Nursing - Wikipedia
Does the Florida Board of Nursing maintain of list of approved APRN programs? The Florida . Do all nurses qualify for the designation as a “Psychiatric” nurse?. The NCLEX is a tough test all RNs must take, but if you prepare for it Always assess the patient first, calling the doctor right away isn't usually. Anyone who has actually spent any time around a doctor knows that dating one is Nursing organizations have even taken up arms against nurse-centered.
How do I qualify for multistate licensure? In order to qualify for multistate licensure, any applicant who is internationally educated or from a non-NCSBN jurisdiction will need to complete an English competency exam and have their education evaluated in addition to the other requirements for licensure. Please review the information for applicants educated outside of the United States at: Prior to being made eligible for the exam, any references to the SSN still pending are provided solely for the information of the applicant.
For additional information with regards to the Social Security Number process, you may contact the Social Security Administration at www.
Medication Administration: NCLEX-RN || getfoundlocally.info
If any further problems are found you will be notified in writing of what items may be needed. Do all nurse practitioners need to file protocols? Effective June 23, ,the Board of Nursing is no longer required to receive, review, or maintain Advanced Practice Registered Nurse protocols. The sole statutory authority on protocols is Section Withdraw the needle and cover the site with an alcohol swab. Gently massage the site, except if you are injecting heparin. Discard the needle and syringe in the proper container.
Intramuscular Route Administration The sites for intramuscular medications are the gluteus maximus, the deltoid muscle, the vastus lateralis, the rectus femoris muscle, and the ventrogluteal muscle.
The gluteus maximus muscle and the deltoid muscle are NOT used for infants or young children who are less than 3 years of age. Select the appropriate intramuscular injection site using bony landmarks. Position the client as indicated. Position the needle with the bevel up and insert at a 90 degree angle. Gently massage the site. Z Track Intramuscular Injections Z tract injections are a special type of an intramuscular injection that is used for iron administration, for example, to avoid any staining of the skin as the result of the medication.
This route is also advantageous to insure that the injected medication is completely injected into the muscle and not into the subcutaneous tissue.
Pull the skin over the selected site to the side. Inject the medication into the selected muscle. Do NOT massage the site if a dark solution like iron was administered. Select the largest vein suitable for the medication. Apply a tourniquet, locate the vein, prep the skin and insert the needle at a 30 degree angle with the bevel up. Lower the angle when you are in the vein.
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Check for blood backflow. Remove the tourniquet and slowly inject the medication at the ordered or recommended rate. Withdraw the needle, cover the site with a gauze pad and pressure for 3 minutes.
Place a bandage over the site. The procedure for an IV push bolus with an existing IV line is as follows: Make sure that the medication is compatible with the IV solution and any additives. Close the flow clamp on the IV tubing or pinch the tubing just above the injection port. Prep the injection port with alcohol. Inject the medication slowly over several minutes.
Open the flow clamp and readjust the flow rate to the ordered rate. Hang the secondary IV set piggy back. Clean the injection port on the primary intravenous line with alcohol.
Insert the secondary set needle or needless system into the injection port of the primary IV tubing. Lower the primary IV using an extension hook to run only the piggy back medication.
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This allows the higher piggy back to run until it is finished, after which the primary intravenous will automatically run at the established rate. If you want to run the primary intravenous solution at the same time as the piggy back, keep the primary and the secondary containers at the same height. Remove the secondary set when the medication is completely administered.
Documenting Medications Given Using All Routes Nurses are legally and ethically responsible and accountable for accurate and complete medication administration, observation, and documentation. Some health care facilities use double locked cabinets to secure controlled substances and others use more sophisticated bar coded entry systems to access controlled substances.
When the older model double locked narcotics cabinet is used, the contents are counted and checked by the nurse at the beginning of the shift; this count is then compared to the documented count that was done by the nurse from the prior shift.
If there are any discrepancies, these are immediately addressed, explored and corrected if it was a simple oversight or mathematical error. When the narcotics count cannot be corrected, a report must be filed according to the facility's policies and procedures. At times illegal drug diversion may be the reason for inconsistent narcotics counts.
When a bar coded entry system for narcotics and controlled substances are used, each nurse can access these medications because the nurse's identification is automatically processed and the controlled substances are also automatically processed and recorded. When this automated system is not used, the "narcotic keys" are retained by one nurse and, if another nurse has to administer a controlled substances, this nurse will enter the narcotics cabinet with the nurse who is holding the keys.
All controlled substances are documented on the narcotics record as soon as they are removed, and all controlled substances, like all other medications, are documented on the client's medication record as soon as they are administered. If a controlled substance is wasted for any reason, either in its entirety or only partially, this waste must be witnessed or documented by the wasting nurse and another nurse. Both nurses document this wasting.
Additional professional responsibilities, in terms of medication administration, include the observation and assessment of the patient prior to the administration of a medication and the observation and evaluation of the patient's responses to the medication including the therapeutic effects, any side effects and adverse drug reactions to the medication.
All medications including all prescription medications, vitamins, over the counter medications, herbal remedies, nutritional and dietary supplements, vaccinations, blood derivatives, diagnostic and contrast agents, and radioactive medications are included in the compilation of the list which contains all current medications and treatments.
