Melinda Shared "WGU D445: Intermediate Nursing Skills" - 35 Picmonics
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WGU D445: Intermediate Nursing Skills
Blood Transfusion Administration
- Proper Patient Identification
- Large Bore Needle
- Y Tubing
- Baseline Vital Signs
- Slow IV Infusion
- Monitor During First 15 Minutes or 50 mL of Blood
- Monitor for Reactions
- Considerations
- Do Not Add Anything To Same IV Line
- No Dextrose or Lactated Ringers
- Jehovah's Witnesses, No Transfusions
3 mins
Blood Types and Compatibilities
- ABO Compatibility
- No Antigens (Type O Blood)
- Universal Donor
- A Antigen (Type A Blood)
- B Antigen (Type B Blood)
- AB Antigen (Type AB Blood)
- Universal Recipient
- Rhesus (Rh) Compatibility
- Rh (Rhesus) Antigen
- Never Rh+ to Rh-
- Considerations
- Blood Transfusion
- Obstetric Patient
2 mins
Types of Blood Products
- Types
- Whole Blood
- Packed Red Blood Cells
- Fresh Frozen Plasma
- Immunoglobulins
- Clotting Factors
- Albumin
- Platelets
- Considerations
- Use within 24 Hours
- Washing Removes Antibodies
- Irradiation Destroys WBCs
2 mins
IV Solutions
- Hypotonic (< 280 mOsm/L)
- 1/4 Normal Saline (0.225% NaCl)
- 1/2 Normal Saline (0.45% NaCl)
- Isotonic (280-300 mOsm)
- Normal Saline (0.9% NaCl)
- Lactated Ringer's (LR)
- Dextrose 5% in Water (D5W)
- Hypertonic (> 300 mOsm)
- 3% or 5% NaCl
- Dextrose 5% in 0.45% NaCl
- Dextrose 10% in Water (D10W)
3 mins
Transfusion Reactions
- Acute Hemolytic
- Febrile, Non-Hemolytic
- Mild Allergic
- Anaphylactic
- Circulatory Overload
- Sepsis Reaction
- Transfusion-Related Acute Lung Injury (TRALI)
- Massive Blood Transfusion
2 mins
Types of Fractures
- Nondisplaced
- Displaced
- Incomplete
- Complete
- Closed
- Open
- Direction of Fracture Line
2 mins
Hip Fracture
- Assessment
- External Rotation
- Muscle Spasms
- Shortened Leg
- Pain
- Interventions
- Buck's Traction
- Analgesics
- Surgery
- Considerations
- Avascular Necrosis
1 min
Hip Surgery
- Neurovascular Assessment
- No 90 Degree Hip Flexion
- No Adduction
- No Internal Rotation
- Avoid Turning on Affected Side
- Considerations
- Thromboembolism Prevention
2 mins
Nursing Delivery Systems
- TYPES OF DELIVERY SYSTEMS
- Functional Nursing
- Team Nursing
- Primary Nursing
- Total Patient Care
2 mins
Theories of Leadership
- Theories of Leadership
- Great Man
- Charismatic
- Relational
- Shared
- Quantum
- Effective Leader Behaviors and Qualities
- Takes Action
- Inspires
- Guidance and Assistance
- Communicates
- Thinks Critically
2 mins
Leadership Styles
- Theories of Leadership Approaches
- Authoritarian Leadership
- Democratic Leadership
- Laissez-Faire Leadership
- Situational Leadership
- Bureaucratic Leadership
- Transformational Leadership
- Transactional Leadership
- Servant Leadership
3 mins
Unions and Collective Bargaining
- LABOR UNION
- Protect and Advocate for Members
- COLLECTIVE BARGAINING
- Decision-Making Process and Negotiation Between Two Parties
- CONSIDERATIONS
- Strike
1 min
NANDA Structure
- NANDA-I and Nursing Diagnoses
- NANDA-International (NANDA-I)
- Nursing Diagnoses
- Components of a Nursing Diagnoses
- Problem and Definition
- Etiology
- Defining Characteristics
- Risk Factors
- Nursing Diagnoses Domains
- Domains
3 mins
How to Write a NANDA Nursing Diagnosis
- Nursing Diagnosis
- Nursing Diagnosis Components
- Problem Statement
- Etiology
- Defining Characteristics or Risk factors
- 4 Types of Nursing Diagnoses
- Problem-Focused
- Risk
- Health Promotion
- Syndrome
- Steps For Writing a Problem-Focused Diagnosis
- (Problem-Focused Diagnosis) related to________(Related Factors) as evidenced by _____________ (Defining Characteristics).
- Steps For Writing a Risk Diagnosis
- Risk for_____as evidenced by_____(Risk Factors).
3 mins
Interprofessional Team Member Roles
- Roles of Members of the Health Care Team
- Physician
- Advanced Practice Registered Nurse
- Nurse
- Unlicensed Assistive Personnel
- Physical Therapist
- Occupational Therapist
- Respiratory Therapist
- Social Worker
- Pharmacist
- Dietitian
4 mins
Registered Nurse Roles
- Nursing Roles in All Settings
- Caregiver
- Counselor
- Educator/Teacher
- Communicator
- Advocate
- Leader
- Researcher
- Collaborator
2 mins
Reports
- Reporting
- Shared Communication
- ISBAR
- ISBAR
- Identify
- Situation
- Background
- Assessment
- Recommendation
- Types of Reports
- Change-of-Shift/Handoff Reports
- Telephone/Telemedicine Reports
- Transfer and Discharge Reports
2 mins
5 Rights of Delegation
- Right Task
- Right Circumstance
- Right Person
- Right Direction/Communication
- Right Supervision/Evaluation
1 min
Principles of Delegation
- Delegation
- Assigning Responsibility
- Unlicensed Assistive Personnel (UAP)
- Noninvasive Procedures
- Licensed Practical Nurse (LPN)
- Stable Patients with Predictable Outcome
- Dressing Changes
- Catheterization
- Select Med Administration
- Registered Nursing (RN)
- Unstable Patients
- Parenteral Therapy
- Discharge Planning & Health Education
3 mins
Whole Blood Composition
- Characteristics
- Plasma
- Electrolytes And Other Solutes
- Proteins
- Albumin
- Fibrinogen
- Globulins
- Water
- Formed Elements
- Buffy Coat
- White Blood Cells (WBC)
- Platelets
- Red Blood Cells (RBC)
2 mins
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