15 Items You Should Have In Your Medicine Cabinet (via Momsense in NJ’s Blog)

What should parents stock-up in their medicine cabinets for their children? What you should have already, and what you need to know.

15 Items You Should Have In Your Medicine Cabinet As a parent, have you really taken a look at your medicine cabinet lately? I mean, really looked at it? How out of date is that first aid cream? Do your Band-Aids even stick? Time to toss expired and old stuff and purchase items that you really need to have on hand in an emergency. Evansville's Dr. Mom has a list of 15 items you need to have in your medicine cabinet right now. Taken from courierpress.com 1. Tylenol (acetaminophen) is a must-have … Read More

via Momsense in NJ's Blog

What Are the Procedures for a Blood Transfusion?

Patients who have suffered large blood loss from trauma or surgery–or who have a low hemoglobin level because of a disease process–may receive a blood transfusion. When to transfuse blood depends on several factors such as the person’s vital signs, hemoglobin level, current injury or disease process and the presence of underlying health problems. Hospitals across the country follow standardized procedures for a blood transfusion to promote patient safety.

Preparation

A staff member ensures a blood transfusion patient has at least an 18 gauge IV catheter in place, according to Kathleen Ouimet Perrin, Ph.D, author of “Understanding the Essentials of Critical Care Nursing.” The nurse uses a 500 milliliter bag of sterile normal saline to flush IV blood tubing and the patient’s IV site before connecting the blood tubing.

Obtain Patient Consent

The nurse obtains informed consent before initiating the blood transfusion. The nurse explains the procedure, all possible risks, and the signs and symptoms of a transfusion reaction to the patient.

Type and Cross Match

The Canadian Blood Services recommends that red blood cell compatibility testing be done when possible to give the patient blood that matches his type. In life-threatening situations, Type O negative blood is given because it is the universal donor.

The hospital blood bank creates special labels with a unique patient identification number and applies one to the transfusion record, a red patient identification bracelet and all allocated matching blood units. Lab personnel draw blood from the patient to type and cross match the patient’s blood and label all blood tubes with the corresponding blood bank identification number. Once the type and cross match results confirm the patient’s blood type, lab personnel label matching blood units with the assigned blood bank identification number and notify the nurse that the blood is ready.

Verify Blood Bank Number

Two nurses verify that the blood bank ID number on the unit of blood matches the ID number on the patient’s wrist band. Both nurses sign on the transfusion record that this has been done.

Vital Signs

The nurse measures the patient’s temperature, heart rate, respiratory rate and blood pressure before initiating the blood transfusion and then every 5 minutes for the first 15 minutes. Vital sign changes during the transfusion, especially an increase in temperature, indicate a possible blood transfusion reaction.

Begin Transfusion

The nurse starts the blood transfusion within 30 minutes of checking the unit of blood out of the lab because blood needs to be refrigerated. The nurse will return the blood to the lab if circumstances call for delaying the transfusion. The blood bank discards the unit of blood if it has been out of the fridge for more than 30 minutes.

The nurse transfuses the blood at a rate of 1 to 2 milliliters per minute for the first 15 to 30 minutes and remains with the patient during this time because transfusion reactions often occur in the first 30 minutes. The nurse has 4 hours to transfuse the blood. After 4 hours, the nurse discards any remaining blood.

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Nursing Careers: Becoming a Nurse Practitioner in Ontario (via York Nursing News)

This role, once attained can have you doing out post Nursing in the rural parts of Canada, and remote places behind God’s back (so to speak). The pay is great for a 6 week stint.

Nursing Careers: Becoming a Nurse Practitioner in Ontario Nursing Careers is an ongoing series that explores different career paths available to student RNs. What is a Nurse Practitioner (NP)? The first thing I discovered about the title "Nurse Practitioner" is that it is commonly used in Canada to identify a wide variety of advance practice nursing (APNs) roles but has no official definition on its own. The actual title of Nurse Practitioner is not specifically protected under current Canadian law and, … Read More

via York Nursing News

Becoming a Registered Nurse : How to Become a Registered Nurse (via Medika)

Becoming a Registered Nurse : How to Become a Registered Nurse Becoming a registered nurse requires taking several college prep courses like math, science and a foreign language and enrolling in an accredited nursing program. Learn what it takes to become a registered nurse with tips from an active registered nurse in this free video on nursing. Andrea Graziano is an active registered nurse wor … Read More

via Medika

Quick 12 Lead Interpretation

Learn how to identify Anterior, Inferior, and Lateral MI’s on a 12 lead ECG quickly!

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Client Awareness Matters:

Patient Safety

Healthcare associated infections are an unwelcome reality in modern health care settings across the globe. Prevention and control of these infections in hospitals is a priority for Ontario and is key to keeping patients safe. The government of Ontario has developed this site to keep the public informed on patient safety related issues at the province’s hospitals. By April 2009, it will report on eight different topics relating to patient safety at Ontario hospitals.

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