The procedure for this medication reconciliation process are: Compile a list of current medications Compile a list of newly prescribed medications Compare the two lists and make note of any discrepancies and inconsistencies Employ critical thinking and professional judgments during the comparisons of the two lists Communicate and document the new list of medications to the appropriate healthcare providers Titrating the Dosage of a Medication Based on the Assessment and Ordered Parameters Titration is defined as adjusting the dosage of a medication according to some ordered and specified parameters or criteria.
The most commonly occurring example of a titrated medication is insulin coverage with regular insulin that is based on the client's blood glucose levels. For example, the client's order for regular insulin before a meal may specify that the client take 2 units of regular insulin for blood glucose levels from to Some intravenous medications are also titrated.
For example, an intravenous antihypertensive drug like Hyperstat will be titrated and adjusted according to the client's blood pressure. Refer to your facility's policies and procedures relating to the disposal of unused medications. Clients in the home environment must also be instructed about the proper and safe disposal of unused and expired medications in order to prevent use by others and to protect the environment.
Drug Enforcement Administration DEA periodically hosts National Prescription Drug Take-Back days for the disposal of prescription drugs, some local law enforcement departments may have a local take back program, and some local health care agencies and pharmacies may also take back unwanted medication. When these resources are not available in the community, the home care client should be instructed to contract their local solid waste department to find out how these medications should be discarded.
If a controlled substance is wasted, this waste must be witnessed by and documented by the wasting nurse and another nurse. Controlled substances and narcotics are immediately documented on the narcotic record when they are taken from their secure and double locked cabinet.Calling All Nurses & Nurse Appreciators
This documentation is NOT done after the medication is administered. Narcotics and controlled substances are then documented in the patient's medication record as soon as they are administered. During the change of shift, two nurses perform a complete count of all narcotics and controlled substances.
Enrolled nurses may initiate some oral medication orders with a specific competency now included in national curricula but variable in application by agency. Registered nurses hold a university degree enrolled nurses can progress to registered nurse status and do get credit for previous study Nurse practitioners have started emerging from postgraduate programs and work in private practice.
Mental health nurses must complete further training as advanced mental health practitioners in order to administer client referrals under the Mental Health Act. Enrolled and registered nurses are identified by the department of immigration as an occupational area of need, although registered nurses are always in shorter supply, and this increases in proportion with specialization.
In there were a number of rolling industrial actions around the country, culminating when five thousand Victorian nurses went on strike for eighteen days. The hospitals were able to function by hiring casual staff from each other's striking members, but the increased cost forced a decision in the nurses' favor  European Union[ edit ] In the European Union, the profession of nurse is regulated.
A profession is said to be regulated when access and exercise is subject to the possession of a specific professional qualification. The regulated professions database contains a list of regulated professions for nurse  in the EU member states, EEA countries and Switzerland.
Iran[ edit ] Nursing educational program in Iran is similar to the nursing educational program in other countries from some aspects. Holding secondary school diploma and passing the entrance exam is necessary for the admission in this course. Entrance exam to governmental universities and Azad University is held on separate basis. Duration of associate degree course of operating room and anesthesia is 2 years, bachelor's degree in nursing is 4 years and master's degree in nursing is 2- 2.
In the beginning, nursing educational program was the part of medical educational program. On the basis of this structure, the nurse follows the instruction of physician without any question. Nowadays, nursing educational program in Iran has been progressed and after the year considering the community base care, the nursing educational program also has changed. At present nursing education is held in 43 governmental nursing colleges and 63 nursing colleges of Azad University. Governmental universities' students do not have to pay tuition fee, but in Azad University, which is a private university, the students must pay necessary expenses.
The PhD degree program is held only in governmental universities under the supervision of Ministry of Health and Ministry of Sciences. In bachelor's degree program, nursing students start the clinical work from 2nd term and pass till the completion of 6th term simultaneously with theoretical subjects.
At present nursing educational program in throughout Iran is the same and is compiled under the supervision of Supreme Council of Ministry of Health, Treatment and Medical Education. Nursing students take the theoretical subjects, training and internship courses in various sections of educational hospitals and hospitals that affiliated to universities.
Students' learning, in clinical sections is performed under the direct supervision and guidance of nursing instructors, but in the final year, activities of students mainly performs under the supervision of nursing personnel and alternate supervision of nursing instructors. Students, during the years of study have opportunity to create relation with patients in the various sections especially intensive care units and to achieve experiences.
Students' progress in clinical environments is from simple issues toward harder issues.
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At present practical nursing degree and associate degree Nursing Program has been canceled and Iranian nurses must hold bachelor's degree to work in Iran from accredited universities confirmed by the Ministry of Health.
At present annually persons are graduated in the bachelor's degree program in nursing. Practical Nurse A person who is holding secondary school diploma in nursing and have completed 2 years program in nursing and cooperate in activities of nurses in medical sections under the supervision of nurses.
Nursing Assistant A person who is holding secondary school diploma and passing short term program for the execution of initial cares of patients under the supervision of nurses. Operating Room Technician These persons after obtaining secondary school diploma and passing university's entrance exam and completing 2 years program are in charge of performing professional duties in operation room for preparing patients for surgery and necessary cooperation with surgeons at the time of surgery.
These persons by passing the exam are eligible to continue uncontinuous bachelor's degree course in nursing.