My Honor As A Nurse.

On my honor as a Registered Nurse.


I will provide compassionate excellent Nursing care.

I will do my best now and tomorrow.
Be a good leader,not a follower.
I must Move Nursing Agenda Forward.
I must do my Best all the time.
I promise to update and obtain required CE every two years.
Advance my knowledge,education,and experiences.
I will be Knowledgeable not Knowledge Deficit.
Team player,work effectively with my colleagues and other ancillary.
Clock or sign in on time.
Clock or Sign out on time. Have all my equipment such as Stethoscope,Pen and Pencils.
I must Reason,and be Reasonable.
Perform my assigned role effectively and efficiently. Follow Hospital policies and Regulations.
Comply with JCAHO Standards of Care and Regulations.
Carry out Doctors Orders on Time.
Troubleshoot and be Supportive of my Colleagues. Know and Understand Patient Bill of Rights.
Respect Patient and Families. “The very First Requirements in a Hospital is that, it should do the sick no harm “Florence Nightingale .
Give medications by mouth and intravenously as ordered. Advocate for my Patients.
And provide TLC.
Must not Abuse Patients Physically, Emotionally or Sexually.
Promote Health and Prevent Diseases.
“I attribute my Success to this -I never gave or took any excuse”- Florence Nightingale .
Nursing Assessment.

Health Promotion,and Prevent Diseases.

Health Promotion: Is the believe or assumption that people will maintain their health by participating in certain type of life style changes that will prevent stroke,heart disease ,lung cancer,chronic pain,diabetes.And there are services that will help people  to maintain healthy life no matter their social economic or their geographical location in the world.

Below are Health Promotion Behaviors.(Voluntary behavior)

No smoking (If you can do not smoke)

Good Nutrition: Eat moderately.

Maintain idea body weight.

If you are pregnant attend prenatal classes and follow doctor’s

orders.

Sleep atleast seven hours a night.

Eat your breakfast (Most important meal of the day)

Do not live a sedentary life style.

Moderate Exercise. Little exercise a day will not kill you rather it will make you stronger.

Education :Get information about your health .

Communicate and learn from others and healthcare providers about

health promotion and disease prevention.

Drink moderate alcohol or wine

.Be happy because good mental health is good for the overall health.

Disease Prevention

This is to reduce the development of chronic diseases.Disease prevention is the action taken by individuals to avoid the display of disease.These actions

are taken to improve health by changes of social and economic determinant on health.By provision of information on people behavior,consultations and resources made available will help the prevention of chronic diseases.That is the prevention of acute,chronic and castastropic conditions.We must do the right thing to maintain our health.

For Examples.

Immunizations

Proper diet.

Adequate Exercise.

Doctor visit for early detection of

high blood pressure,

High blood Glucose.

Fever of Unknown origin.

Cancer.

What is the Role of Nurses in Health Promotion.

The Nurse should encourage patients to make informed decision.

Education: The Nurse should educate the patients on how to promote their health and prevent diseases.Inform patients of two groups of illness.Acute and Chronic illness.Acute illness is a rapid onset of self limiting but patient can receive specific treatment and return to their original state.Whereas Chronic illness is referred to as permanent disease.That is the deviation from normal to sickness state.It is an irreversible illness for example Cancer,heart disease,diabetes,and Chronic pain.

Florence Nightingale 1859 “Nursing ought to signify the proper use of fresh air,light,warmth,cleanliness,quiet,and the proper selection and administration of Diet ,all at the least expense of vital power to the patient.

And what nursing has to do  is put patient in the best condition for Nature to act upon him.”.

Nurses should educate patients to:

Take their Medications

Follow up appointment as scheduled.

Eat Right

Avoid Stress.

No Smoking.

Happy doctor with drug and patient on bed at clinic
Happy doctor with drug and patient on bed at clinic

 

I Finally Scheduled My Annual Physical.

What do I ask my doctor?

Assessment:Let the doctor do your physical assessment from your head to your toes.

Eyes sight examine

Check your vision(Known as eye Exam)

Check your hearing.

Check your mouth.

Vital Signs :The Nurse will check your blood Pressure.If you have

heart problems Cardiologist consult will be ordered.If you have kidney disease Urologist consult will be ordered.

Blood draw,pap smear .Referral for mammogram given if you are of age

or family history of cancer.

