LACTATION NURSING PATIENT TEACHING
LACTATION NURSING PATIENT TEACHING
Fundamental Concepts of Nursing Project
The Role of the Nurse
Selected Nursing Role: Emergency Room Nurse Practitioner
Key concepts of this role: Nurses who wish to progress to advanced-practice nursing, who value leadership and autonomy, and who enjoy a challenging and sometimes chaotic work environment are poised to make excellent emergency nurse practitioners. Being able to work well under pressure, make rapid decisions, and work with all members of the health care team are other important attributes.
Advanced practice registered nurses typically do the following:
- Take and record patients’ medical histories and symptoms
- Perform physical exams and observe patients
- Create patient care plans or contribute to existing plans
- Perform and order diagnostic tests
- Operate and monitor medical equipment
- Diagnose various health problems
- Analyze test results or changes in a patient’s condition and alter treatment plans, as needed. LACTATION NURSING PATIENT TEACHING
- Give patients medicines and treatments
- Evaluate a patient’s response to medicines and treatments
- Consult with doctors and other healthcare professionals, as needed
- Counsel and teach patients and their families how to stay healthy or manage their illnesses or injuries
- Conduct research
Duties of this role: serve as primary and specialty care providers, delivering advanced nursing services to patients and their families. They assess patients, determine how to improve or manage a patient’s health, and discuss ways to integrate health promotion strategies into a patient’s life. Nurse practitioners typically care for a certain population of people. For instance, NPs may work in adult and geriatric health, pediatric health, or psychiatric and mental health.
Although the scope of their duties varies by state, many nurse practitioners work independently, prescribe medications, and order laboratory tests. Nurse practitioners consult with physicians and other health professionals when needed.
How to become a part of this Role: A nurse practitioner is an advanced-practice registered nurse. After completing an accredited nursing program, nurses may either hold an associate’s degree in nursing (ADN) or bachelor’s degree in nursing (BSN). Graduates must also pass the NCLEX-RN for licensure as an RN.
To advance to the nurse practitioner role, RNs must complete an accredited master’s degree (MSN) or doctoral degree (DNP) program. The minimum requirement for entry into an advanced-practice nursing program is a BSN, so ADN-educated nurses must explore an RN to BSN program to earn their BSN.
Many graduate programs require nurses to work a few years before enrollment in an advanced-degree program. The rationale is for the RN to build clinical and problem-solving skills before enrollment. However, some programs allow RNs to work concurrently to achieve the same goal. Obtaining clinical experience in acute or critical care is crucial for the emergency nurse practitioner as it prepares them to address a myriad of emergent situations.
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Nurses enrolled in MSN/DNP programs can opt for an emergency nurse practitioner “track” as part of the advanced-degree program, and certification is offered at the time of graduation. Otherwise, certification can be obtained through different educational institutions, such as the American Academy of Nurse Practitioners Certification Board, which offers ENP certification by examination. LACTATION NURSING PATIENT TEACHING
Additional certifications needed may include:
- Basic Life Support (BLS)
- Advanced Cardiac Life Support (ACLS)
- Pediatric Advanced Life Support (PALS)
- Neonatal Advanced Life Support (NALS)
The certified nurse practitioner can, after meeting the specified requirements, apply to the state board for licensure.
Importance of role to the Profession: Emergency nurse practitioners can diagnose and treat patients who present with emergent/acute symptoms, as well as perform procedures. Being nurses, they gather information about a patient not only to include physical symptoms, but psychosocial and environmental information as well. They are also skilled in education and therefore can spend time teaching in a patient and family-centered manner.
Emergency care NPs are also critical in improving access to care.
Emergency nurse practitioners are already beginning to fill the gaps, as non-primary care specialties are expected to experience a deficit
Bibliography
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners,
at https://www.bls.gov/ooh/healthcare/nurse-anesthetists-nurse-midwives-and-nurse-practitioners.htm (visited March 28, 2022).
Writers, R. S. (2022, March 28). Emergency Nurse Practitioner. Retrieved from Registered Nursing: https://www.registerednursing.org/nurse-practitioner/emergency/
Fundamental Concepts of Nursing Project
Intended Audience: patients in need of a permanent implanted pacemaker.
Purpose of the Class: to discuss a procedure that all participants have been advised to have for symptom management and relief.
