Nurse’s notes: Nursing Laws

Some Laws affecting the field of nursing. This one’s on Filipino too since it’s for Filipino NLE takers, haha. (it helps a lot in studying when you’re bilingual)

Disclaimer: You’ll notice some of these are personal as I originally used this guide for my OWN learning :)

3573 - Reporting of Communicable Diseases

3753 -  Vital Health Statistics

Para di malito sa Communicable diseases, tandaan pag vital statistics ng babae, it starts with “37-blah-blah”.

9502 -  Cheaper Medicines Act

9.50 na lang yung gamot. Ammended RA 6675

8504 -  AIDS Prevention and Control

Iniisip ko na lang yung LEVIS pant na 504, hhubarin. haha.

9994 -  Senior Citizen Act

Daming pamahiin ng matatanda sa malas, sa ‘666’

7432 - Older senior citizen’s act. Eto parin daw nakalagay sa mga Fastfood chains.

7600 - Rooming In and Breastfeeding Act

Yung dalawang 00 are boobs for breastfeeding.

10028: Expended breastfeeding act

May 00 ulit na boobs.

7719 - Blood Service Act

Iniisip ko na lang 19 years old ang minimum age mag donate, kahit di naman.haha

9288 - Newborn screening act

Ako kasi pinanganak ‘92 tas ate ako ‘88, haha ayon newborn.

9211 - Anti smoking law

Parang 11 daw yung fingers pag may hawak ng yosi

856

Code of Sanitation (mostly mga 5-6, o mga bumbay, walang sanitation! haha racist.)

996 - Expanded program on Immunization

“Nay Nay, I’m Sick”

499 – National AIDS Awareness Day

Awareness FOUR NayNays.

7610 - Child abuse

76 year old na matanda binugbog yung 10 year old na bata.

7170 - Organ Donation

Pag nag number 7 ka sa parehong kamay, paturo sa organs mo. hahaha k.

9439 - Anti-Hospital Detention Act

8749 - Clean Air act

7 squared = 49. ganyan din kabilis dumami ang dumi sa hangin.hahaha

8976 -Food fortification

Pag binaliktad mo, 9LBS, mag ggain yung bata ng 9lbs sa pagkain.haha

9241: Health Insurance

dahil sa Philhealth CARES, ang insurance ay FOUR ONE person only

651: Register births within 30 days.

Iniisip ko birthday ko May 01, ‘5-1’. haha; tska 6+5+1 = 12, thus use Form 102 (Birth Certificate)

8423: Traditional medicine act

Madaming halamang gamot ay pnprepare with 2 glasses of water and taken for 3 times a day; “2-3”

AO 2009 - 0025: Unang Yakap/ ENC

‘Nalaunch siya nung Dec. 2009„ isipin na lang daw pasko kaya 25. haha

PRC 2004-179: Continuing professional education. 

Para paraan lang yan. hahaha.

Posted on: 29th June 2012 - 23 notesReblog

Nurse’s notes: Colostomate’s food

A Vegetarian Creamy Linguini filled with spinach, cauliflowers, onions, beans, and cheese. Looks good, but it’ll make you fart. lol

For colostomy, Gas forming foods to be avoided include - “CABAG”

C- Cauliflower, Cabbage, Onions (madaming gulay)

A- anghang foods (spicy)

B- Beans, Brocolli A- aRC cola(carbonated drinks), Alcohol, aflatoxin (mga nuts)

G- Gatas, Cheese, dairy

Odor Reducing Foods to be encouraged - “YOur BUTT CRAP”

YO- Yogurt

BUT - Buttermilk

T-Tomato Juice

CRA- Cranberry juice

P- Parsley

Mmmm. Red Mango’s frozen yogurt :S

Posted on: 29th June 2012 - 7 notesReblog

Nurse’s notes: Henry SY

Donor’s blood is screened of the following blood borne diseases. Featuring the owner of SM malls, haha! :)

” si HEnry SY kailangan ng HIMA(Hema)”

HEnry - HEpa B and C

SY - SYphillis

HI - HIV

MA - MAlaria

Posted on: 29th June 2012 - 11 notesReblog

Nurse’s notes: Pee First!

AMNIOCENTESIS: Since a needle is inserted into the abdominal wall, a distended bladder poses a risk of being punctured, causing bleeding and false results of the amniotic fluid.

PARACENTHESIS: May also puncture/cause trauma to the distended bladder.

LEOPOLD’S MANEUVER: Palpation of the distended bladder may cause discomfort in the pregnant woman and may also cause inaccurate results.

ULTRASOUND (TRANSVAGINAL ONLY): Reduce patient’s discomfort and less uterine distortion from a full bladder.

