Administering Enema

OVERVIEW To evacuate the bowel of stool caused by constipation. To cleanse the bowel prior to surgery or other procedures for which the bowel, colon, and rectum are visualized. PREPARATION Determine patient’s ability to understand procedure. Assess patient’s ability to participate in procedure, such as holding contents when administered. SPECIAL CONSIDERATIOS Patients who have had recent surgery, or who have arthritis, a cast, lower limb amputations, or fractured pelvis may need additional...

NCLEX Guide

This will facilitate the licensure to CALIFORNIA for Filipino nurses who would prefer to take the NCLEX®. ~Step-by-step Procedure ~ How to get application form: 1. Please visit http://www.rn.ca.gov 2. Click the Licensure and Examination. (on the left side) 3. Then, Click the option Licensure by examination. 4. Lastly, click the Application for Licensure by Examination (PDF file) 5. Print the form. How to acquire and accomplish the Fingerprint card: MANUAL FINGERPRINT PROCESS 1. E mail...

Assessing Pressure Ulcers Risk

OVERVIEW To provide a method for evaluating a patient for the presence of risk factors that could lead to the development of a pressure ulcer. To determine the presence of risk factors, provide a rationale for implementing preventive measures to avoid pressure ulcers, and maintain skin integrity. To perform a skin assessment for the presence of any lesions, ulcers, blisters rashes, warmth, redness, bruising, scaling, moisture, or dryness. PREPARATION Screen all patients on admission to determine...

Positioning After a Medical Procedure

1. Px w/ R pneumonectomy, post-op position = R side lying 2. Post liver biopsy = placed R side lying 3. Rales at L lower lobe of lungs, px must be positioned for chest PT = on his R side w/ hip slightly higher than the head 4. When inserting TPN to a central line, w/c position shld. the RN place the px to prevent introducing air to the system = Trendelendburg 5. How shld. the RN position in hypovolemic shock = flat w/ legs slightly elevated 6. Pregnant in labor is exhibiting late...

Simple Principles of Safe Moving and Manual Handling

Thinking through each individual situation and applying the following simple principles when moving and handling will enable you to maintain health and safety whilst undertaking the task. • Assessment of the task A full and comprehensive assessment should be made of the task before undertaking the move. This assessment of all aspects of the task will enable you to identify risks and hazards and to problem solve to enable the undertaking of safe manoeuvres. • Maintain a stable base Position the...

FREE NCLEX REVIEWER

There were like mushrooms of review centers sprouting from one place to another. We don't know their credibilities but still we enroll and entrust to them our futures hoping that they could help us pass the examination. Lets admit, we are easily drained by their advertisements that they produces Top Notchers and had a high caliber reviewers. I am not against the review centers well in fact I enroll myself in a review center during my local board exam and I regret it!!! Its just a waste of money...

A Fit Of Anger

Conception of a child is always a blessing to the family. Parents feel ambivalent feelings toward the developing child in the mothers womb. I have assisted couple of deliveries of baby and it really feels so good to see the baby coming out. And they deserved to be welcome in the outside world, to let them feel that they are special especially to the parents. You can really see a relief in the mothers face after the delivery its not because that the pain is over but its because of their child. Whatever...