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Nursing 1980

Nursing 1980

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  1. Nursing 1980

    Phone order documentation.

    To make it simple, how do others document dose change in phone order at their facilities?
  2. Nursing 1980

    Phone order documentation.

    Throughout my nursing practice, I noticed many different ways of documenting dose change in phone order. I want to discuss with others about the best way to document dose change. At page 24, National Residential Medication Chart: https://www.safetyandquality.gov.au/sites/default/files/migrated/SAQ123_NursesUserGuide_V6.pdf The phone order contains the following fields: Medicine. Strength. Dose. Route. Frequency. Start date. Stop date. Reason ordered. Additional instructions. Nurse signature 1, Date. Nurse Signature 2, Date. Prescriber name, Prescriber signature, Date. For example, if there is a phone order about dose change from Amoxillian 250 mg to 500 mg (notes: it is only an example), two ways to document are as follows: 1. Medicine: Amoxcillian. Strength: 500 mg tab. Dose: 500 mg. Route: PO. Frequency: TDS. Reason ordered: UTI. Additional instructions: Cease Amoxcillian 250 mg. 2. Medicine: Amoxcillian. Strength: 250 mg tab. Dose: . Route: . Frequency: . Reason ordered: Ceased due to dose change. Medicine: Amoxcillian. Strength: 500 mg tab. Dose: 500 mg. Route: PO. Frequency: TDS. Reason ordered: UTI. In my opinion, the first way is more neat. The second way is more complete. However, which way is more accurate?
  3. Nursing 1980

    Hydrogel and Hydrocolloid.

    I read one user manual of wound dressings via online. Pressure ulcers – prevention and treatment A Coloplast quick guide You can get this manual via online. At P. 19, Treatment of pressure ulcers. Deep Wound/Light Drainage Woun'Dres (Hydrogel) cover with Biatain (Foam Dressing) or Comfeel (Hydrocolloid) At P.22, Autolytic Debridement: Purilon (Hydrogel) COVER WITH Biatain (Foam Dressing) Can Hydrogel be covered with a foam dressing? In my onion, Hydrogel shouldn't be covered with a foam as it can be absorbed by the foam. Also, Hydrogel shouldn't be covered with a Hydrocolloid dressing as the water in Hydrogel can interact with Hydrocolloid and turn into a gel, and further make Hydrocolloid less effective. A good way would be to cover Hydrogel with a film dressing or an absorbent gauze dressing. Are the dressing examples at P. 19 and P. 22 practically appropriate? Wound dressing is a common practice for every nurse. Therefore, I put the questions at this forum.

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