1. Intro to Health Sciences Chapter 22 Nursing

2. 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!!

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

4. Career Ladder Registered Nurse Licensed Practical Nurse Nursing Assistant

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

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

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

8. 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, 2012151,400 Job Outlook, 2012-2231% (Much faster than average) Employment Change, 2012-2247,600

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

10. 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, 2012-2219% (Faster than average) Employment Change, 2012-22526,800

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

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

13. 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, 2012738,400 Job Outlook, 2012-2225% (Much faster than average) Employment Change, 2012-22182,900

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

15. 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

16. 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, 2012-2221% (Faster than average) Employment Change, 2012-22321,200

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

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

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

20. Skills? Bed making Key terms: Chux – disposable linen

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

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

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

24. Skills? Assisting with the bedpan Key Terms: Supine

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

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

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

28. Review Who supervises the nursing assistant ? RN or LPN

29. Review Educational training for a nursing assistant ? 75 hours

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

31. Review 4 year degree? Bachelors degree

32. Review Bending a joint? flexion

33. Review Permanent shorting of a muscle? contracture

34. Review Palm up? supination

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

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

37. Review What do ROM exercises prevent ? Contractures

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

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

40. Review Disposable linen placed on bed ? chux

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

42. Review vomit ? emesis

43. Review Decubitus ulcer ? Bed sore

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

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

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

47. Review A RN who delivers babies?. Midwife

48. Questions??