“Foley catheter is a thin, sterile tube inserted into the bladder to drain urine. Because it can be left in place in the bladder for a period of time, it is also called an indwelling catheter. It is held in place with a balloon at the end, which is filled with sterile water to prevent the catheter from being removed from the bladder. The urine drains through the catheter tube into a bag and can then be taken from an outlet device to be drained. Laboratory tests can be conducted on the urine to look for infection, blood, muscle breakdown, crystals, electrolytes, and kidney function. The procedure to insert a catheter is called catheterization” (emedicinehealth.com, 2014)
Catheter insertion is not the first step for babies. U bags are the first step for babies, before consideration of a catheter. Before placing the U Bag, position the baby and have someone to hold baby in place. Lift the baby and place sterile drape under baby to catch urine is necessary. Put on sterile gloves and wipe the outside of the Lady Madura with sterile cotton balls. Wipe left side, right side and down the middle, subsequently with different sterile cotton balls. Take the U Bag and place around the vaginal opening. Make certain the closure is secure to the baby’s body. Urine will go into the U Bag. The urine will then be drawn up with a syringe and placed in the sterile cup. The cup is then capped. Remove U Bag, immediately, so baby’s skin will not become irritated.
When inserting a Foley catheter in a child, there should be a coach or support person in the room. The coach is responsible for helping the child remain calm, throughout the procedure. The child should be told about the procedure and that he or she needs to be still; and the...
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...a. It is important that the patient is informed about care of, whether or not the wrap should be removed. Also, diagnosis that involves the foot ankle or leg; whether or not they should apply weight. The medical assistant should be thorough and ask patient if they have any questions, that needs clarifying, prior to leaving the office.
R.I.C.E. is rest, ice, compression and evaluation. This is what is normally done if you are diagnosed with a sprain or strain.
References
Emedicine.com (2014). (Foley Catheter). Foley Catheter Introduction. Information
retrieved February 3, 2014 from http://www.emedicinehealth.com/foley_catheter/article_em.htm
Uichildrens.org (2014). Minimizing the Trauma of Pediatric Urethral Catheterization
Using Lidocaine Gel. Retrieved February 4, 2014 from
http://www.uichildrens.org/childrens-content.aspx?id=230600
Additionally, the LPN cannot push medications into a peripheral intravenous line if the patient “weighs less than 80 lbs, is prenatal, pediatric, or antepartum”, although given that the situation is on a general med-surg floor it is unlikely these patients would be under Sarah’s care at this time. (Rules and Regulations of Practical Nurses. 2015) Sarah can delegate the postoperative patients who need dressing changes and ambulating them to the LPN, but Sarah should assess the wounds for complications initially and serve as resource to the LPN if she has questions about the wounds. Additionally, she could help the nursing assistant with answering calls and serve as a reference for the nursing assistant to ask questions or help with tasks if Sarah is not available. With regards to supervision, the LPN would need continuous supervision given that the working relationship is new. (Cherry and Jacob, 2014) Sarah should be available and willing to answer any questions or address any concerns the LPN
Then after threading a catheter through the needle, the anesthesiologist will withdraw the needle and leave the catheter i...
Catheter Acquired Urinary Tract Infections (CAUTIs) has become to be classified as one among the leading infections which most individuals end up being susceptible to acquire while at the hospital. Healthcare-associated or acquired infections (HAIs) are a significant cause of illness, death, and more often than not, have resulted to cost the tax payers potentially high medical expenses in most health care settings. ("Agency for Healthcare Research and Quality," para. 1) Due to this, 1 out of every 20 patients will end up with CAUTI within the US hospitals and this has caused Agency for healthcare research and quality (AHRQ) to embark on nationwide plans to help in the eradication and control of CAUTI incidences. ("Agency
2013). Inappropriate use of urinary catheter in patients as stated by the CDC includes patients with incontinence, obtaining urine for culture, or other diagnostic tests when the patient can voluntarily void, and prolonged use after surgery without proper indications. Strategies used focused on initiating restrictions on catheter placement. Development of protocols that restrict catheter placement can serve as a constant reminder for providers about the correct use of catheters and provide alternatives to indwelling catheter use (Meddings et al. 2013). Alternatives to indwelling catheter includes condom catheter, or intermittent straight catheterization. One of the protocols used in this study are urinary retention protocols. This protocol integrates the use of a portable bladder ultrasound to verify urinary retention prior to catheterization. In addition, it recommends using intermittent catheterization to solve temporary issues rather than using indwelling catheters. Indwelling catheters are usually in for a longer period. As a result of that, patients are more at risk of developing infections. Use of portable bladder ultrasound will help to prevent unnecessary use of indwelling catheters; therefore, preventing
American Association of Nurse Anesthetists. Professional Aspects of Nurse Anesthesia Practice. Philadelphia: F. A. Davis Company, 1994. Print.
