By at December 30 2018 12:24:56
With over 35 years of nursing experience, Nurse Mentor Nancy Banfield Johnson, RN, MSN, ANP, helps nurses solve challenges in their nursing practice through her speeches, workshops, consulting and writing.
Nurses: territory is their patient. They must find out: Why is he here? What signs and symptoms do I need to watch for to prevent complications from his illness? What goals must he and I meet for him to get better?
Patient will keep a journal of total intake every time food is consumed and mark where improvement can be made. (accountability, ongoing education experience)
Did anyone ever tell you that you are persistent? Instead of making your hackles rise, treat this as a compliment. The reason is that as nursing professional you are expected to be persevering and persistent. The nursing profession has never been for the weak of heart. One has to have an iron will in order to survive and succeed nursing.
2. The ears If a patient is unstable, they will make abnormal sounds. Sounds that indicate something is wrong with, perhaps, their airways such as wheezing, gurgling, stridor and so on. At other times, there are no sounds at all, which would also indicate a complete airway obstruction in some cases. So, using your ears, you will be able to ascertain whether your patient is making the right kind of sounds. If it is not breathing, they may cry/scream, or try to tell you something. Gather the facts with your ears and from then on, you will be able to act accordingly.
3. The hands If anything, nursing is a hands-on job. You cannot be a nurse and not get your hands dirty. When faced with a sticky situation, take the time to feel your patient. Feel their pulse, their breath and skin. Are they warm enough, too warm, cold or clammy. That alone can tell you all you need to know about your suffering patient.