(Source: m88, via articulomortis)
Case For Sunscreen of the Day: This man is 69 years old. He drove a truck for 28 years.The premature aging from sun damage to the left side of his face is extensive enough to warrant a feature in the New England Journal of Medicine.
One of the ways to improve patient satisfaction is hourly rounding. Each hour, the nurse should enter the patient’s room and assess for the5 P’s:
- Position - does the patient need to be turned? Are they in the right position for their specific disease process? Can they reach the call button/lights/remote without danger of falling?
- Pain - assess for pain every hour -> quality, radiates anywhere, severity, time
- Potty - does the patient need to go to the restroom? Need to be changed? Do they have a foley? If so is it in the correct position? Kinks? Need to be emptied?
- Possessions - does the patient have the things they are supposed to? Are they in reach? Are cell phones charging in sockets designated for pumps or other equipment?
- Pump - Do the IV bags need to be changes? Lines? Is it charging? Ringing alarms of pumps can be distracting to the patient and the staff.
I just completed my first day of Leadership. Here are some thoughts before I take a bath and get some work done:
- I’m going to do research for an in-service on “soft” bedside shift reports to convince the nursing director whether or not to implement the practice. Look for updates here.
- They want me to work the night shift for my Capstone preceptorship (insert crazy gif here of a woman screaming or passing out with terror)
- I thought nurses were incredibly hard workers, but I was floored today to see how INSANE the job of a nurse manager is—this woman spent all day jumping from meeting to meeting while spending any transit time putting out fires and all the while staying completely calm and poised. I have a lot to learn.
Thoughts? Does your site do warm hand-offs?
Ruptured Blood Vessel
Colour-enhanced image of red blood cells leaking out of a ruptured blood vessel. This is due to a mutation in the ephrin-B2 gene that causes the blood vessels to be more fragile than normal leading to an increased rate of haemorrhaging. The fragility is due to the inadequate coverage of the vessel by smooth muscle cells. This kind of leaky blood vessel is frequently found in tumours and in certain other human diseases.Credit: Anne Weston/LRI/CRUK
(via Wellcome Images)
(via fuckyeahmedicalstuff)
Calcific aortic stenosis: a calcified stenotic tricuspid valve.
Ignaz Semmelweis (July 1, 1818 - August 13, 1865)
An early pioneer of aseptic procedures. When he proposed hand washing to prevent infection in OB procedures he was shunned and ostracized by the medical community. He was commited to an asylum where he later died of septicemia.
I remember being so scared of seeing patients once because I felt like I was only a doctor on paper. I felt like a fraud, thinking, ‘These people do not want my care. What could I do for them?’ But then one day it will all sink in. You will realize that the body is just a giant machine and when something break, it manifests in predictable ways. Once you recognize those patterns, you will feel more comfortable doing what you need to do.— A doctor reassures me about overcoming the anxiety of taking on more responsibility in a patient’s care. (via medicalstate)
(via college23girl)
