COMUNICARE PROFESIONALA IN LIMBA MODERNA

COMUNICARE PROFESIONALA IN LIMBA MODERNAAdmitting a patientTaking the patients blood pressureGiving a shot

PROCEDURE CHECKLIST

Admitting a Patient to a Nursing UnitCheck () Yes or No

Procedures stepsYesNoComments1. Introduces self to patient and family.2. Assists patient into hospital gown.3. If possible, measures weight while standing on a scale.4. Transfers patient to the bed.5. Checks patients identification band to ensure if information, including allergies, is correct. Verifies this information with the patient or family.6. Measures patients vital signs.7. Explains equipment, including how to use call system and location of personal care items.8. Explains hospital routines, including use of side rails, meal times, etc., and answers patients and familys questions.9. Obtains nursing admission assessment (including healthhistory) and physical assessment.10. Completes inventory of patients belongings.Encourages family to take home valuable items. If that isnot possible, arranges to have valuables placed in thehospital safe.11. Ensures that all admission orders have been completed.12. Initiates care plan or clinical pathway.13. Documents all findings.Recommendation: Pass____________ Needs more practice____

Student:___________________________ Date:__________

Instructor:_________________________ Date:__________

Checking a patients identity (ID) bracelet

II. Match the abbreviations from an identity (ID) bracelet (14) to their meanings (ad).1. DOB a. hospital number2.Hosp. No. b. admission date3. ADM c. doctor4. Dr d. date of birth

Equipment to take patient Observations

III. Match the equipment (15) to the definitions (ae).1. blood pressure cuff a. takes a patients blood pressure2. digital blood pressure monitor b. wraps around a patients arm to take blood pressure3. pulse oximeter c. takes a patients temperature4. scales d. records a patients blood oxygen saturation5. tympanic thermometer e. weigh a patientIV. Match the abbreviations (18) to their meanings (ah).1. T a. oxygen saturation2. P b. observations3. RR c. kilograms4. BP d. pulse5. Wt e. respiratory rate6. O2 SATS f. temperature7. kg g. blood pressure8. Obs. h. weight

V. Look at the following examples of written and spoken abbreviations.Written SpokenT 36.5 1.Temp thirty-six fiveP 78 2. Pulse seventy-eightBP 125/85 3. BP one twenty-five over eighty-fiveRR 18 4. Resps. 1802 SATS 97% 5.Sats ninety-seven percent

Practice reading the following abbreviations:

BP 140/90 f) RR 19P 75 g) BP 120/80RR 16 h) T 37CO2SATS 96% i) P 60T 36C j) O2SATS 99%

Taking the patients blood pressure

What do you say?

Try to answer these questions: -What is normal blood pressure? When is medical intervention necessary?- What is normal body temperature? -What are some things that can cause changes in a patients pulse rate, blood pressure or temperature?-What equipment is necessary for performing these procedures?

Important vocabulary: blood pressure cuffpulse breathtemperature relaxstethoscope placethermometer blood pressure monitorLanguage for procedures:Im going to Im going to take your pulse. Im going to take your blood pressure. Lets .. Lets take your blood pressure.Medical readings:blood pressure: 120(one-twenty) over 80temperature : 98.6 degrees Fahrenheitpulse: 70 beats per minute

Temperature:Fahrenheit Celsius 95 35 959 355 968 36 986 37 995 375 Dialogue :Nurse: Good morning, Ms. Jones. How are you feeling today?Patient: Better, thank you.Nurse: Thats great. Im going to take your pulse, temperature and blood pressure. Is that ok?Patient: Sure.Nurse: First, lets take your temperature and pulse. Please place this thermometer under your tongue. At the same time, Im going to take your pulse. Great ! Your temperature and pulse are normal. Now, lets take your blood pressure.Patient: OkNurse: Take a couple of deep breaths. Im going to place this cuff around your arm. It will be a little tight. Please relax. OK. Your blood pressure is fine. Were all finished. Giving a shot:What do you say as you give are giving the shot?

Questions about injections:

What types of injections are there?

What are some of the most common medications you administer by injection?

What are the most common sites of these injections?

What supplies do you need to have ready before giving an injection?

Types of injection: intramuscular(IM), subcutaneous(subcut.), intradermalIntradermal = (ID) injection is the injection of a small amount of fluid into the dermal layer of the skin for eg. allergy testing

Common medications you administer by injection: an antibiotic (Penicillin), vitamins (B12), influenza vaccines,

Common sites of injection: subcutaneous lower abdomen, the front of the thigh, the upper arm intramuscular- a site on your body that has a large, easily markeable muscle

Supplies: syringe, needle, disinfectant, etc.

Important vocabulary:

Injection hurt dizzyshot administer nauseoussyringe relax scaredneedle tense up stillalcohol rub tinglingmedication swab numbnessinjection site disinfectant immunizationDialogue: Nurse : Good afternoon, Ms. Carter. How are you feeling today?Patient: I feel fine. Im just a little scared.Nurse: Dont worry. Were going to take good care of you. OK now. Im going to give you a shot. Please sit here.Patient: OKNurse: Please show me your arm. Im going to swab your arm with alcohol. This might be a little cold. OK, relax your arm. Be still and dont tense up.Patient: Im sorry. I dont like shots.Nurse: If you feel dizzy or nauseous, let me know. This is going to hurt a little. Do you feel any numbness or tingling ?Patient: No.Nurse: There. All done. Rub here lightly for a few minutes.

When giving orders, there are ways to be more polite:

Would you sit here, please? Could you show me your arm?I need you to relax your arm.Please be still.

For negative requests:

Please dont tense up.Try not to move. Instructional videos1. Taking a patients blood pressure: http://www.youtube.com/watch?v=S648xZDK7b02. Giving a shot or injection:http://www.youtube.com/watch?v=jdboI3SKgR0