Friday, April 6, 2012

Guidelines for Standard Precautions


Guidelines for Standard Precautions


Standard precautions are precautions taken to avoid contracting various diseases and preventing the spread of disease to those who have compromised immunity. Some of these diseases include human immunodeficiency virus (HIV), acquired immunodeficiency syndrome (AIDS), and hepatitis B (HBV). Standard precautions are needed since many diseases do not display signs or symptoms in their early stages. Standard precautions mean to treat all body fluids/ substances as if they were contaminated. These body fluids include but are not limited to the following blood, semen, vaginal secretions, breast milk, amniotic fluid, feces, urine, peritoneal fluid, synovial fluid, cerebrospinal fluid, secretions from the nasal and oral cavities, and lacrimal and sweat gland excretions. This means that standard precautions should be used with all patients.

1.  A shield for the eyes and face must be used if there is a possibility of splashes from blood and body fluids.
2.  If possibility of blood or body fluids being splashed on clothing, you must wear aplastic apron.
3.  Gloves must be worn if you could possibly come in contact with blood or body fluids. They are also needed if you are going to touch something that may have come in contact with blood or body fluids.
4.  Hands must be washed even if you were wearing gloves. Hands must be washed and gloves must be changed between patients. Wash hands with at a dime size amount of soap and warm water for about 30 seconds. Singing “Mary had a little lamb” is approximately 30 seconds.
5.  Blood and body fluid spills must be cleansed and disinfected using a solution of one part bleach to 10 parts water or your hospital’s accepted method.
6.  Used needles must be separated from clean needles. Throw both the needle and the syringe away in the sharps’ container.  The sharps’ container is made of puncture proof material.
7.  Take extra care in performing high-risk activities that include puncturing the skin and cutting the skin.
8.  CPR equipment to be used in a hospital must include resuscitation bags and mouthpieces.


Special precautions must be taken to dispose of biomedical waste. Biomedical waste includes but is not limited to the following: laboratory waste, pathology waste, liquid waste from suction, all sharp object, bladder catheters, chest tubes, IV tubes, and drainage containers. Biomedical waste is removed from a facility by trained biomedical waste disposers.


The health care professional is legally and ethically responsible for adhering to standard precautions. They may prevent you from contracting a fatal disease or froma patient contracting a disease from you that could be deadly 

Source: http://nursestudyguide.blogspot.com/search?updated-max=2012-03-29T08:47:00-07:00&max-results=7

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CPR Review/Cheat Sheet


CPR Review/Cheat Sheet


Topic
New Guidelines
Conscious Choking
5 back blows, then 5 abdominal thrusts- adult/child
Unconscious Choking
5 chest compressions, look, 2 breaths-adult/child/infant
Rescue Breaths
Normal Breath given over 1 second until chest rises
Chest Compressions to

Ventilation Ratios (Single

Rescuer)


30:2 – Adult/Child/Infant
Chest Compressions to

Ventilation Ratios (Two

Rescuer)
30:2 – Adult


15:2 – Child/Infant
Chest Compression rate
About 100/minute – Adult/Child/Infant
Chest Compression Land

marking Method
Simplified approach – center of the chest – Adult/Child

2 or 3 fingers, just below the nipple line at the center of thechest - Infant
AED
1 shock, then 2 minutes (or 5 cycles) of CPR



      Check the scene
•      Check for responsiveness – ask, “Are you OK?”
•      Adult - call 911, then administer CPR
•        Child/Infant – administer CPR for 5 cycles, then call 911
•      Open victim’s airway and check for breathing – look, listen, and feel for 5 - 10 seconds
•      Two rescue breaths should be given, 1 second each, and should produce a visible chest rise
•      If the air does not go in, reposition and try 2 breaths again
•              Check victim’s pulse – chest compressions are recommended if an infant or child has a rate less than 60 per minute with signs of poor perfusion.
•              Begin 30 compressions to 2 breaths at a rate of 1 breath every 5 seconds for Adult; 1 breath every 3 seconds for child/infant
•              Continue 30:2 ratio until victim moves, AED is brought to the scene, or professional help arrives

AED

•        ADULT/ Child over 8 years old - use Adult pads
•              Child 1-8 years old – use Child pads or use Adult pads by placing one on thechest and one on the back of the child
•      Infant under 1 year of age - AED not recommended
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50 most common drug asked in NCLEX generic/ brand name


