Podcasts by The Unofficial NCLEX® Prep Podcast by NURSING.com (NRSNG)

HTQOD028: Molecule (Biology, Science) from 2020-07-15T12:00:03

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BREAKING: Massive Updates to NCLEX due to COVID-19 (must listen) from 2020-03-26T01:13:43

NCSBN&PeasonVue just announced some significant changes to the NCLEX as a result of COVID-19. Here is what we are doing about it . . . MUST WATCH. Learn more about SIMCLEX at https://www.nursing...

Why I Give A Shit (or what is your mission statement) from 2019-05-09T06:00

I got a text from my sister, who was in the hospital for induction, at 1:30am that rocked my world. She text me and told me that her nurse – the nurse who will be receiving my new nephew into th...

Ep049 Protect Patient from Injury from 2018-06-25T06:00

Falls: initiate fall risk care plan if appropriate, make sure patient is safe to ambulate, initiate all fall precautions Electrical hazards Unsafe behavior from other patients or visitors

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Safety and Infection Control Use of Restraints Monitor evaluate patient response to restraints safety device from 2017-08-02T06:00

Evaluate routinely, based on kind of restraint IE if it’s a violent restraint, q15 min at minimum Assess skin q30min, remove q2hr and provide ROM, fluids, toileting, food, and so forth Renew ord...

Ep077 Safety and Infection Control Standard Precautions Evaluate whether aseptic technique is performed correctly from 2017-07-26T06:00

Great reference for this:  Common Breaks in Sterile Techniques, published by the AORN Journal Common breaks Not noticing compromised packaging Not noticing moisture on or in the package Unsteril...

Ep076 Safety and Infection Control Standard Precautions Evaluate Infection Control Precautions Implemented by Staff Members from 2017-07-24T06:00

Hand washing compliance is being met Trash is disposed of properly Staff is consistently wearing appropriate PPE

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Ep075 Safety and Infection Control Standard Precautions Use Appropriate Technique to Set up a Sterile Field from 2017-07-21T06:00

Definition Sterile gloves, mask, and other necessary sterile supplies Maintain sterile technique Follow appropriate protocol if sterile field is broken

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Ep074 Safety and Infection Control Standard Precautions Utilize Appropriate Precautions for Immunocompromised Patients from 2017-07-19T06:00

Varies depending upon facility.  Can include: No fresh flowers or fruits Ill visitors are not permitted Many people institute or order “reverse isolation” however, per the CDC it “was not found ...

Ep073 Safety and Infection Control Standard Precautions Educate Patient and Staff Regarding Infection Control Measures from 2017-07-17T06:00

For example; if a patient is on contact isolation, we must educate the patient and family about the use of gowns, gloves, and hand washing, as well as ensure the staff is aware as well (HIPAA co...

Ep072 Safety and Infection Control Standard Precautions Follow Procedures when Reporting a Patient with Communicable Disease from 2017-07-14T06:00

Inform appropriate personnel Infection Control department Center for Disease Control Summary of Notifiable Infectious Diseases, CDC (last updated 2014)

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Ep070: Safety and Infection Control Standard Precautions Understand Communicable Diseases from 2017-07-10T06:00

Airborne – isolation room, negative pressure room, must wear appropriate mask and additional PPE (gown, gloves) Measles Varicella Tuberculosis Droplet – isolation room, surgical mask okay, gown,...

Ep069: Safety and Infection Control Standard Precautions Assess Patient Care area for Sources of Infection from 2017-07-05T06:00

Whenever you’re providing care, ensure you’re keeping everything clean (or sterile, if required) Examples of situations… When you remove the cap from the spike on your IV tubing to start IV flui...

Ep068: Safety and Infection Control Security Plan Use Critical Thinking in Situations Related to Security Planning from 2017-07-03T06:00

Apply principles of triage and evacuation procedures/protocols Check out Episode 059 for triage principles Know how to evacuate patients Horizontally before vertically Know what to do for specif...

Ep067: Safety and Infection Control Safe Use of Equipment Inspect Equipment for Safety Hazards from 2017-06-30T06:00

Examples of equipment include frayed electrical cords, loose/missing parts, IV pumps that malfunction, exposed wiring All equipment must be inspected and signed off on before using with a patien...

Ep066: Safety and Infection Control Reporting Incident Identify Where Reporting of Incident is Appropriate from 2017-06-28T06:00

Acknowledge and document practice error per policy For example, medication error, accidental needlestick, incorrect order entry, patient transferred to incorrect unit Evaluate response to error/...

Ep065: Safety and Infection Control Home Safety Assess Need for Patient Home Modifications from 2017-06-26T06:00

Examples include lighting, handrails, kitchen safety Apply knowledge of patient pathophysiology to home safety interventions Are they hard of hearing, have visual deficits? Do they have the dext...

