By at June 27 2019 22:38:41
Although machines have made nursing somewhat easy these days, I reckon we were given all the tools, the machines we need to do a reasonably sound nursing assessment. Our eyes, ears, noses, mouths (okay maybe not so much now) and gut instinct provide us with all the information we need to prevent danger from occurring to our patient. Lets use them. Done enough times, the confidence and skill you gain from practicing with your senses are indispensable. You will feel satisfied and glad and so will your patient!
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.
6. Trust your instinct Nurses have an uncanny way of using their gut to determine if/when something is not quite right with their patients. This, in my view, is what makes a nurse a bit special. Nurses are able to achieve this because they are the ones who spend the most amount of time with the patient and offer hands-on care, so, they can tell when a characteristic is out of the ordinary, even without medical evidence at first. So if youre a nurse like me and you get that feeling in the pit of your stomach, that something isnt quite right, then it probably isnt.
The same is true in moments of crisis in patients illness, particularly in the case of critical illnesses such as asthma, sickle cell, cancer, and other illnesses associated with sudden painful attacks. During these hurtful moments, it is the nurses, much more than doctors that provides immediate medical, physical, emotional and other forms of needed patient support and care. In terms of work schedule, nurses are frequently overworked due to the imponderable and often indefinable nature of their duties.