Description of content in the "Nursing foundation" page of “www.nanda-nursing.com” website: The content of the website is designed to gain acquire knowledge and develop proficiency in caring for patients with medical and surgical disorders in varieties of health care settings and at home..
A careful review by Students will develop the professional skills and acquired knowledge regarding the Nursing foundation Practical and the importance in the Nursing Profession.
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"Nursing foundation"
Hospital Admission and discharge
- Admission
- Prepare unit for a new patient
- Prepare admission bed
- Performs admission procedure
- New patient
- Transfer in
- Prepare patient records
Discharge/Transfer out
- Gives discharges counselling
- Perform discharge procedure (Planned discharge, LAMA and abscond, Referrals and transfer)
- Prepare records of discharge/transfer
- Dismantle, and disinfect unit and equipment after discharge/transfer
Perform Assessment
- History taking, Nursing diagnosis, problem list, prioritization, Goals & Expected Outcomes, selection of interventions
- Write the nursing care plan
- Gives care as per the plan
Communication
- Use verbal and non-verbal communication techniques
Prepare a plan for the patient teaching session
Write patient report
- Change – shift reports, Transfer reports, Incident reports etc.
- Presents patient report
- Vital signs
- Measure, Records and interpret alterations in body temperature, pulse respiration and blood pressure
Health Assessment
- Health history taking
- Perform assessment:
- General
- Body systems
- Use various methods of physical examination
- Inspection, Palpation, Percussion, Auscultation, Olfaction
- Identification of system-wise deviations
Prepare the Patient’s Unit:
- Prepare beds:
- Open, closed, occupied, operation, amputation
- Cardiac, fracture, burn, Divided, Fowlers, renal bed
- Pain assessment and provision for comfort
Use comfort devices Hygienic care:
- Oral hygiene:
- Baths and care of pressure points
- Hair wash, Pediculosis treatment
Feeding:
- Oral, Enteral, Naso/orogastric, gastrostomy and Parenteral feeding
- Naso-gastric insertion, suction, and irrigation
Assisting the patient in urinary elimination
- Provides urinal/bedpan
- Condom drainage
- Perineal care
- Catheterization
- Care of urinary drainage
Bladder irrigation Assisting bowel Elimination:
- Insertion of Flatus tube
- Enemas
- Insertion of Suppository
Bowel wash
Body Alignment and Mobility:
- Range of motion exercises
- Positioning: Recumbent, Lateral (rt/lt), Fowlers, Sims, Lithotomy, Prone, Trendelenburg position
- Assist patient in Moving, lifting, transferring, walking
- Restraints
Oxygen administration
Suctioning: Oropharyngeal, nasopharyngeal
Chest physiotherapy and postural drainage Care of Chest drainage
CPR – Basic life support intravenous therapy
Blood and blood component therapy
Collect/assist for collection of specimens for investigations: Urine, sputum, faeces, Vomitus, blood and other body fluids
Perform lab tests:
- Urine: sugar, albumin, acetone
- Blood: sugar (with strip/glucometer)
Hot and cold application:
Local and general sitz bath
Communicating and assisting with self-care of visually & hearing impaired patient
Communicating and assisting with self-care of mentally challenge/disturbed patients
Recreational and diversional therapies
Caring of the patient with an alteration in sensorium
Infection control
Perform the following procedures:
- Handwashing techniques
- Simple, hand antisepsis and surgical antisepsis (scrub)
- Prepare isolation unit in lab/ward
- Practice technique of wearing and removing personal protective equipment (PPE)
- Practice Standard safety precautions (Universal precautions)
- Surgical asepsis:
- Sterilization
- Handling sterilized equipment
- Calculate the strengths of lotions,
- Prepare lotions
- Care of articles
Pre and post-operative care:
- Skin preparations for surgery: Local
- Preparation of post-operative unit
- Pre & post-operative teaching and counselling
- Pre and post-operative monitoring
- Care of the wound:
- Dressings, suture Care, care of Drainage, Application of Bandages, Binders, Splints & Slings
- Bandaging of various body parts
Administration medications
- Administer Medications in different forms and routes
- Oral, Sublingual and Buccal
- Parenteral: Intradermal, Subcutaneous, Intramuscular etc.
- Assist with Intra Venous medications
- Drug measurements and dose calculations
- Preparation of lotions and solutions
- Administers topical applications
- Insertion of the drug into body cavity: Suppository & medicated packing etc.
- Instillation of medicines and spray into Ear, Eye, Nose and throat
- Irrigations: Eye, Ear, Bladder, Vagina and Rectum
- Inhalations: dry and moist
Care of dying patient
- Caring and packing of a dead body
- Counselling and supporting grieving relatives
- Terminal care of the unit