Set up of Presentation: group discussion with presentation of material by a registered nurse to a group of patients in need of a permanent implanted pacemaker with the assistance of a brochure. LACTATION NURSING PATIENT TEACHING
Objectives (3)
- Indications for pacemaker placement
- What to expect with pacemaker implantation
- Complications of pacemaker placement
Presentation
Presentation style: group with brochure (brochure included)
Procedure: Pacemaker Placement (AICD with Defibrillator)
Definition of procedure: a pacemaker is an electrical device that stimulates the heart with electrical impulses to maintain or restore a normal heartbeat. This impulse is generated by an artificial external device.
Reason for procedure: Most common indications for permanent pacemaker implantation are conditions that affect the electrical conduction of the heart leading to syncope or fainting spells, after the acute phase of a myocardial infarction (MI), after a heart transplant, for patients with congenital heart disease, or to pace the heart to detect and terminate bradycardia or tachycardia.
Preparation for the procedure: Your medical team may recommend various tests to confirm that you’ll benefit from having a pacemaker such as EKG, stress test, echocardiogram, and even a Holter monitor. moving forward after its deemed necessary for pacemaker implantation your medical team will give further instructions on eating, drinking, and even which medications to take and not to take and even a prescribed soap to cleanse the area for pacemaker implantation.
Procedure – what happens: the day of your procedure you will arrive at the facility at the specified time, where you may have to complete forms and signs consent forms to have the procedure done. A nurse will insert an intravenous catheter into a vein for medication administration. The pacemaker insertion site may be cleaned and prepped prior to insertion. You may be given a sedative to help you relax before the procedure. The pacemaker insertion site will be numbed and the electrophysiologist will implant tiny wires, known as electrodes or leads near your collar bone. These electrodes will be guided through the veins to your heart. Once the electrodes have been delivered to the heart, your electrophysiologist will place them inside your heart where they can deliver electrical impulses to the muscles of the upper and or lower heart chambers. The pacemaker’s battery and the circuits that create the electrical impulses (the pulse generator) will be implanted below your skin, not far from your collar bone. And the insertion site closed sometimes with an adhesive glue, and a pressure dressing is applied to prevent hematoma formation. A sling may be applied to the arm.
Recovery/Follow-up: your medical team may want to monitor you overnight following the implantation of the pacemaker, so your electrophysiologists can program your pacemaker to fit your needs and monitor it’s functioning. You may be required to have regular visits until he/she is certain the pacemaker is functioning as it should and your body has adjusted to it. LACTATION NURSING PATIENT TEACHING
Complications: the most common complications to permanent pacemaker implantation are:
Hematoma- a collection of blood under the skin
Lead dislodgement – one of the tiny wires comes a loose from the heart
Infection – insertion site infection
Lead perforation – is rare but can lead to fluid around heart, lung collapse, or even death.
Dysrhythmias – irregular heart beats can occur when the pacemaker does not sense or pick up the internal impulse. Ventricular tachycardia or ventricular fibrillation may occur and can be life threatening.
Safety and comfort measures: for safety reasons you should notify your doctors, dentists and emergency workers that you have a pacemaker and show them your medical device ID card. Your medical team may direct you on how much and how strenuous you can walk, exercise and bathe, you should avoid wearing tight clothing that could irritate the skin around your implant. You should also avoid rubbing your implant or the surrounding chest area. Avoid magnets and strong electrical fields. Your doctor may recommend that you take and record your pulse to gauge your heart rate. Your medical team may advise you on when to contact your medical provider in such as heart rate > 100 beats per minute, or sudden drops in heart rate, irregular heart beats or if you notice a sudden slowing of your heart. Other concerns include difficulty breathing, weight gain with leg and ankle swelling, and feeling faint or having dizzy spells. Your medical team may also recommend that you carry your pacemaker ID card in your wallet or purse. LACTATION NURSING PATIENT TEACHING
Bibliography
Dalia T, Amr BS. Pacemaker Indications. [Updated 2020 Aug 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507823/
Kotsakou, M., Kioumis, I., Lazaridis, G., Pitsiou, G., Lampaki, S., Papaiwannou, A., Karavergou, A., Tsakiridis, K., Katsikogiannis, N., Karapantzos, I., Karapantzou, C., Baka, S., Mpoukovinas, I., Karavasilis, V., Rapti, A., Trakada, G., Zissimopoulos, A., Zarogoulidis, K., & Zarogoulidis, P. (2015). Pacemaker insertion. Annals of translational medicine, 3(3), 42. https://doi.org/10.3978/j.issn.2305-5839.2015.02.06 LACTATION NURSING PATIENT TEACHING
