Sharmin Joyce Morales

Elder Care Provider

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Elder Care Provider

? Assess patients to identify appropriate nursing interventions. ? Measure the height with the use of stadiometer, steel ruler or tape measure placed against a wall and asking the patient to stand erect, and the weight with the use of weighing scale accurately. ? Take and record the patients vital signs that is routinely monitored by medical professional and healthcare providers such as: ? Body temperature which varies depending on gender, recent activity, food and fluid consumption, time of the day, and, in women, the stage of menstrual cycle, and, can be taken in different ways with the use of thermometer (orally, rectally, axillary, by ear or by skin); ? Pulse rate measures the heart rate or the number of times the beats per minute (stethoscope), heart rhythm (stethoscope) and strength of the pulse which can be found on the side of the neck, on the inside of the elbow or at the wrist the use of first and second fingertips by pressing the pulse firmly and gently. ? Respiration Rate is the number of breaths a patient takes per minute by counting how many times the chest rises and also note whether a person has difficulty breathing because it may increase with fever, illness, and with other medical condition. ? Blood pressure, measured with a blood pressure cuff and stethoscope by a nurse or other healthcare provider, is the force of the blood pushing against the artery wall because high blood pressure or hypertension directly increases the risk of coronary heart disease (heart attack) and stroke (brain attack). ? Monitor patients vital signs, physical appearance and level of consciousness with the use of Glasgow coma scale to determine patients sensorium, and document to chart the important conditions as well as the reactions to the treatment provided, and others. ? Notify the physician and head nurse for any abnormalities observed for further evaluation. ? Perform nursing activities such as bathing and oral hygiene. ? Assist patient in moving,transporting, maintaining proper alignment of patients body and utilizing good body mechanics. ? Ensure patients safety by side rails up and not leaving patient alone. ? Change wound dressings by cleaning with cotton balls soaked to povidone-iodine and applying a sterile pad applied to a wound to promote healing and prevent from further harm. ? Bathes, dresses and undresses patients. ? Drapes patients for examination, procedures and treatment, and remains with the patients, performing such duties as holding instruments. ? Feeds patients that needs help. ? Turns and re-positions patients alone or with assistance to prevent bedsores. ? Change bed linens, run errands, direct visitors, and answers telephone. ? Dusting and cleaning patients rooms. ? Plan the appropriate nursing intervention of the patient which varies to the health condition by utilizing the kardex. ? Conducts monitoring of blood pressure (hypertensive patients), monitoring of blood sugar (diabetic patients), monitoring of cardiac rate (heart diseases) ? Hook patient to pulse oximeter and obtain the scope and other baseline. ? Collaborate with the medical team to plan, implement, co-ordinate and evaluate patient care in consultation with patient and their families. ? Carry out the doctors order. ? Provide nursing service including medications and injections as ordered by the doctor. ? Collect specimen such as urine, stool and sputum as ordered. ? Secure results of laboratory test and other request. ? Act as a liaison between the patients emotional and spiritual needs. ? Observe changes of the patients status or any untoward reactions and notify the head nurse or doctor. ? Observe physical changes like color of eyes, skin color, breathing pattern, or eating pattern and level of consciousness is also assess to determine if patients sensorium deteriorates by the use of Glasgow coma scale ? Maintain confidentiality in matters related to patient, family and client facility staff. ? Administer medications and treatments as prescribed by a physician or according to established policies and protocols. ? Ensure to apply the 10 Rights of Drug Administrations to reduce medication errors such as ? Right Drug ? Right Patient ? Right Dose ? Right Route ? Right Time and Frequency ? Right Documentation ? Right History and Assessment (complete patient drug or relevant history) ? Drug approach and Right to Refuse ? Right Drug to Drug Interaction and Evaluation (drug-food incompatibilities or interaction), ? Right Education and Information (teach patient about the drug he or she is taking) ? Dispense medical treatment and medicines suggested by the doctor or based on medical rules and policies. ? Prepare, administer (orally, intramuscular, subcutaneously, intradermal, or intravenous) and record the prescribed medications. ? Report adverse reactions to medications or treatment in accordance to the policy regarding the administration of medication. ? Administer and record medications as well as the patients reaction to medication. ? Insert intravenous line and catheters, as ordered. ? Insertion and removal of nasogastric tube. ? Administer tube feeding via bolus and enteral pump. ? Administer intravenous fluids and monitor the site ? Utilize time management skills. ? If needed, nurse may face hazards from infectious diseases like tuberculosis, rabies, HIV patients, measles, and other bacterial cases with proper self-safety equipments like glove, mask, apron and goggles provided by the institution. ? Provide proper waste segregation as well as the proper way of disposal of sharps, needles, ampules and vials as hospitals policy. ? Monitor, assess, address, document and report symptoms and changes in patients conditions. ? Examine, evaluate, write down and inform the doctors on the discovered symptoms, changes in sensorium and development of the condition of patients. ? Monitor and record urine and stool output. ? Monitor and document blood sugar. ? Administer blood transfusion with materials of intravenous cannula, 0.9 normal saline intravenous fluids, blood transfusion set, and blood component as ordered. ? Prior to transfusion, patient should be ready by checking the appropriate intravenous access, written order for transmission, benefits or risks are discussed and an opportunity to have any questions answered for patients or familys need provided by the medical team, normal vital signs, and signed consent should be documented to chart and attached the laboratory results sheet. ? Watch out for blood transfusion reaction, and if reactions occur, stop immediately the transfusion ? Do necessarily nursing