Why Do So Many People Want To Be A Nurse?

Is it because of their cute uniforms?

Or because their parents want them to be a Nurse.

Because they love taking care of the sick.
They believe in health Promotion and Disease Prevention.

Or because of Job Security?

Okay because they will get good health insurance and good Benefit Package.

Simply because you want to work in the hospitals.

Is it because they could interact with so many different people.

Or you want to influence change and become different than before.

Or you want to be the agent of change.

Because you want to be knowledgeable about health and Pathophysiology.

Because you want to be Healthcare Professional.

No matter what is your motivation,I encourage you to find your niche and make sure that you LOVE what you are doing.Because Nursing is great but sometimes emotional draining and could be Challenging depending on your areas of specialization.

Nursing Student with cute uniform.


LET US CHECK OUT SOME LAB RESULTS.

Normal Lab Values

Hemoglobin 14-18(varies in some facilities)
Hematocrit 42-52g/dl
WBC 4.5-11.0g/dl
Platelet Count 150-350
Potassium level 3.5-5.5 mEq/L
Sodium level 135-145mmol/L
Chloride 95-1-5mmol/L
Calcium level 8.5-10.5
Phosphorus 2.5-4.5
Magnesium 1.7-2.5MeQ/l
Bun 7-18
Creatinine 0.5-1.2
Glucose level 70-110
Normal Ammonia level 10-20
Vancomycin level 15-20.
There are some slight variations from Hospital to Hospital.



HOSPITAL CODES TO REMEMBER.

CODE BLUE =Cardiac Arrest/Medical Emergency

CODE GRAY =Combative Person.
RRT= Rapid Response Team.
CODE RED =Fire.
CODE PURPLE = Child Abduction.
CODE PINK =Infant Abduction.
CODE WHITE =Medical Emergency Neonatal/Pediatrics.
CODE SILVER =Hostage or Shelter in place-person shooting weapon.
CODE YELLOW= Bomb Threat (Dial required #and Location)
CODE ORANGE = Hazardous Material Spill.





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.

Why I Married A Nurse.

Nurses are health care professionals who are in a position to take care of patients from their physical needs to spiritual,social and down to their emotional needs.

To know a nurse is to love a nurse.Genevieve and Roy Bixler husband and wife team, who are not nurses wrote in 1945 stated, “about the status of nursing and repeated their seven criteria in 1959 included embodiment of knowledge,well defined,well organized,techniques of education,intellectuals,who exalt services above personal gain.Nurses believe in the opportunity of continuous professional growth and economic security”.

Here are my 15 Reasons why you should Marry a Nurse.

Nursing jobs are everywhere .There are hospitals everywhere in the world.If you are a nurse in India,Philippine,Nigeria,Mexico ,you can be a Nurse in CANADA or USA. Nurses have the most flexible shift 7-3:30pm,11am -7pm,3pm,-11:30pm,2pm-1030pm,6am-2:30pm,11pm-7:30pm.

Nurses are born to listen.Do not forget that they listen to their patients.So they are ready and willing to listen to your aches and pain .Nurses can turn lemon into lemonade.They are very good with troubleshooting.

Nutrition: Nurses understand balanced diet and want to provide it to their families.They understand the need for protein,Fat,Carbohydrates ,Vitamins and Minerals.

Health: They understand health screening and following up with their children immunizations.

Nurses are great sex partners. They understand the G spot.But you must understand how to approach your partner.Nurses that marry their follow Nurses live forever together.My former director has been married for over forty years with her husband ,who is also a retired Nurse.

A friend is someone who knows everything about you and still love you.

Ebert Hubbard.

“Love is selfless.It is prepared to sacrifice“.-Sadhu Vaswani.

Parenting:When it comes to parenting ,Nurses are great parents .They acknowledge their roles as their children Role Model.

Smartness: Nurses are critical but not violent and they understand very clearly what make sense and what does not make sense.They are assertive,very loving ,romantic and yet tough.As a Nurse you must learn to be strong and tough in other to be able to deal with critical patients and their families in a very challenging time.

Supportive.They give tender loving care to their patients and they will easily give it to their partner and children.Be there ,acknowledge and ready to receive it. “Who so finds a wife ,finds a good thing and obtain favor of the Lord”-Proverbs 18:22.

Team player: Nurses are team players ,calm and calculating even in a stressful situations.Nurse will get you out of a tough situation.

Compassionate Care: Nurses have seen it all .They have seen the worst case scenarios.They have seen life and death situations.Nurses are compassionate and very kind.
True love cannot be found where it does not exist nor can it be denied where it does.-Torquato Tasso.

Income Stability.:Nurses income are stable .Most Nurses are credit worthy.Nurses are in high demand.Good benefits packages,401k,457 and good retirement package.

No Dull Moment: Nurses have great sense of humor .There is no dull moment with a nurse.A Nurse is a human being that also need to be pampered.

Travelers: Nurses love to travel .They believe that life is too short,so they want to enjoy and see the other side of the world.Visiting important places in the world.Nurses understand life very well.

Catalyst: Nurses are agent of change .They like to work and turn things around for the best.

