42I can discontinue a blood transfusion.
I-43I can monitor and evaluate therapeutic and non-therapeutic responses to blood transfusion.
I-44I can effectively document information regarding transfusion therapy.
I-45I have knowledge of agency policies pertaining to blood transfusions.

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