C-A-T Tourniquet

Special dressings and bandages can be used to protect and to speed up the healing of pressure sores.

The learner will be providing care to an 86-year-old Hispanic female admitted to the MedicalSurgical Unit with a non-healing wound on her right upper leg where a femoral-popliteal bypass graft was performed two weeks ago. She is diabetic and injured her left ankle by tripping on a curb on the way to the hospital. She is anxious about not being able to care for herself when she returns home. She lives alone but has a daughter close by, and has no insurance. This Simulated Clinical Experience™ (SCE™) has five states, that are transitioined manually. With manual transitions, the instructor should advance to the applicable state when

In contemporary times, lots of registered nurses practice wound dressing based upon expertise of sequential step-by-step actions as opposed to comprehending the concepts underpinning the most efficient strategies to wound dressing. Presently 2 leading dressing techniques, aseptic (clean hand/dirty hand) method and wound industry, are being instructed to undergraduate nursing pupils. Jointly and relatively, both methods have actually stimulated some debate relating to the most suitable and efficient method to use (Gillespie and Fenwick, 2009).

5. Specific technical instruction was marked whenever Mitch instructed a class member with the comments like “elbows through” or “chest up”.

Background: Week one skills lab was a hectic day in which I was taught the following sills : Bed bath , the making of an occupied and unoccupied bed , and protective restraints. As a CNA, I have perfomed these skills many times but it was nice to review them in a classroom setting.

After a suitable vein has been visualized and the venipuncture site thoroughly cleansed, the needle is then placed into the patient’s vein for blood collection. Difficulties can arise if a needle is not fully inserted or if it went entirely through the vein and a hematoma will be the result. (Morgan, 2005) Hematomas are bruises due to the collection of blood from veins or arteries in the surrounding tissues. (Garza, 2010) Sticking a fragile vein, excessive probing of the needle if the vein is initially missed, and failure to remove the tourniquet before removing the needle are some other ways a hematoma can develop during a venipuncture procedure. (Garza, 2010) When needles are incorrectly inserted into a vein, blood is allowed to escape, forming a bruise. (Garza, 2010) If at any time this should happen, the phlebotomist should immediately end the procedure by first removing the tourniquet, then the needle, and apply firm pressure to cease the blood flow. (Morgan, 2005) Improper needle placement can also cause neurological damage. With deep insertion of a needle, hitting the nerve behind the vein is likely. (Garza, 2010) Radiating or shooting pain and sometimes numbness has been reported by patients in these situations. (Garza, 2010) Phlebotomist should always insert needles with care to avoid any injury to the

Situation: Week 4 of skills lab: Today we were learning how to do sterile gloving and ungloving.

This step is very useful to help limit swelling to the injured area and keeps it from progressing to other parts of the limb. Be careful not to put direct pressure on an eye injury, and watch carefully for coolness or in case of change the color of the skin under the bandage. If any of these symptoms occur, remove the bandage quickly and re-wrap it less tightly. After that raise the injured organ to a level higher than the heart. For example, raise the affected arm or leg by using cushions or pillows to help decrease blood pressure and slow the

It is very important that when a patient needs a dressing changed that it is performed correctly and sterile. The first and foremost important step in any procedure is to perform proper hand hygiene. Next, obtain all necessary items on a Mayo stand. Most items involved in dressings are within a dressing packet that is enclosed until it needs to be used. The patient should be in a comfortable position while the procedure is being done with the area with the dressing on a supported area. The next most important step in any procedure for the medical assistant is to apply gloves. When removing a dressing, loosen the tape and pull from both sides toward the wound. Immediately, place the dirty, soiled dressing into a biohazard waste bag without touching

Performs patient teaching on surgical topics including DVT prevention and importance of skin preparation. While assessing a patient, Ms Davidson noticed that a patient has an open wound. She offered to clean and bandage patient wound. She

The officers set up the bed and asked the clinical staff to bring in the patient into the room and lay her down in supine position on the bed. Once the patient was on the bed, the officers and clinical staff started applying the restraints and the patient was co-operative. The writer applied the left arm and lap belt, while RPN. Holly Klashinsky applied right arm, SSO

The characteristics of my job will require focusing on the advantages and the disadvantages of one-to-one instruction and that of demonstration and return demonstration. Group discussions, team-based learning, cooperative learning, and seminars are instructional areas for which I can recommend my patients to attend. One-on-one instruction allows the exchange of information between the nurse and patient with regards to the characteristics of the patient, behavioral objectives, educator skills, and selection of appropriate teaching material (Bastable, 2014, p. 509). The communication skills are vital for nursing to create a relationship with the patient that would create an environment conducive to teach. Demonstration and return demonstration allows a nurse to show how to perform particular skills and evaluate the reacceptance of the skill by observing the patient perform it with minimal assistance (Bastable, 2014, p. 483). These instructional methods are stretched out over the course of the patient’s stay and are not the sole focus of teaching only at discharge. I take advantage of teaching moments throughout the shift to help plan for an effective final discharge instructions. This hand on approach allows teaching moments to have a positive affect on clients when presented with written material and information upon

Arterial tourniquet is used in limb surgeries to provide a bloodless field and improve the surgical conditions. However, tourniquet inflation is associated with some consequences that may be relatively benign in healthy individuals, but could be hazardous in patients with impaired cardiac conditions [1]. Tourniquet inflation is associated with an increased sympathetic outflow, an increase in arterial blood pressure and severe pain [2-4].

Following classroom lecture, the student will identify all the supplies needed to change a sterile dressing.

Wilkinson provides excellent details on the 5 steps of equipping. The steps are well explained by understanding the actions the teacher is taking. Through the steps of “I tell you,” “You watch me,” “We do together,” “I watch you,” “Keep it up” teach a repeatable set of experiences that can be utilized to instruct, mimic, and allow the student to perform the desired actions. The author is accurate in describing actions that very often produce the desired outcome. Each step teaches, explains, and