intervention as hospitals protocol like providing oxygen therapy if patient is in respiratory distress ? Report immediately to the medical professionals, and document to the chart. ? Administer oxygen therapy, if needed. ? The oxygen passed through a pressure regulator to a lower pressure, then the flow of oxygen is controlled by a flow meter and measured in liters per minute. ? Oxygen therapy may be administered in several ways such as nasal cannula which is a thin tube with an individual nozzle nostril, simple face mask, Venturi mask provides oxygen to the trachea, partial re-breather mask similar to simple mask but includes a reservoir bag, non-rebreathing mask or reservoir mask similar to the re-breather mask but a number of valves line the device to stop air that has been exhaled returning to the bag, and for patient who are unable to breath independently, positive pressure may be needed to force air into their lungs. ? Perform irrigations such as catheter irrigation which is used for different reasons, such as to clear clots from catheter bladder following a medical procedure with the use of catheter tray that includes a solution and a catheter tip syringe ? Perform urinary catheterization wherein a catheter tube is inserted into a patients bladder via the urethra and allows the patients urine to drain freely from the bladder for collection. ? Furthermore, bowel enema is also done for cleansing prior to medical examination, prior to surgical operation or constipation, and also used for retention to retain in the bowel after administration to allow the contents of the enema to be absorbed through the bowel walls. ? Perform post-mortem care or physical care to the body of an expired patient immediately after death, if needed. ? Remove the indwelling catheter, nasogastric tube and all intravenous line as hospitals policy. ? Clean secretions from eyes and wash the face. ? While a full bath may be unnecessarily, remove all visible blood and body fluids. ? Change the hospital gown with a new one or patients clothing as request by family, and comb the cadavers hair. ? Provide post-mortem care with dignity and respect to the cadaver. ? Ensure proper identification by not removing the wrist tag and place a tag on chest prior to the morgue. ? Provide appropriate disposition of patients belonging. ? Allow the family to cry, grieve, and spend time with the person who has died. ? Respond to life-saving situations based upon nursing standards and protocol. ? Record all care information concisely, accurately and completely in a timely manner, in the appropriate format and on the appropriate forms. ? Operate or monitor medical apparatus or equipment. ? Monitor and adjust specialized equipment such as suction machine, mechanical ventilator, pulse oximeter, electrocardiogram machine, stethoscope, blood pressure apparatus and intravenous pump regulator; used on patients, interpret and record electronic display. ? Ensure the proper way of suctioning by the use of suction machine, sterile water, basin, and suction catheter. ? Assist in surgery and other medical procedures. ? Prepares patients for, and assists physicians with, diagnostic and therapeutic procedures such as thoracentesis, paracentesis, insertion of central venous line, insertion of chest tube, insertion of endotracheal tube, nasogastric tube insertion and other treatments. ? Arrange all needed equipment and assist the physician during treatment and examination of the patients. ? Educates patients on surgical or medical procedures. ? Verify the physicians written order, patients identity and understand the procedure to be done, area/s to be operated and the signed consent. ? Check the availability of the pre-operative medication and materials needed as prescribed. ? Get a scheduled diagnostic procedure such as ultrasounds, 2D echo, x-ray, endoscopy, CT scan, and other apparatus, and prepare the patient prior. ? Assist examiner (physician or nurse) or perform a physical examination to the patient. Depending upon the patient's condition and suspected medical problem, a physician or nurse may include one or more of the following four phases of the physical examination: ? Inspection - the examiner inspects or looks at different parts of the patient's body. For example, inspection of the neck veins and its prominence could be indicative of heart failure and an excessive load on the right side of the heart. ? Palpation or "hands-on" examination - the examiner uses his or her hands to examine the patient. For example, While the physician palpitate he or she feel the heart beat and diagnose enlargement or loud heart murmurs may also be felt without the use of a stethoscope. ? Percussion or "tapping" examination - the examiner places one hand on the patient and then taps a finger on that hand, with the index finger of the other hand. Since hollow and solid areas generate different vibrations, the physician or other examiner uses this technique to determine if various organs (heart, liver, and other health-related diseases) are enlarged or not. Percussion is also used to diagnose fluid in the abdominal and chest cavities or make one suspect the presence of pneumonia. ? Auscultation or use of stethoscope - the examiner listens to the patient's heart beat, lungs and blood vessels of the neck and groin. Abnormal heart sounds, known as gallops, are a clue to heart disease. Also, the location, character and timing of a heart murmur (this is a prolonged sound that is created by turbulent blood flow across heart valves) are used to diagnose various valve diseases. However, it should be recognized that murmurs may also be heard in many normal individuals. Listening to the lungs, when integrated with the history and other portions of the physical examination can diagnose such conditions as heart failure, accumulation of fluid, asthma, bronchitis, pneumonia, collapsed lungs, and more. More to that, while the examiner performs physical examination, pain assessment is also determine. ? Develop and implement discharge planning process on admission of patients. ? Teach and counsel patients and their families on health-related issues in collaborating with other health care providers. ? Provide understanding of instructions regarding in take of prescribed medications or follow-up clinic visits, proper diet, and proper post-operative care at home ? Educate the needs and concerns of patient and families on how to manage their illness or injury, by explaining the post-treatment of patients.

Elder Care Provider Details

Email Address
Phone Number 943-663-...
Start Date: Asap Yes
Day To Work: To Be Determined Yes
Languages None Identitied


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