Obedient: Nurses are very obedient,they comply with the rules and regulations of the hospitals, in order to move the establishment forward.

Health Promotion and Disease Prevention on Drug Abuse.

Drug abuse is a repeated use of alcohol or drug that will slowly begin to take control of your behavior and you may not even realize it, because it is becoming a pattern of behavior.And it interferes with your work,your relationship and your health. Those who decided to tell you the truth are avoided.

Drug and Alcoholism are serious health threat to families,communities and Society in general.It can cripple the society,the finance,resources and the healthcare system throughout the world.Over 35% of hospitalized patients are drug related.The increase in Emergency Room visits are related to drugs.The abuse of drugs and alcohol have lead to homelessness in the society.Some of the drugs in question are Methamphetamine,Heroine,cocaine ,plus prescription drugs etc.

Nurses are in position to identify drug abuse and alcohol abuse patients,and initiate the case manager and social worker involvement in their plan of care.

The Case Manager role involve assessment,plans,implement,coordinate patient care ,monitor and evaluate services that will be beneficial to the patients and their families.This is done by communication and the availability of resources to Support Cost effective and quality outcomes.

Here are some of the Preventive Efforts.

Secondary Prevention

Early identification and treatment of drug abuse.

Certain group of people were targeted.These are Native Americans ,Blacks and Hispanic. But recent research shows that other groups are also involved.

Early detection by screening.

Change of patient behavior and change of environment.

War on Drugs .The war on drug lead some people to be arrested ,convicted and incarcerated for drug related crimes.WWW.prisoner health.org/educational resources

The main focus are health promotion .

Law Enforcement :

Increased age of drinking to 21years.

No drinking and driving.

School Education.Adolescents and teenagers were educated on alcohol and drug prevention.Media Campaign on war on Drug.There are various campaigns against increase in drugs abuse.

Education ,providing support, and None judgemental  behaviors are the keys to eliminate drug dependency in schools and the communities.

Secondary Prevention targets individuals with family history of drug,ethnic background and lifestyles.It also involve health supervision, protection, and treatment.

So many programs were made available such as Drug Rehabilitation,AAA-Alcohol Anonymous, Alanon,Narcotic Anonymous.

Tertiary Prevention focus,monitor and try to take control of existing problem.These groups are categorize in three phase.

Phase 1

Acute phase deals  Initial use or the Experimental use of drugs..Healthcare professionals are involved with their plan of care to eradicate drug abuse.

Phase 11 The group uses Occasionally to becoming Regular users.They are aware that they have problem but cannot stop.Nurses provide and promote interdisciplinary team,collaboration involving Social workers,Case managers,nurses,doctors,group support to prevent relapse.

Phase 111 .These are the compulsive drug abuser phase .From compulsory use to Heavy users .And they go into relapse easily.

Relapse :Identify behaviors that triggers relapse.These individuals need coping strategies, provide emotional supports and encouragement.There is the need to absolutely change these behaviors through treatment regimen,rehabilitation and building social Network support system.

24/7 Drug Abuse Hotlines available.

1-888-924-4974

1877-369-4973

877-659-0561

Most Drug and Alcohol addicts suffer from vitamin deficiency.

So they need some vitamins supplements based on their doctors orders.In USA dietary allowances (RDA) can be acquired from these four groups of food.Protein,Carbohydrate,Fat ,Vitamins and Minerals. Most of us are deficient in multivitamin,vitamin B1,B6,B12 ,d,E and Vitamin C. Talk to your doctor and comply with his/her treatment Regimen.

Happy doctor with drug and patient on bed at clinic


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

 

Provide Emotional Support,Be There.

A Retired 70years Biology Teacher recently came to the hospital

due to fluid in her lungs and abdomen. Parenthesis was done to remove the fluid. The fluid was drained ,pain was controlled and diabetes was properly managed. But the sad news was that the Doctor told her that she has only three months to live. Because the cancer has spread all over her organs.She understood the pathophysiology of the disease process. Her only daughter does not seem to understand ,so she intentionally brought her to the doctor .

She told the doctor that she does not want to be in pain so she demanded for strong pain medications to ease her dead.So that she will not suffer too much. Her husband later walked in.Her husband was space out ,for him it was like a nightmare that has refused to end.But as for the the daughter she was in complete denial.

Daughter: No,no I am not ready for my mother to transition to the other side..I am still single ,I have not got my life together.And I need to get my life together before you do any of these things that she is demanding.

Doctor: Replied to the patient daughter if we do not give her the medication

to relief her pain ,she will suffer.

Daughter: I am not ready doctor I am not ready.

Doctor: You need to Provide Emotional Support and be there for your dying mother.You can still put your life together later.But your mother as my patient has the Right to have Respectful and Compassionate care.Also the Right for complete information about her treatment the way that she will understand and benefit.She has the Right of her Privacy of who should and should not be involved with her care. And the Right to know the nurses,doctors,physical Therapist,case managers,and Social workers involve in her care.

Daughter: Oh, I did not know that.

Doctor : Replied which one of these list that you did not know?

,Daughter : The Right to her privacy of who are invited and who are not invited.


Noncompliant Patient.

