Archive for the ‘Nurse’ Category

As I am hanging around on my late twenties, a friend asked me if I am already on my way to financial freedom as she knows I am busy working for my two- bedroom house.



Reporting a Patient

Posted: April 12, 2019 in Nurse
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Nurses are responsible to render a report of their patient. We are usually asked for patient’s basic details, diagnosis, plan of care done and what to be done. We give detailed report during end- of- shift endorsement or when asked by physicians and head nurses.

Reporting usually happened in the ward. A nurse from the Emergency Department (ED) or Out- Patient Department (OPD) will give the patient’s details, diagnosis and plan of care along with other confidential details to receiving nurse in the ward or intensive care unit. If the patient if for surgery or have a planned procedure in the operating theater (OT) , the ward nurse will render his/ her patient report to the OT nurse. Post- Anesthesia Care Unit (PACU) nurse will also get a report from OT nurse after surgery is done to the patient, which is essential for care during recovery of patient. The ward nurse will receive post- operative report which contains new orders of medication and plan of care from PACU Nurse after the patient has regained consciousness from anesthesia.

How should an end- of- shift be done properly by a nurse?

Every year, we anticipate new things to come. We are interested in upcoming events of the following year. And as nurses, we are lured to information concerning new discoveries in health care, new staffing trends, and changes in recruitment of nurses globally.

So before 2018 ends, it is my joy to share some nursing trends you should watch out next year.

Staffing Problems

Hospitals and other healthcare institutions will suffer from nurse staffing problems as lesser numbers of nursing students graduates per year and as more skilled nurses move towards bigger institutions. Shortage of nurse will continue to grow as the need for qualified and skilled nurses increases.

Higher Education Is Priority

Bachelor’s Degree in Nursing (BSN) will be the standard requirement in the coming year. With this, nurses will make a difference in recruitment process as BSN reflects higher status and top- bill skill sets. Salary or pay for nurses with BSN will be higher than other nursing professionals.

Bilingual Nurses

Patients who ask answers when they are sick greatly appreciates nurses who can speak native language. They feel at ease with a nurse who can converse with them in their own language. A bilingual nurse will be in top demand as she helps in lessening fears and a great team member in planning treatment of the patient.

Technology Usage

Technology and healthcare industry work together every year to provide efficient and quality care to patients. Nurses may look forward for new documentation app or software, and/or appointment- setting software. New device or instruments for perioperative nurses, and a triage software for emergency department nurses may be produce in the coming year. It is up to each nurse to learn new tools, device, and software to manipulate as long as it gives quality and safe care to patients.

These nursing trends are just assumptions to motivate nurses in implementing quality care and thereby improving lives.

In lieue with our CME course entitled Principles of Emergency Care, I wish to share to you principles of emergency nursing.Emergency nursing is one of the toughest areas a nurse may face or dwell. It is a department that requires your accurate and quick assessment and intervention. Most of the times, emergency nursing accelerates your adrenaline as different varieties of medical and surgical cases come.To ease the worries of nurses in our emergency department, we’re guided by a number of principles. According to are the following.Manage problem or injury with greatest threat to life.A nurse should help ER physician in the assessment and intervention of the most priority problem of the patient. It is essential to manage life threatening problems of the patient first. If the patient complains of chest pain, the nurse should give prescribed oxygen and make an IV line first before doing ECG or Chest X- ray.Treat patients even without detailed history.In the emergency department, manage first the patient before getting medical history. ER nurses take patient information while doing the intervention. Important details such as name, age, past medical history of patient, should be taken even while inserting IV cannula or giving oxygen.Do not wait for final diagnosis to intervene.It is a must to wait for doctors to give us orders on how to treat a patient. But do not wait for ER physician’s final diagnosis when managing an ER patient. ER physicians do not usually have a final diagnosis after they assess a patient. Final diagnosis of a patient, who first came in the ER, is given during admission in the ward or after surgery.These are three principles of emergency nursing care. For more principles, kindly visit

Intracranial pressure (ICP) is vital to nurses especially when caring for patient with maxillofacial trauma. It alerts the nurse of impending serious complication and to quickly manage and lower it to minimize occurence of complications and eventually help return patient to normal status. So I am sharing to you a photo as a summary for managing increased ICP.

Increased Intracranial Pressure

Managing Zygomaticomaxillary Fracture

Posted: October 19, 2018 in Nurse

A call from our intensive care unit (ICU) prompted us to manipulate properly the remaining four hours of our shift. We had a facial fracture.


Cellulitis of the Face

More than five patients came in to our department with facial swelling. They were diagnosed to have cellulitis of the face.

And that should I share with you all.