10 Nursing hacks every er nurse should know health and willness gas in back relief

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As you know, personal protection equipment including clean gloves and gowns are absolutely necessary in a hospital environment. For some procedures, clean gloves are “good enough”. However, for high-risk infection procedures, sterile gloves are necessary. electricity cost per kwh south africa Foley catheter insertion is one of those procedures, as catheter-associated infections are very common. While putting in a Foley catheter can become like second-nature rather quickly, there can be some difficulties with the sterile procedure.

For one – those cheap sterile gloves that come with the foley kit are literally a size 5.0. So unless you have baby-hands, I’d recommend grabbing an appropriately sized package of latex-free rubber gloves. You might want to go a half-size above your normal for this method. After grabbing your foley kit and sterile gloves, position the patient and then wash your hands (duh). Afterward, put on a pair of clean gloves FIRST, then proceed to open your kit and apply your sterile gloves, and continue the insertion per normal.

Using this nursing hack, once you insert the foley and blow up the balloon, you can take off your previously sterile gloves which are now likely dripping with Betadine and other unmentionable fluids. Luckily – you still have a pair of gloves on underneath to secure the cath-secure, position the foley bag, and clean up your pile of trash! Once that’s done, slip off the gloves, wash your hands, and you’re done! Easy-peasy-Kegel-Squeezy.

Patients often require multiple boluses, and Lord knows you are almost always sometimes just too busy to switch out bags before the bag runs out and half of the tubing is now air. In this predicament, you could flush out the rest of the line in a trash can, then unspike and re-spike your new bag, and THEN re-prime the line. Or you could get a whole new tubing set and just throw out the old bag/tubing (But tsk tsk $$$). wd gaster cosplay tutorial But what if I told you there was a nursing hack to solve this?

When you go to prime the original bolus, clamp your tubing and spike your bag. Do NOT squeeze fluid into the drip chamber yet. Now, turn the bag upside down. Unclamp the tubing, and “burp” out the excess air at the top of the upside-down bag. power definition physics electricity Once the air is gone and some fluid is forced into the drip chamber, turn the bag right-side up. Now prime the tubing as normal and hook the patient up. You’ve essentially created a vacuum so that the fluid will stop flowing before it empties the drip chamber – ready for your second bolus when you are.

One nursing hack to avoid having to give an IM shot has been used effectively: swapping oral Dexamethasone for the IV solution . IV medications cannot always be used orally, but sometimes they can! IV Dexamethasone has successfully been administered mixed with cherry-syrup, juice, or followed by a popsicle – and children take the medicine MUCH easier ! Don’t forget though, you must run this by the provider before trying it.

While sweat is the main cause of foot odor, the sweat doesn’t actually smell. gas jeans usa Instead, it creates a perfect medium for certain bacteria. These bacterias include Brevibacteria and S. epidermidis (known for their cheese-like smell), as well as propionibacteria (known for its vinegar-like smell). Regardless of which bacteria are causing the odor, they are all highly acidic.

So here’s the hack: If you or one of your patients has particularly powerful foot odor – use an antacid! Lather Maalox or Mylanta on the feet, put surgical booties over top, and you won’t believe how fast it can help! Another option is to scrub the feet with Hibiclens or betadine for antibacterial action. Better yet – do both! Fair warning though, if there’s fungi growing – these methods might not work as well.

Every nurse knows that lidocaine is extremely helpful as a topical anesthetic for suturing and various cutaneous procedures involving a scalpel. But sometimes lidocaine can be used for more than just cuts and abscesses. While not quite a “nursing hack”, these alternative uses of Lidocaine are important to know so you can offer suggestions to the attending when called for.

They have done studies to see if lidocaine gel, nebulized lidocaine, and anesthetic spray have been useful for NG tube insertion. Not too surprisingly, patients who get lidocaine gel or spray administered intranasally/orally had significantly less pain with insertion – but can have a more difficult NG experience. electricity bill cost per unit Additionally, nebulized lidocaine has proven to decrease pain and increase comfort during NG tube insertions, but can increase chances of nosebleeds. Cough

This is also more common, but the provider may order 5-10ml viscous lidocaine to inject into the urethra before a difficult-anticipated foley insertion in males. Luckily, this usually comes pre-packaged in a syringe called a Uro-Jet. This should be injected directly into the urethra a few minutes before attempting the foley insertion. This can help reduce pain and be especially helpful in patients with a small meatus, anatomical abnormalities, and prostate enlargement. Renal Colic

This is more of a no-brainer, but when you accidentally make a mess with blood while putting in an IV, patients appreciate it if you help clean up your mess. Busting out an alcohol swab can easily clean up dried blood on their skin. If alcohol doesn’t do the trick, sometimes using KY jelly lube works even better. Alternatively, you could use hydrogen peroxide. Nausea

In the ER, the nurses frequently experience patients who have not-so-believable “seizures”. electricity outage houston These “fake” seizures are termed pseudoseizures, and the patient might not even know that they are “faking”. Typically when this happens, we bust out an ammonia salt and place it underneath the patient’s nose. This tends to stop their “seizures” pretty much immediately. electricity khan academy But what do you do if you don’t have an ammonia inhalant on hand?

Before going into a C-diff patient’s room, add a mask to your PPE. Break open an alcohol swab and place it inside the mask. This way, the isopropyl alcohol overpowers the C-diff smell and you save your senses – or at least makes it more tolerable. If alcohol swabs are too strong for you, you can try rubbing toothpaste or Vix rub inside a double-layered mask.

As you might remember from chemistry classes, heat acts as a catalyst to speed up the reaction. So the molecules of Zosyn and saline are moving faster and this leads to the Zosyn dissolving more quickly. This can be applied to any reconstitution with saline and powdered medication – just make sure you maintain infection control as protecting the patient from infection is more important than saving a few minutes mixing a med.

Whether you are using a fracture pan or a regular bedpan, line the pan with an adult diaper. electricity storage costs To be extra safe, secure it with tape or rubber bands. You can also use a large pull-up inverted inside-out and secure it over the bedpan. Place the bedpan underneath the patient as normal. This way, any urine or liquid stools are absorbed in the material and do not splash, spill, or cause messes. It also allows for easy cleanup! If you need to collect a urine or liquid stool sample – this method obviously should not be used.