50 Key Drugs in Medicine


1. Alprazolam                                                             XANAX
2. Amitriptyline                                                           ELAVIL
3. Amoxicillin/clavulanate potassium                      AUGMENTIN
4. Betamethasone                                                    CELESTONE
5. Bumetanide                                                          BUMEX
6. Bupropion                                                             WELLBUTRIN
7. Calcitriol                                                                ROCALTROL
8. Ceforanide                                                            PRECEF
9. Ceftazidime                                                          FORTAZ
10. Cephalexin                                                           KEFLEX
11. Ciprofloxacin                                                      CIPRO
12. Clonazepam                                                      KLONOPIN
13. Cyclobenzaprine                                               FLEXERIL
14. Diazepam                                                          VALIUM
15. Dopamine                                                          INTROPIN
16. Enalapril                                                             VASOTEC
17. Eythromycin                                                       E-MYCIN
18. Famotidine                                                        PEPCID
19. Fluconazole                                                       DiFLUCON
20. Fluoxetine                                                          PROZAC
21. Furosemide                                                      LASIX
22. Gentamicin                                                        GARAMYCIN
23. Haloperidol                                                       HALDOL
24. Hydroxyprogesterone caproate                      DELALUTIN
25. Ibuprofen                                                           MOTRIN
26. Ipratropium bromide                                        ATROVENT
27. Ketorolac                                                          TORADOL
28. Lidocaine                                                          XYLOCAINE
29. Lorazepam                                                       ATIVAN
30. Meperidine                                                       DEMEROL
31. Methicillin                                                         STAPHCILLIN
32. Metoprolol                                                        LOPRESSOR
33. Miconazole                                                      MONISTAT
34. Nystatin                                                            MYCOSTATIN
35. Omeprazole                                                    PRILOSEC
36. Oxybutynin                                                       DITROPAN
37. Oxymetholone                                                 ANADROL
38. Pergolide                                                        PERMAX
39. Phenytoin                                                        DILANTIN
40. Prazepam                                                       CENTRAX
41. Prednisone                                                     DELTASONE
 42. Procaine                                                          NOVOCAIN
43. Promethazine                                                 PHENERGAN
44. Propoxyphene                                                DARVON
45. Pseudoephedrine                                           SUDAFED
46. Silver sulfadiazine                                          SILVADENE
47. Temazepam                                                    RESTORIL
48. Tolnaftate                                                        TINACTIN
49. Vancomycin                                                   VANCOCIN
50. Warfarin                                                         COUMADIN

Source: http://nursestudyguide.blogspot.com/2012_03_01_archive.html
  
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Therapeutic diet


Therapeutic diet


Acne ---------------------------------------------                   Low fat
Acute gastroenteritis ------------------ -------                 Clear liquid
Addison’s disease----------------------- ------                  High Na, Low K
Anemia  (iron deficiency)---------------------                  High Iron
Anemia  ( pernicious) -------------------------                  High protein, Vit. B
Angina pectoris --------------------------------                   Low cholesterol
Arthritis , gout ---------------------------------                   Purine restricted
Attention deficit hyperactivity disorder----                Finger Foods
Bi-polar disorder------------------------------                   Finger foods
Burn --------------------------------------------                     High calorie, High protein
Celiac’s disease ------------------------------                    Gluten free
Cholecystitis ----------------------------------                     High protein, High carbohydrate,low fat
Congestive heart failure ---------------------                   Low Na
Cretinism --------------------------------------                      High protein, high calcium
Crohn’s disease -------------------------------                    High protein, high carbohydrate, low fat
Cushing’s disease ----------------------------                     High K, low Na
Cystic fibrosis --------------------------------                       High calorie, high Na
Cystitis ----------------------------------------                       Acid ash
Diabetes mellitus ----------------------------                      Well balanced diet
Diarrhea --------------------------------------                        High K, High Na
Diverticultis ----------------------------------                        Low residue
Dumping syndrome -------------------------                        Moderate Fat, High protein,
Hepatic encephalopathy --------------------                       Low protein
Hepatitis --------------------------------------                         High protein, High calorie
Hirschsprung’s disease ---------------------                       High calorie, Low residue, high protein
Hyperparathyroidism -----------------------                        Low calcium
Hypertension ---------------------------------                        Low Na
Hyperthyroidism -----------------------------                        High calorie , High protein
Hypoparathyroidism -------------------------                       High calcium , low phosphorous
Hypothyroidism ------------------------------                        Low calorie , High fiber
Liver cirrhosis --------------------------------                        Low protein
Meniere’s disease ----------------------------                      Low Na
Myocardial infarction -----------------------                       Low fat , Low Na
Nephrotic syndrome -------------------------                       Low Na
Osteoporosis ----------------------------------                       High calcium , High Vitamin D
Pancreatitis ------------------------------------                       Low fat
Phenylketonuria ------------------------------                       Low protein/phenyalanine
Pregnancy induced hypertension -----------                    Low Na
Renal failure Acute ---------------------------                     Low protein, Low Na (oliguric)
Renal failure chronic -------------------------                      Low protein , low Na., Low K
Tonsillitis --------------------------------------                        Clear liquid diet                       

Source: http://nursestudyguide.blogspot.com/2012_03_01_archive.html                                                                                              
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Wednesday, April 4, 2012

NCLEX Texas

I started reading the requirements needed to apply for NCLEX RN Texas eligibility. So many things to read and process but once I will be able to write down everything step by step I believe I can do it with God's guidance. First thing to do is to apply for CES ( Credentials Evaluation Service) in this website - http://www.cgfns.org/sections/programs/ces/ . This is the downloadable instruction - http://www.cgfns.org/files/pdf/apps/CES_Instructions.pdf .
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Tuesday, April 3, 2012

NCLEX Texas application


Online Examination Application - Eligibility Information


To return to the Online application, please close this page.
Requirement for Initial Licensure by NCLEX-PN® or NCLEX-RN®
If you do not meet the requirements for initial licensure, then you are Not Eligible for Licensure in the State of Texas.