CYSTOSCOPY: Urine in the bladder will hamper visualization, instead, the cystoscope will fill and distend the bladder with a sterile solution to promote better visualization. 

LUMBAR PUNCTURE: Couldn’t find an exact reason but, I think a distended bladder will be very uncomfortable when you’re in Fetal/Chin to Knee/C position, plus you will have to stay flat on bed for 6-8 hours after the procedure.

POST-PARTUM ASSESSMENT: A full bladder will interfere with the accuracy of the assessment by elevating the uterus and displacing to the side of the midline.

BEFORE GIVING PRE-OP MEDS: You will not be allowed to leave the bed after being given pre op meds as some of these are sedating. An empty bladder also prevents contamination during surgery.

BEFORE GIVING ANTI CHOLINERGICS: Side effects of anticholinergics include urinary retention.

Posted on: 24th June 2012 - 11 notesReblog

Nurse’s notes: All about the ex-President.

Knowing how the Board of Nursing likes current events, I’m thinking her case is significant. Haha.

President Gloria Macapagal Arroyo was diagnosed to have Cervical Spondylosis, or Cervical Radiculopathy, otherwise known as “Neck Arthritis”. She was also diagnosed as having Hypoparathyroidism. Check out page 1998 of good ol’ Brunner.

Halo Ring Brace: Read more about care of brace here, and here.

Minerva Brace: Check this out for more info.

Miami J collar:  More info here.

Side note: Don’t forget to focus on Diabetes, all about Chief Justice Corona’s condition. You know how the Board of Nursing likes to keep you up to date on current events. :)

Posted on: 20th June 2012 - 17 notesReblog

Nurse’s Notes: MDG’s 2015

Frequently asked in Community Health Nursing, soo..

1: Poverty and Hunger (number ONE physiologic need)
2: Achieve Primary Universal Education
3: Gender equality and Woman Empowerment (EqualiTHREE)
4&5: Child and Maternal
6: Combat HIV/Aids (MDG ‘Sex’)
7: Environmental Sustainability (think of SEVEN Wonders of the World)
8: Global partnership for Dev’t ( A sideways 8 is two globes that partnered)

Posted on: 13th June 2012 - 8 notesReblog

Nurse’s notes: All about Vaccines

1. Most sensitive to heat: OPV and Anti-Measles Vaccine (Remember the vaccines that start in vowels). They must be stored in the freezer at -15 to -25°C

2. Most sensitive to cold: Hepa B, DPT, BCG, and Tetanus Toxoid. Must be stored in the body of the fridge at at 2-8°C

3. Diluents of Freeze dried vaccines (namely BCG and Anti Measles) should be at the same temperature as the vaccine.

This is to avoid thermal shock to the vaccine. Therefore, store diluents in the body of the refrigerator when planning to reconstitute vaccine in the next 24 hours.

4. FEFO: “First Expiry, First out”. Organize vaccines with the earliest expiration date to the front most part so they will be used first.

5. Check temperature of refrigerator and freezer twice a day; once upon arriving and before leaving the clinic at the end of the day; and record the temperature in the log.

6. Never store vaccines in the refrigerator door since the temperature greatly differs when opening the fridge, also avoid putting food and beverage inside.

7. At least two or three big jugs of water in the body and/or ice packs or ice-filled containers in the freezer can be stored to help maintain the cold temperature in case of power outage.

8. Place a “DO NOT UNPLUG” sign near the electric outlet.

10. Discard BCG and Measles after 4 hours.

11. Discard DPT, Hep B, TT, and OPV after 8 hours.

Although these can be used again in the next immunization (only up to 3 times) if expiry date has not passed, vaccines were stored again in the body of the fridge, and were not taken outdoors (heat /photosensitivity)

Posted on: 8th June 2012 - 16 notesReblog

Nurse’s notes: Disney’s UP!

Featuring CARL and his quadcane; from Disney-Pixar’s UP!

Handle of the cane must be at the level of the greater trochanter or at the level of the wrist crease.

This is to allow for elbow flexion and prevent contractures. (15-20 degree flexion, which is measured by a goniometer.)

To walk when max support is needed, Cane first - then Advance the Ruined Leg, then the strong leg.(CARLs) 

In time as you get stronger, the cane and the ruined/bad leg can both be advanced at the same time.

To properly ascend stairs, it is “UP! with the good, DOWN with the bad”

Going up: Good leg, Cane, then Bad leg.

Going down: Cane, Bad leg, then the Good Leg.

Posted on: 29th May 2012 - 14 notesReblog

Nurse’s notes: BUUUURN!