Lastly, Medical assistants are of great help to the physicians they work for. They make it possible for the practitioners to be effective in their practice. Just like all the other practitioners in the medical field, the medical assistants are expected to maintain high standards in the field. For the medical assistants this will include acting on the instructions given by the practitioners and adhering to the code of ethics as set by AAMA. The medical assistants are also expected to make sound decisions when faced with medical dilemmas. All this should be focused on giving the patient quality care.
In order behave professionally, first of all, one needs the willingness to learn and be self-aware. Self-awareness would allow the respondent to realise her limitation on “between the flags” policy and be willing to learn and improve her clinical knowledge. If she had done so, she would realise the importance of documentation and the urgent need to arrange medical review for Patient A, preventing her condition from further deteriorating instead of making assumption that urgent medical assistant was unnecessary as long as the continuous administration of antibiotics. Additionally, with a sound professional experience and knowledge, clinical reasoning skills are also essential in professional behaviour. If the respondent had used problem solving, critical thinking and intuitive thinking skills to recognise and respond on Patient A’s deteriorating condition, she would have applied clinical judgement and decision making skill to prioritise the patient’ need to be urgently medical reviewed by the ED doctor even though she may receive some verbal abuse. Once she is confident with her clinical reasoning and judgement, she would take action on arranging urgent medical review, documenting her assessment for further examination and
In conclusion, venepuncture for babies in the radiology department requires the nurse to be equipped with due knowledge, skills and training. It is also essential to highlight and address other factors surrounding the procedure as the ones mentioned in this discussion. At the end of the day, a multi-disciplinary team always co-exist for every patient’s need and it is inherent for each to perform the duties associated in a competent manner. It is also just to conclude no person is indispensable and nurses therefore must take on new courses and training to assume new duties.
...e operating table and the nurse anesthetist begins to place the monitors on them. Next, everyone in the room confirms the patient’s name and the scheduled operation. Then the nurse anesthetist puts the anesthesia in the patient’s IV. Once the patient is asleep, the CRNA manages his/her airway. To do this they place an endotracheal tube through the patient’s mouth, allowing them to breathe anesthesia gases. Now the operation can begin.
Essential IV information management and application of patient care technology is an essential that I consider most important to my practice. My nursing skill and technology is challenged every day while working. The new technology, change in procedures, and new equipment are essential to working in the Cardiac Catheterization Lab. One must adapt and change daily in order to keep up and stay educated. New physicians join and we must learn their technique styles and equipment needs while still maintaining exceptional patient care.
I introduced myself to the patient stating that I was a student nurse and gained verbal consent to carry on with the assessment, as a student nurse you must respect patients wishes at all times, if t...
This dialyzer is a clear plastic tube which contains thousands of micro fibers that allow the blood to flow through while enabling diffusion to remove the unwanted components of the blood. The majority of dialysis patients use this as their primary method of treatment; however, some patients find the treatment to be harsh and uncomfortable. These patients often look for alternate treatments, such as peritoneal dialysis. The human body has the ability to be modified to allow for dialysis to occur within the peritoneal cavity instead of the extracorporeal method used in hemodialysis. This cavity is located in the abdomen and is accessed via a tube called a peritoneal dialysis (PD) catheter.
...f the clamps on the tubing to allow the IV solution to run freely. Slowly, decrease the flow of the solution to the appropriate rate as ordered by the physician. Using a small gauze pad, wipe away any excess blood or fluid on the surface of the skin. Then, using the pre-torn pieces of tape, secure the catheter hub and the IV tubing to the patient’s skin. Take extra caution not to kink the tubing. Once everything is secured, recheck the IV solution’s flow and then attend to the rest of your patients needs.
One day, this writer happened to see another nurse changing a Peripherally Inserted Central Catheter Line dressing. As a nurse leader, this writer asked the nurse why she is changing the dressing. The caregiver explained dressing changes can prevent infection to the site and there are lot of patients readmitted because of central line infections and subsequent complications. This nurse demonstrated good kn...
For example, both administrative and clinical medical assistants have to practice patient confidentiality, respect, sympathy, courtesy, friendliness, as well as helping out in their community and informing their patients. Medical assistants should also be well aware of a patient’s rights that are established by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) to promote excellent health care services. The patient has many rights, such as the right to medical care- meaning the patient has the right to receive high quality care and treatment but may also deny such treatment, respectful treatment, privacy, confidentiality, identity- a patient has the right to know the name and credibility of their healthcare provider, explanation of care- the patient has the right to be informed of their diagnosis and their treatment, informed consent, and a safe environment. Along with all of this, a medical assistant should have good communication skill, especially if seeking a job as an administrative medical assistant, and be able to work well under stressful situations and with various different people. In other words, a medical assistant needs to have the basics of these characteristics in order to prevail in their work