INFORMED CONSENT

https://studylib.net/doc/7441391/parent-consent-for-formal-evaluation-proposal

Informed means educated, provide knowledge,schooled, discussed.

Consent means approved, agreed, accepted the information given, given permission for the procedure to be perform.

Informed consent can be defined as the permission given by a patient to the doctor for treatment with the full knowledge of understanding of the benefits and possible risk.

The patient have learned and discussed the benefits and risk involved.

The Medical or surgery procedures must be clearly written and there should be no abbreviation.

The name or names of the doctor (s) and associates well written.

The consent will be signed by a mentally capable adult patient,alert and oriented ×4.If patient is a child a designated adult who has the legal authority will sign.

If a patient cannot sign and the family cannot come to the hospital consent can be signed over the phone with two Registered Nurses.

Please read up on the process of obtaining consent if patient cannot sign. Every facility has their policy and procedures.

So please comply with your hospital policy and procedures.

The Nurse will withness the consent and it will be dated and signed.

Blood transfusion form is usually part of the surgical consent form in case you will need blood.

Since you have agreed to the surgery ,pre operative teaching will begin, this include that you should remove jewelry, remove your dentures, denture cup will be given, no prosthesis.Do not wear anything except the hospital gown,you will be given a special bath (CHG bath) to make sure that you are clean and no contamination before surgery.You will be taught on how to use incentive Spirometer,and also how to do deep breathing because you will need to do deep breath after surgery and use incentive Spirometer 10×1hour, while you are wide awake.(Ten times every hour while awake)Please my dear patient make sure that you use it,because you need to expand your lungs after surgery.This will prevent you from developing pneumonia.

The Nurse will get the preop checklists ready,your chart ready and the ticket to ride ready.Your vital signs taken before going to surgery and after you returned to your unit.

And you the patient will relax,smell good,feel good and ready to put the surgery behind you.

When I hard my surgery(Myomectomy) in June 2nd 2001,I just looked forward to the end of my pain and my misery.

And since then the pain was gone and no more bleeding.

Thank you Doctor Thomas Lee and thank God.And also thank you Doctor Charles Ho that introduced me to doctor Lee.

I am sure that you have all retired by now.God bless you all.

BLOOD TRANSFUSION PROCESS.

Blood transfusion is the procedure in which you receive blood through

intravenous iv line.Blood transfusion is usually safe but there some risk ,

which are clearly explained below.But why do we need blood?

WWW.nhlbi.gov/health-topics/blood-transfusion

You might need blood due to the following reasons:

  1. Lost of blood during surgery
  2. Serious injuries such as accidents,stab wound.
  3. Fibriod.
  4. Cancer.
  5. Lost of blood during child birth.
  6. Low hemoglobin due to GI bleed.
  7. Other factors such as unknown etiology.

Determine if the patient need blood based on his H/H

What is the Hospital policy on blood transfusion.

Find out if patient knows the reason for transfusion.

Ask patient if he/she has transfusion reaction in the past.

Check for signed informed consent form.

Did your doctor talk to you about getting blood transfusion today?

Explain procedures to the patient.

Check iv site,you need preferable 18guage or 20guage due to

the viscosity of blood.I will not encourage 22guage.

Ask your patient to report chills,rashes or unusual symptoms.

Wash your hands and put on clean gloves.

Use at least two identifier whenever you are giving

blood/blood products.

Hang 0.9ns(Normal Saline)preferable 250ml bag with

blood administration set to initiate iv infusion and

follow administration of blood .

DO NOT USE DEXTROSE BECAUSE IT MAY LEAD

TO CLUMPING OF RED BLOOD CELLS AND HEMOLYSIS.

Obtain blood from the BLOOD BANK according to your hospital policy

when you are ready.Do not keep blood in patients or Nurses fridgerator.

Need another Nurse for verifications.

Check For:

Name Identification.Is this the patient’s name?

Does it match?

Blood product and type.

(The ABO group and RH are the same)

Check for expiration date.

Inspect blood for CLOTS.

Take vital signs before beginning transfusion.

Start infusion of the blood product slowly.

Prime in line filter with blood after priming with 0.9NS.

Start adminstration slowly 2-4ml/minute for the first 15minutes.

Check vital sign Q5minutes for the first 15minutes,

just to make sure that your patient is tolerating transfusion well.

Observe patient/client for:

Flushing,dyspnea,itching,hives or rash.

Maintain the prescribed flow rate as ordered by the doctor.

Assess infusion frequently, if you observe reaction.

Stop transfusion immediately and notify the doctor and the blood bank.

When transfuion is complete infuse 0.9normal saline.

Record adminstration of blood and patient reaction as ordered and

by hospital policy.

Return blood tranfusion bag to blood bank according to your agency policy.

Or discard in the RED Container per your agency policy.

It is very important to comply with your Agency policy.

SPECIAL CONSIDERATION.

Electronic infusion devices may be used to maintain prescribed

rate but must be spcifically designed for use with Blood Transfusion.


MEDICATION ADMINISTRATION TIME AND MEANING.

It is very important to know the eight rights of medication administration.

When administrating medications to your patient.The number one rule

is to use two patient identifiers.It should NOT be the patient room number.

Rather use patient ID,his date of birth and medical record number.

Before giving medications you should know the eight rights

of medications the abbreviations and its meaning.

1.Right Medication: Is this the right medications?