Rule of Nine’s: to calculate the amount of fluid to be given to the patient who sustained a burn using Body surface Area percentage (BSA)

Note: the percentages in the picture includes the posterior and anterior portion of the body part indicated. 

Head: 9% (Face: 4.5%, Back of head: 4.5%)

Torso: 36% (Chest: 9%, Abdomen: 9%, Whole back: 18%)

Arms: 9% each

Legs: 9% each

Genitals:1%

Example: Bad luck Brian, who weighs 60kg, sustained a burn on his penis.

Using the Parkland formula:

4ml x 1% (only his genitals) x 60kg = 240ml of IV LR

Then give half for the first 8 hours =120ml, then give other half for 16 hours = 120ml.

Posted on: 30th April 2012 - 13 notesReblog

Nurse’s notes: Rh Incompatibility

RhoGAM, which prevents antibody formation by the mother to the baby, is given:

1. If the mother is Rh negative and the baby is  Rh positive (Example is Type B negative blood type) Mother will form antibodies, or soldiers, to fight off the foreign positive Rh blood of the baby.

2. 28 weeks AOG during the pregnancy and 72 hours after delivery (Antibodies formed by the mother during the first pregnancy attacks the second baby on the SECOND pregnancy, and not the first)

3.and Negative Coomb’s test ( Coomb’s test determines if the mother has already formed antibodies. If the test shows positive, then antibodies were already formed and there’s nothing Rhogam can do about it since it only prevents antibody formation.)

Posted on: 19th April 2012 - 13 notesReblog

Nurse’s notes: Amniotic fluid

Amniotic Fluid

• Provides a cushion for the baby.
• Regulates the baby’s temperature.
• Allows for fetal movement = musculoskeletal dev’t.
• Prevents cord compression

Amniotic Fluid index is an ultrasound procedure used to assess the amount of amniotic fluid. (Normal: 12-15cm at 28-40 weeks AOG). NOT Amniocentesis.

Oligohydramnios (too little fluid,  5-6cm): Fetal kidney defect, in where the baby’s kidneys doesn’t produce enough pee, which lessens the amount of amniotic fluid (pee is a component of amniotic fluid). Since the baby’s floating in too little fluid and there’s lesser space to move, there is a risk of compressing the umbilical cord and musculoskeletal problems.

Polyhydramnios (too much amniotic fluid, >24cm): Fetal gastrointestinal abnormalities such as esophageal atresia, facial cleft, and tracheoesophageal fistula hampers the baby’s ability to swallow the amniotic fluid, leaving too much amniotic fluid in the sac (The baby normally swallows 400ml of amniotic fluid daily).

Posted on: 18th April 2012 - 15 notesReblog

Nurse’s Notes: Abortion

Since there’s a thing going on with the Reproductive health bill and the issue with abortion and all that, I’m guessing, or at least hoping this would be a board question. Haha. You know how the board of nursing likes them current stuff.

There are two types of abortion. Spontaneous, meaning naturally occurring, and Induced, meaning done on purpose.

Under spontaneous there are four types.

• Threatened: There is slight vaginal bleeding and there are mild uterine contractions, which basically threatens the pregnancy. BUT, the cervix is closed and not dilated, so there will be no passage of fetus. If not managed with bed rest for 2 days, it may lead to Inevitable Abortion.
• Inevitable: Can’t be prevented. There is profuse vaginal bleeding with severe uterine contractions, which makes passage of fetus imminent, inevitable, and untreatable.
• Missed: Early failure in pregnancy in where the fetus died in utero and remained inside.
• Habitual: Gaining the habit of having abortions. Defined as having over three times consecutive spontaneous abortions.

• Therapeutic: to save the mother’s life.
• Illegal: Elective, based on the mother’s choice, maybe due to unwanted pregnancy, financial concerns, etc. 

Posted on: 17th April 2012 - 18 notesReblog

Nurse’s notes: Airborne Prec!

MY STUPID CHICKEN HEZ TUBERCULOSIS!

An old mnemonic for all the diseases which should be handled with airborne precaution.

MY - Measles (Rubeola)

Stupid - SARS

Chicken - Chicken Pox

Hez - Herpes Zoster (Shingles)

and Tuberculosis.

Negative air pressure with 6 air exchanges per hour. The doors and windows must remain CLOSED.

N95 respirator every time they enter your room.

If the patient’s diagnosis is chicken pox, shingles, or measles, employees and visitors need not wear a respirator if they have had natural disease or have been adequately immunized.

Everyone who enters and exits your room must clean their hands.

Patient wears a surgical mask before transporting outside the room

Posted on: 2nd April 2012 - 6 notesReblog