Compliance means to be cooperative, willing to follow Treatment Regimen.

Noncompliance means not cooperative, unwilling to follow Treatment Regimen.

The questions that arises is why will someone refuse treatment regimen?Why will someone refuse to cooperate with their plan of care.Why will you reject something that will make you better. Something that will keep you healthy and possibly prolong your life?

Here are Some Reasons:

“No English”.Some people will pretend that they do not understand English to see what the healthcare professional might be saying about them.Which did not make sense but for them it made a lot of sense.We should use the language line to make sure that they understand.

Denial of the problem: Refusal to accept diagnosis but did nothing about it .Some are too proud of themselves that they will not confess that they don’t have the resources. Therefore they rather hope against hope until it is to late.Then BIBA to the Emergency Room.

Importance of Previous Experience:One good experience deserve another. Bad experience is always discouraging.

Lack of Adequate Support System: It is very important to reject “NO”for any unreliable answer. According to WHO about 125,000 people die within a year due to noncompliance.

Other Factors include negative attitude, lack of motivation, cultural and Beliefs System,Educational level, Gender and Marital Status.

Cost of Treatment : Most people cannot afford to pay for treatment, but has no solutions.

Age.This is one of the factors that can affect compliance,because patient is demented and does not comprehend the needs to cooperate. So families or other social support should be involved.

Language barrier.Patient does not understand.It is very difficult for both the patient and healthcare workers when patient does not understand.Language line can help or qualify interpreter.

Belief System.In Africa in those days there was the beliefs that Cancer, Diabetes, hypertension and Aids are “White man’s” disease.This is due to ignorance and lack of understanding.

People were living longer then due to lack of Stress,their means of livelihood was Agriculture, there was no Processed Food,live was simple.Everybody was their brother’s Keeper, caring for each other .

Then came the era of processed Food,Greed,Stress,Dishonesty.The Culture,Norms and Value System of the Ancestors were Relegated to the Background.

So you get what you paid.You want to emulate the Western World.You must have a system that are in place to move the Country forward with modernization. But unfortunately for people in Africa they have No Adequate Healthcare System to take care of their “New attitude”And the current Death Rate is alarming.They have no solutions, the Government are Corrupt through and through.The rich seek Treatment overseas and the Masses die of diseases, hunger,and starvation.

We did a health Fair over in Africa twelve years ago, in which one of the client blood pressure was over 200 Systolic and diastytolic of over 120.She said that she had no money for doctor’s visit,we paid for doctor visit and medications .But she ignored all warnings.Did not take her medications.According to her “high blood pressure did not kill my parents and will not kill me”. She died three weeks later.Some people will just believe what they want to believe which might be detrimental to their live.Did she know what killed her parents since there was no autopsy?

No she did not.

I have hoped against hope that one day,reality will set in and they will realize the truth and that day may be “Now”.

There are people in various parts of the world that don’t understand the disease process and don’t want or believe in it or care.And there are other people who understand and do the right thing.Health Promotion and Disease Prevention.So life expectancy in third world countries are low due poverty,access to health clinics,knowledge deficits, finance, substance abuse,age,belief systems and so many other factors.

Finance.someone people have no means of transportation to the clinics or money to buy the needed medications.

Nutrition.So many patients do not follow the right diet.For example the dialysis patients should avoid the three Ps which are potassium, phosphorus and protein.But they do not because so many of them cannot afford it.

Substance Abuse.Most often patients that abuse drug and alcohol don’t follow doctors orders, so they end up in Emergency Rooms.According to World Health Organizations most of the hospitals and Nursing homes admissions are due to noncompliance.

Nonchalant attitude.Some patients don’t care and they don’t see it as their problem.Rather it is the doctors and hospital problem.”Is their problem not my problem”

Frequent Flyers.The frequent flyers do not pay attention to their health,so they come to the hospital frequently only to go out and continue to do the same thing again,and again.

Homelessness.When you are homeless it becomes difficult if not impossible to take control of your health or your life.

Poverty. Poverty can be a disease.Seek help from all the right places.Do not give up.There is government hospitals, Meals on the Wheels,Public Transportation systems,Homeless Shelter, and various places that you can go to get help.

SOLUTION.

Nurses to Educate Patients.Educating the patients about their disease process ,and how to manage their health is very important. For example a diabetic patient need to have accucheck machine, and all the needed supplies to check their blood sugar.

Patients Education .Educate patients on the importance of compliance.Explain to patients and families the disease process and the need to comply.Because noncompliance can lead to so many problems.

Education,education with case scenarios for those who believe that it cannot happen to them because it can happen to anyone.Educate on Prevention and Health Promotion and also explain the pathophysiology of the body.

Happy doctor with drug and patient on bed at clinic

Involvement patients in their Plan of Care.

Patients should be involved in their plan of care.Encourage them to follow up with their doctors orders.Take medication as prescribed.

Family Involvement.Involve patients families. Educate them on how to take care of their love ones.

Financial support: Refer their to the proper department to help with payment.

Social Work and Case Manager should be involved to follow up with patients and make arrangement to help with supplies of important medications for one to three months supplies.Until patients can find their grounds.