Chest Tubes: Management and Care
- Confirm suction order
- Crepitus
- Kinking
- Shortness of Breath (SOB)
- Infection
- Excessive bubbling
- If tube dislodges from patient, use petroleum gauze taped 3 ways
- If drainage system is damaged, place disconnected drainage tube in sterile water
Magnetic Resonance Imaging (MRI)
- Internal Body Images
- Detects Variations of Soft Tissues
- No Metal Objects
- No Pacemakers
- Contrast is Non-Iodine
- Safe During Pregnancy
- Long Procedure
- Antianxiety Medications
Patient Position Overview
- Trochanter Roll
- Trapeze Bar
- Ankle-Foot Orthotic (AFO) Devices
- Fowlers Position
- Supine Position
- Trendelenburg
- Side-Lying Position
- Prone Position
- Sims' Position
- Reposition q2 Hours/Prevent Skin Breakdown
- Confirm Body Alignment
Postoperative Care
- Head to Toe Assessment
- Hemorrhage
- Clotting
- Pain
- Dehiscence or Evisceration
- Respiratory Complications
- Paralytic Ileus
- Infection
Preoperative Care
- Surgical Procedure
- NPO
- Turn, Cough, Deep Breathe, Incentive Spirometer
- Lower Extremity Exercises
- Compression Stockings or SCD's
- Pain Management
- Informed Consent
- Physical Preparation
- Preop Checklist
- Handoff to Surgery
- Universal Precautions
The Nursing Process
- ADPIE
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
Tracheostomy Care
- Inner Cannula Removed and Cleaned
- Clean Q8 Hours Around Stoma
- One Finger Under Ties
- Speak with Deflated Cuff
- Can Eat with Tube in Place
- Keep Replacement Tube Nearby
- Immediately Replace if Dislodged
- Physician Does First Tube Change
Interprofessional Team Member Roles
- Physician
- Advanced Practice Registered Nurse
- Nurse
- Unlicensed Assistive Personnel
- Physical Therapist
- Occupational Therapist
- Respiratory Therapist
- Social Worker
- Pharmacist
- Dietitian
Cardiopulmonary Resuscitation (CPR) for Adults
- Scan Scene
- Activate Emergency Response System
- Check For Breathing (Max 10 Seconds)
- Open Airway
- Compressions: 2 Inches Deep (100-120 Compressions/Min)
- Airway: Ensure Airway is Still Open
- Breathing: Administer 2 Rescue Breaths
- Repeat C-A-B Sequence (30:2) Until Help Arrives
Health Insurance Portability and Accountability Act (HIPAA)
- Confidentiality
- See and Copy Health Records
- Update and Correct Health Record
- Use and Disclosure of Protected Health Information
- How to Receive Health Information
- Public Health Activities
- Law Enforcement
- Deceased People
Planning
- Tailored to Patient
- Short-and-Long-Term Goals
- Specific
- Measurable
- Attainable
- Realistic
- Time-Oriented
Good Samaritan Law
- Legal Immunity
- No Legal Obligation to Provide Aid
- If Providing Aid, Cannot Abandon
- Vary State to State
Newton's First Law
- A resting object stays at rest without external force
- A moving object stays in motion without external force
Occupational Therapy Process
- Referral
- Evaluation
- Occupational Profile
- Occupational Performance Analysis
- Targeted Outcomes
- Intervention
- Intervention Plan
- Intervention Implementation
- Re-Evaluation
- Review of Targeted Outcomes
- Continue / Discontinue OT Services