Intro to Health Sciences Chapter 22 Nursing

Nurses Nurses make up the largest group of health care workers Promote optimal health Provide care during illness Focus on physical needs, emotional needs EDUCATION!!

Nurses Good communication skills Ability to get along with others Be without prejudice Problem solving abilities

Career Ladder Registered Nurse Licensed Practical Nurse Nursing Assistant

Career Ladder Registered Nurse: 2 year degree (Associate degree) or 4 year degree (Bachelor Degree) Must pass a licensing exam, NCLEX

Career Ladder Registered Nurse: Supervise the nursing care of patients Work in hospitals, LTCF, Doctor ’ s offices, home health agencies, schools, health departments

Career Ladder Registered Nurse: Advanced degrees in Nurse midwife Nurse Anesthetist Nurse Practitioner

NP, CRNA, CNM Quick Facts: Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners 2012 Median Pay $96,460 per year $46.37 per hour Entry-Level EducationMaster’s degree Work Experience in a Related Occupation None On-the-job TrainingNone Number of Jobs, ,400 Job Outlook, % (Much faster than average) Employment Change, ,600

Career Ladder Registered Nurse: Areas of specialization Pediatrics Emergency care Oncology Orthopedics Mental Health Critical Care OR SO MANY AREAS!

Registered Nurse Quick Facts: Registered Nurses 2012 Median Pay $65,470 per year $31.48 per hour (in Ky, 57K/year) Entry-Level EducationAssociate’s degree Work Experience in a Related Occupation None On-the-job TrainingNone Number of Jobs, 20122,711,500 Job Outlook, % (Faster than average) Employment Change, ,800

Career Ladder Licensed Practical Nurse: LPN or LVN 1-2 year technical program Must pass a licensing exam

Career Ladder Licensed Practical Nurse: Works under the supervision of the physician or RN Limited options in critical care No IV’s

LPN Quick Facts: Licensed Practical and Licensed Vocational Nurses 2012 Median Pay $41,540 per year $19.97 per hour Entry-Level EducationPostsecondary non-degree award Work Experience in a Related Occupation None On-the-job TrainingNone Number of Jobs, ,400 Job Outlook, % (Much faster than average) Employment Change, ,900

Career Ladder Nursing Assistant: 75 hour training program Must pass a competency exam to be placed on registry

Career Ladder Nursing Assistant: Works under the supervision of the RN, LPN. Provides basic care for patient ’ s physical needs -ADL’s-activities of daily living

Nursing Assistant Quick Facts: Nursing Assistants and Orderlies 2012 Median Pay $24,400 per year $11.73 per hour Entry-Level EducationSee How to Become One Work Experience in a Related Occupation None On-the-job TrainingSee How to Become One Number of Jobs, 20121,534,400 Job Outlook, % (Faster than average) Employment Change, ,200

Skills? Hand washing Key terms: Asepsis – practices to prevent the spread of microorganisms

Skills? Bathing Key terms: Bath mitt SR – side rails Perineal area – genital area Complete bath Partial bath – face, hands, peri care

Skills? Bed making Key terms: Occupied Unoccupied Mitered corner SR Decubitus ulcer – bed sore

Skills? Bed making Key terms: Chux – disposable linen

Skills? Measuring I & O Key Terms: cc Catheter F/C Graduate Emesis

Skills? Measuring I & O -24 hour period -recorded each shift or as ordered

Skills? Assisting with meals Key terms: Clear liquids Full liquids Soft Regular

Skills? Assisting with the bedpan Key Terms: Supine

Skills? Range of Motion Key Terms: Flexion Extension Abduction Adduction Pronation Supination Rotation

Skills? Range of Motion Key Terms: Contractures – permanent shortening of a muscle

Review Level of nursing that requires 2 – 4 years of education? RN

Review Who supervises the nursing assistant ? RN or LPN

Review Educational training for a nursing assistant ? 75 hours

Review Intake and output should be approximately equal in what period of time? 24 hours

Review 4 year degree? Bachelors degree

Review Bending a joint? flexion

Review Permanent shorting of a muscle? contracture

Review Palm up? supination

Review Intake would include all the following except A.Water B.Ice cream C.Soup D.Baked chicken

Review Why do we change sheets regularly ? A.To provide comfort B.To prevent the spread of microorganisms C.To prevent decubitus ulcers

Review What do ROM exercises prevent ? Contractures

Review Reasons for measuring intake and output ? Diarrhea, vomiting, (dehydration) fever, weight gain or loss.

Review Complete bath includes ? Oral care, hair care, shaving, backrub, peri care

Review Disposable linen placed on bed ? chux

Review When giving a bath always wash from clean to dirty. TrueFalse

Review vomit ? emesis

Review Decubitus ulcer ? Bed sore

Review To offer at least 100cc of fluids each hour ? Force fluids

Review Which nurse is responsible for administration of IV fluids ? RN

Review What is the most important way to prevent the spread of microorganisms? Hand washing

Review A RN who delivers babies?. Midwife

Questions??