Come to think of it I do not understand the nursing process at all
I know the nursing process is
1. Assessment
2. Diagnosis
3. Planning
4. implantation
5. Evaluation
Too add more to it it is even harder for me to understand the nursing process when it comes to pharmacology. Are you always suppose to assess your patient before giving a drug. Are you always suppose to have a nursing diagnosis for your patient. You have to plan on what drug you give to your patient which is not even the nurses job to decide what drug the patient needs. I know implantation is when you actually do it and then there is evaluation which did the drug actually work. I work as a nurses aide in a nursing home and when ever I get a resident that asks for Tylenol or ibuprofen I get the nurse and the nurse just gives the drug for them to take. I do not really understand do you only study the nursing process in pharmacology in nursing school or is it a whole different thing once you are working as a nurse.
Another thing, what catheters are nurses allowed to insert. I know they are allowed to insert a peripheral venous catheter (PCV), and urinary catheters. Are they allowed to insert cardiac catheters, arterial catheters, portacath suction catheters, DeLee catheter, epidural catheter, groshong catheter, and picc lines. Are they allowed to do lumbar puncture skills.
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Another thing, what catheters are nurses allowed to insert. I know they are allowed to insert a peripheral venous catheter (PCV), and urinary catheters. Are they allowed to insert cardiac catheters, arterial catheters, portacath suction catheters, DeLee catheter, epidural catheter, groshong catheter, and picc lines. Are they allowed to do lumbar puncture skills.
In school you will learn these things.....I am curious however what a portacath suction catheter is.....
The nursing process in school is teaching you how to think like a nurse....essentially we do use this process every time we do anything. Each time you give a med....why am I giving this med....is this the right med? Is it safe for the patient to give this med? How is it going to affect them?
For example...You have a patient on Lasix/furosimide...a diuretic (water pill)....you go through a check list in your head that become automatic.....Does the patient need this med...why they are taking this med....how is their B/P..what are their electrolytes?
So let say you are giving a patient their daily lasix but their B/P is terribly abnormally low...you know their K+ level is very low as well and they are having abnormal heart rhythms on the monitor...their tongue is very dry, their urine output is very low and seem dehydrated.
What do you do? You would hold the med because giving it might lower their B/P even more, drop the K+ further, and cause more monitor disturbances...so....you call the MD give them a condition report and receive orders for many K+ by IV or mouth...hold the lasix and maybe a small fluid challenge/administration for the B/P and possible dehydration. Then you check for....a higher B/P, increased urine output, less monitor disturbances...do they need more IV's how are they doing....report to MD with update.
sorry a portacath and a suction catheter are two different catheters.
To my knowledge, a suction catheter is something used intermittently but not directly inserted or placed into a patient for an extended period of time.
sorry a portacath and a suction catheter are two different catheters.
Yes, yes they are and you don't really "insert" a suction catheter the way you would, say, a foley. You suction the patient with the catheter and then throw it away. Nurses don't "insert" port-a-caths because these are surgically implanted devices, which are implanted by a surgeon. We do access them with the appropriate huber needle.
kismetRN
73 Posts
really thought and read e/b as "as evidenced by"