2. Right Patient.: Is this the right patient

3. Right Dose: Is this the correct dose that the doctor ordered.

4. The Route.: What route? Is it by mouth,sub Q ,intravenous,

or intramuscular.

5. Right Time: What time is he suppose to get the medication

9am,12noon 1700?

6. Right Reason: What is the reason or the rational for giving this medication?

7. Right Education : Have I educated my patient on the side effects of the medications?

8.Right Document: Have I documented that I gave this medication?

AC=BEFORE MEAL.

PC=AFTER MEALS

QD=EVERY DAY,DAILY.

BID =TWICE A DAY.

TID =THREE TIMES A DAY.

QID =FOUR TIMES A DAY.

HS =BEDTIME,SLEEP TIME.

STAT =IMMEDIATELY.

QHR=EVERY HOUR.

QHS =EVERY NIGHT.

QOD=EVERY OTHER DAY.

PRN=AS NEEDED.

Take actions to prevent medication errors by identifying the LOOK ALIKE,and SOUND ALIKE medications.It is very important to label medications,syringes,medication bottles,and cups in ICU,Medical/Surgical,Med telemetry ,Operating rooms , Emergency Rooms

and all the departments that administer medications.

Medications should be reconciled across the the continuum of care without exception.

A list of patient medications should be communicated to the next next nurse.
To be a Nurse is to know colace.
Have you met colace?
Have you met mr Lovenox?
Have you met mr Norvasc?
What about warfarin
Heparin,Zosyn,Vancomycin?
To be a Nurse is to know them.
To be a Nurse is to deliver compassionate care.
To be a Nurse is to know the eight Rights of Medication administration.
To be a Nurse is to know
patients Rights.
To be a Nurse is to understand medication safety.
To be a Nurse is to be friendly.
To be a Nurse is to have sense of humor.
To be a Nurse is to be blessed. .
To be a Nurse is to be happy.
To be a Nurse is to show nobility.
To be a Nurse is to show gratitude.
To be a Nurse is to be kind,assertive but loving.
To be a Nurse is to have pen,stethoscope and pencils.
To be a Nurse is to understand rules,protocols, and Regulations.
To be a Nurse is to have job security.

JOURNEY. (POEM BY PHILOMENA N. OKEKE)

Journey how are thee?.

Across the seas and the
oceans.

Hello journey how are thee.

One hundred and forty individuals in the air.

  Flying the high flying object.

Traveled across the world .
We prayed our Father who
art in heaven several times.
Some of us remember God when we think that we are in danger.
The flight crew were very nice.
Fasten your seat belt they announced.
And your electronic device in Airplane mode was also announced.

The flight crew eager to serve  supper.

It was not the last supper.

Unleavened bread not present.

But wine was present.

Tea ,coffee ,juice, water were present.

There were no apostles.

Continue reading “JOURNEY. (POEM BY PHILOMENA N. OKEKE)”

PRAYER OF A LITTLE GIRL TO GOD.(Poem by Philomena Okeke)

God I love you .

I hope that you are listening.

Thanks for making me pretty.

Everything I got came from you.

My mom said that it came from her.

But how truth is that?

I love my mom.

And I love my dad.

My dad and mom love you.

Because they make me pray to you everyday.

God I am afraid of Mathematics.

Can you make me get an “A”.

God you are great and powerful.

Spider man thought that he is powerful.

Not even close to you.

He is not as strong as you.

If you give me A mom and dad,

will be very happy.

And I will be happy.

I pray to you in Jesus Name,AMEN.


PREPARATION FOR SCHOOL(Poem by Philomena N. Okeke)

As I woke up in the morning..

Said my prayer in the morning.

I make my place of sleep called BED.

I wash my face and brush my teeth.

I ate my cereal ,eggs,and some vegetables.

I do not like hot my meals and vegetables.

But mom insisted .

I do not like it when she insist.

She is my mom .

I love my mom.

I clean the dishes and the kitchen.

I am the only child.

They should demand less.

They refused to demand less.

I became comfortable with it.

I go to school focused.

I got to remain focused.

Mom want me to remember what I learned.

I am ready to share what I learned.

Am I a good student?

I want to be a doctor when I grow up.

SCHOOL.(Poem by Philomena N Okeke)

School you cannot intimidate me.

I am not afraid of you.

What do you think you got?

Mathematics,English and Science?

Well, I am way ahead of you.

In fact I am superlative and proudly ready.

I shall not be afraid of the bullies.

I must focus and mind my work.

Listening and behaving myself.

I shall not be rude or be a bully.

I will not be overwhelmed.

I will comfort myself when needed.

I promise to be grateful .

I shall not be ungrateful.

I shall control myself.

Should not fight control .

Even if control tries to control me.

I will always be me that is myself.

PRAYER OF A LITTLE GIRL TO GOD.(Poem by Philomena Okeke)

http://God I love you .

I hope that you are listening.

Thanks for making me pretty.

Everything I got came from you.

My mom said that it came from her.

But how truth is that?

I love my mom.

And I love my dad.

My dad and mom love you.

Because they make me pray to you everyday.

God I am afraid of Mathematics.

Can you make me get an “A”.

God you are great and powerful.

Spider man thought that he is powerful.

Not even close to you.

He is not as strong as you.

If you give me A mom and dad,

will be very happy.

And I will be happy.

I pray to you in Jesus Name,AMEN.