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NCSBN & PeasonVue just announced some significant changes to the NCLEX as a result of COVID-19. Here is what we are doing about it . . . MUST WATCH. Learn more about SIMCLEX at https://www.nursing.com Speaker 1: What’s up guys. I’m Jon Haws RN in founder of nursing.com and I’m here with Speaker 2: Marie […]

I got a text from my sister, who was in the hospital for induction, at 1:30am that rocked my world. She text me and told me that her nurse – the nurse who will be receiving my new nephew into the world – uses NRSNG. Moments like this rock me to the core.  I know […]

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

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

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 […]

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

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

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 […]

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 […]