Texas Nursing Jurisprudence Examination

All applicants by endorsement must pass the Texas nursing jurisprudence examination. You must pass this examination prior to being issued a permanent license. Instructions on taking the Texas nursing jurisprudence examination: Ten days after you have filed an application with the Texas Board of Nursing, you will be eligible to take the online nursing jurisprudence exam at www.bon.texas.gov/olv/je.html. Follow the instructions to log on and complete the examination. The examination is based on the Texas Nursing Practice Act (NPA) and the Texas Board of Nursing Rules and Regulations. We recommend that you download a copy of the NPA and Board Rules and Regulations from our website by going to www.bon.texas.gov and click on “Nursing Law and Rules”. You may also purchase a hard copy of the NPA and Rules and Regulations by contacting the Texas Board of Nursing. The examination is a maximum of two hours in length. If you are not successful in passing the examination, you may take the examination again after seven working days have elapsed from the previous attempt. The cost of the examination is included in your application fee. Again, you must pass the jurisprudence examination before the Texas Board of Nursing will issue the permanent license.

Nurse Licensure Compact

The Texas Texas Board of Nursing entered into a Nurse Licensure Compact which allows nurses in Texas the privilege of practicing in participating Compact states. As part of this process of initiating multistate licensure, all applicants for licensure in Texas must declare their primary state of residence and all states where you are practicing or intend to practice. Applicants who declare a Compact state, other than Texas, as their primary state of residence may not become licensed in Texas since the Compact licenses can be used to work in Texas. For information on multistate licensure, please review the Boards Compact section. (www.bon.texas.gov/olv/MSR.html)

Eligibility Issues

Applicants must be able to answer "No" to the following questions in order to use the online application. All other applicants may download a complete application packet. Review of applicants with eligibility issues can take three (3) to six (6) month to complete.
  • For any criminal offense, including those pending appeal, have you:
    A. been convicted of a misdemeanor?
    B. been convicted of a felony?
    C. pled nolo contendere, no contest, or guilty?
    D. received deferred adjudication?
    E. been placed on community supervision or court-ordered probation, whether or not adjudicated guilty?
    F. been sentenced to serve jail or prison time? court-ordered confinement?
    G. been granted pre-trial diversion?
    H. been arrested or have any pending criminal charges?
    I. been cited or charged with any violation of the law?
    J. been subject of a court-martial; Article 15 violation; or received any form of military judgment/punishment/action?
    (You may only exclude Class C misdemeanor traffic violations.)
    NOTE: Expunged and Sealed Offenses: While expunged or sealed offenses, arrests, tickets, or citations need not be disclosed, it is your responsibility to ensure the offense, arrest, ticket or citation has, in fact, been expunged or sealed. It is recommended that you submit a copy of the Court Order expunging or sealing the record in question to our office with your application. Failure to reveal an offense, arrest, ticket, or citation that is not in fact expunged or sealed, will at a minimum, subject your license to a disciplinary fine. Non-disclosure of relevant offenses raises questions related to truthfulness and character.
    NOTE: Orders of Non-Disclosure: Pursuant to Tex. Gov’t Code § 552.142(b), if you have criminal matters that are the subject of an order of non-disclosure you are not required to reveal those criminal matters on this form. However, a criminal matter that is the subject of an order of non-disclosure may become a character and fitness issue. Pursuant to other sections of the Gov’t Code chapter 411, the Texas Nursing Board is entitled to access criminal history record information that is the subject of an order of non-disclosure. If the Board discovers a criminal matter that is the subject of an order of non-disclosure, even if you properly did not reveal that matter, the Board may require you to provide information about any conduct that raises issues of character.
  • Are you currently the target or subject of a grand jury or governmental agency investigation?
  • Has any licensing authority refused to issue you a license or ever revoked, annulled, cancelled, accepted surrender of, suspended, placed on probation, refused to renew a license, certificate or multi-state privilege held by you now or previously, or ever fined, censured, reprimanded or otherwise disciplined you?
  • *Within the past five (5) years have you been addicted to and/or treated for the use of alcohol or any other drug?
  • *Within the past five (5) years have you been diagnosed with, treated, or hospitalized for schizophrenia and/or psychotic disorder, bipolar disorder, paranoid personality disorder, antisocial personality disorder, or borderline personality disorder?


    • *Pursuant to the Occupations Code §301.207, information regarding a person’s diagnosis or treatment for a physical condition, mental condition, or chemical dependency is confidential to the same extent that information collected as part of an investigation is confidential under the Occupations Code §301.466.

Attest Statement

The attestation statement, with in the application, requires you understand and meet the following:
Sections of the Nursing Practice Act
Boards Rules and Regulations

School Code

The online application will request the entry of the five (5) digit code representing your Basic Nursing School. This code can be obtained from your school of Nursing or from one of the MS Excel files listed below:
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