Hey, I’m doing an essay on morphine sulphate and wondered if anyone can help me out, I know that the use of morphine is associated with a high risk of respiratory depression, but if the patient is undergoing oxygen therapy of 2L of oxygen by nasal cannula, would the risk of opioid-induced respiratory depression be […]
Moral and ethical issues affect the provision of healthcare
Hi there.. I have a nursing interview coming up and a question is ‘ What are the current ethical and moral issues affecting the provision of healthcare in the UK’ could anyone help me out with some ideas?
Would be very appreciated!
Anne is a nurse. She has been told that her 18 year old daughter, Mary, has type I DM. Anne is upset and decides she is the best person to educate Mary about her condition. Anne sits Mary down and tells her DM is serious disease but Mary should count her self fortunate because she is a smart girl and learning about diet, activity, insulin and monitoring blood sugar will not be a problem for her. Further since her mother is an nurse this will make things much easier.
What assumptions can you identify?
What facts can you identify?
What are some of the possible ramifications of basing this teaching plan on assumptions rather than upon facts?
#asknursingcrib #nurses #nursing
Steve, a new graduate nurse, has been working on a high acuity med-surg unit for 4 months. Many of the patients have complex and changing needs. He is now required to manage a team of 12-14 patients working with a variety of staff including NAs, LPNs and, sometimes, other RNs. Steve is especially concerned when he works with Jane. Jane is also a new and they graduated from the same school. To Steve, Jane seems disorganized, and frequently does not complete all the care Steve assigns to her. When Steve discussed this with her last week Jane said he expects too much of her and that he assigns her all the most difficult patients. Today when Steve reviews the assignment he notes that he and Jane, plus one aide, are to cover 13 patients, and that many of the patients are “complete” and require much care.
1. What other data should Steve examine?
2. What considerations should Steve use in making the assignments?
3. How can Steve help Jane?
4. What else can/should Steve do?
I am hoping someone can clear up this issue for me! I am finishing up my last semester in an ADN program.
In school we are taught when giving IM injections to aspirate first to check for blood return if it is clear that you can give the injection. Is this true when giving an IM injection in the deltoid? I am feeling confused about this because I did a free flu vaccination clinic and the RN (who is also the school’s LPN instructor) told us that when giving an injection in the deltoid, there is no need to aspirate. The other day I was giving an IM injection and my preceptor told me that you always aspirate with any IM injection, but she couldn’t find a hospital policy on this.
So which way is the correct procedure?
I appreciate any reply on this matter!
Whats the order say?
I have a question…
On the floors or facilities where you work, is there a policy to determine how long after a PO med is given? can a nurse give an IV or IM breakthrough pain med?
I work on a floor where this subject is up for much debate and those who medicate a certain way (either refuse to give an IV or IM med within a certain time or do give an IV or IM med after a certain time) are often criticized by those who do it differently. When asked management always asks “whats the order say?” and the order just says for breakthrough pain and does not specify. These times management states it is up to the nurses discretion, which leads to very confused patients when one nurse will give a med within this time frame and another won’t.
Our floor gives ALOT of narcotics, and pain control is a HUGE part of our care and effects our HCAHPS in a major way. We deal with a growing population of patients who have chronic pain and have had a long history with pain management so this is a very big discussion topic between our nurses who cannot seem to agree.
Any comments would help thanks!
How to avoid administering wrong medications?
Next time you are drawing up an IV or IM medication, always check the vial three times:
1. Check before you open it
2. Check while you are drawing up the medication
3. Check after you have drawn up the drug
You will NEVER pick up the wrong medication this way. Plenty of mistakes are made with wrong medications. So many drugs come in similar looking vials, with same-colored caps, too.
Triple check. It takes no extra time or effort.