Happy doctor with drug and patient on bed at clinic

Weight loss: Inform the doctor of unintentional weight loss. Unintentional weight loss could be very serious and sometimes deadly.Speak up.

Possible chest Xray based on why you are there.

Medical, Social history and Surgical history should be provided to the Doctor and Nurses.Heath history and family history should be provided to

your Doctor so that they can take good care of you.

Vaccine : When was the last time that you have your flu and pneumonia vaccine?
Homelessness: Where do you live? Your living condition must be provided too.

If your condition is serious you might be referred for admission into the hospital for observation and treatment.

Be your own Advocate.

DIFFICULT PATIENT.

The Doctor and His Patient.

Doctor M.X walked into patient room ,introduced himself to the patient as his doctor.

He told the patient that he want to assess him and change his wound dressing.The patient replied no you are not.

Fuck out, get out of this room right now.

The doctor tried to explain again what he wanted to do .The patient said ,”get your ugly face out of my room now.Go, I said leave.

Doctor :” You do not want me to check you and see how you are doing?

Patient : No I said fuck out,get out of my room.This is my domain.And if you insist I will file assault charges against you.

Doctor : Okay thank you very much.

Patient : Yes fuck out ,go and eat shit and die,ugly bitch.

Doctor : Walked away quietly and documented his experience.


PATIENT EDUCATION.

Nurse and Patient Husband.

Foley catheter was inserted in a fifty years old female due to urinary retention based on the Emergency Room doctor’s order.Patient was having difficulty to urinate,all effort for her to urinate before placing the Foley catheter in her was impossible. Bladder scan was done and it showed that she had over one thousand, three hundred urine in her bladder.

Upon insertion of the Foley catheter, one thousand of amber colored urine was drained out.Patient said that she felt better.Then came patient husband,

he pushed the call light and the nurse walked into the room.”My wife does not need that thing inside her private part.I felt insulted and violated that you put that thing inside my wife without consulting me.”(Husband)

Nurse : Sir I understand that you do not want the Foley catheter.

But why do you feel insulted?

Husband : Kept quiet for few minutes and replied because she does not need the tube inside of her.

Nurse : You feel that her private part is your territory.

Husband : Exactly,nobody has the right to put that thing in my wife. Not even President Bush can tell me what to do with my wife.

Nurse : Mr C.S you wife is not able to urinate.

Husband : I do not like it when you guys act like you know everything.My wife can make urine.And she has been making urine for a long ,long time.

How can you say that because I brought her to the hospital. And because I wanted the doctor to change her blood pressure medication and pain medications. Now she cannot produce urine. Who the hell are you? Are you God?

Nurse : We are not God ,the doctor ordered some test on her to see what is going on with her.And she will be admitted to the Med/Surgical floor to monitor her ,give her some fluid, antibiotics and run more test.We will make her comfortable.

Husband : Okay I still need that thing out right away.Now.

Nurse : Okay sir, I will let the doctor know. Can I get you something to drink?

Husband : No I will be leaving soon. We live two hours away from the hospital.Thanks Nurse you know what you are doing.Nurses are great people.I will call you when I get home.What is your name?

Nurse : My name is Jenny.



PATIENT EDUCATION

Nurse and Patient Daughter:

Patient daughter called the Nurse to the room because her mother wanted to urinate(void)The doctor has ordered to ambulate patient three times a day(TID) So when the patient called that she wanted to urinate.The Nurse was happy because it is a great opportunity to start the ambulation.

So when the nurse came in ,she said that she will take the patient to the restroom.But Patient Daughter said,” I prefer her to use the bedpan instead of walking her to the restroom.

The Nurse explained that the Doctor wanted the patient to walk three times a day.The daughter was furious “,You nurses are so lazy and do not want to do a shit.I do not care what the doctor said.The nurse went further to explain that walking your mother is actually good for her,it will increase circulation,and make her recovery faster.Also will help to prevent DVT (Deep Vein Thrombosis)

The Nurse decided to do patient/family education .

Patient Daughter: I am not interested in any of that ,call the doctor.

Nurse : Called the doctor and over the phone the Doctor explained the need for patient to ambulation three times a day.

Patient : Apologized to the Nurse.

Patient Daughter : Whispered to the patient,” I do not like her”.