Ep064: Handling Hazardous and Infectious Materials as a Nurse from 2017-06-23T06:00

Never touch the device/implant Label things appropriately Follow protocol/policy/procedure specifically Ensure patient is in private room to prevent exposure to other patients and their loved on...

Ep063: Identify Bio-hazardous, Flammable and Infectious Materials from 2017-06-21T06:00

Follow procedures for handling biohazardous materials Ensure proper labeling is in place For example, linen used with a patient with chemotherapy Demonstrate safe handling techniques to staff an...

Ep061: Provide Instruction and Information to Patient About Body Positions that Eliminate Potential for Repetitive Stress Injuries from 2017-06-16T06:00

Carpal tunnel, back injuries are common examples Encourage appropriate body mechanics and not merely treating pain when it occurs Proper posture is essential Encourage working with physician and...

Ep059: Participate in Disaster Planning Activities/Drills from 2017-06-12T06:00

Nurses must participate so their role is known and appropriate Help to identify must-have equipment, potential issues or obstacles to providing care Have an emergency contact tree to contact all...

Ep058: Implement Emergency Response Plans from 2017-06-09T06:00

Nurses frequently use a color-coding system to triage patients, as identified by the facility Example: Red: highest priority, life-threatening yet survivable injuries Yellow: medium priority, in...

Ep056: Determine Which Patients(s) to Recommend for Discharge in a Disaster Situation from 2017-06-05T06:00

Important that only the sickest ones are in the facility Think patients on ventilators or respiratory support, on vasoactive medications, patients that would likely die or have profound, life-al...

Ep054: Verify Appropriateness and/or Accuracy of a Treatment Order from 2017-05-31T06:00

Do not blindly follow orders; practice with a questioning attitude Quote from Scrubs, the TV show Nurse (to doctor): “Doug wanted me to give him 500,000 mg of morphine… I thought I’d check with ...

Ep053: Ensure Proper Identification of Patient When Providing Care from 2017-05-29T06:00

You must check their appropriate ID before doing anything Medications: check name, birthday, and so forth Check patient’s armband (or other identifying device) if patient is unable to speak Many...

I’m a Little Bit Scared to Share This #vulnerable from 2017-05-26T06:00

Can I be honest? I had an amazing experience last month.   It was one of those moments when you are filled with thousands of emotions ranging from happiness to sadness all at the same time.  Hav...

Ep052: Make Appropriate Room Assignments for Cognitively Impaired Patients from 2017-05-26T06:00

If a patient is confused, impulsive, forgetful, or agitated, make sure they have a room close to the nurse’s station Do not put these patients at the end of the hall, where it’s harder to hear t...

Ep051: Implement Seizure Precautions for At-risk Patients from 2017-05-24T06:00

Many disease processes can put patients at an increased risk for seizures Brain injury or trauma Drugs, medication Withdrawing from alcohol or other drugs Fevers History seizure activity See thi...

Ep050: Review Necessary Modifications with Patient to Reduce Stress on Specific Muscle or Skeletal Groups from 2017-05-22T06:00

Change positions Pillow support Active and passive range of motion Routine stretching of the shoulders, neck, arms, hands, fingers

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Ep 047: Safety and Infection Control: Accident Prevention: Idenitfy and Faciliate Correct use of Infant and Child Car Seats from 2017-05-01T06:00

Really important, especially with first time parents Can be easily done incorrectly, not as straightforward as some anticipate Some facilities may have it as part of policy to make sure family k...

Ep 046: Safety and Infection Control: Accident Prevention: Verify Prescriptions that may Contribute to an Accident or Injury from 2017-04-28T06:00

(This does not include medications) At home oxygen and supplies, CPAP’s, assistive devices, drains, tubes, and so forth. Make sure assistive devices are sized appropriately Crutches not too tall...

Ep 045: Safety and Infection Control: Accident Prevention: Identify deficits that may impede patient safety from 2017-04-26T06:00

Visual: can they see what’s in front of them while walking? Can they see that they are taking the appropriate medication? Hearing: can they hear someone speaking to them or yelling at them? Can ...

Ep 044: Safety and Infection Control: Accident Prevention: Identify factors that inlfuence accidents from 2017-04-24T06:00

Various factors can influence the likelihood that a  patient will get injured Age and developmental stage: elderly as well patients that may physically be older, but mentally younger Lifestyle: ...

Ep043: Safety and Infection Control: Accident Prevention: Determine Patient/staff Member Knowledge of Safety Procedures from 2017-04-21T06:00

Many facilities have various protocols on how to deal with various safety issues Falls Armed intruder Large patient influx/at capacity Infant abduction Weather issues Acts of terrorism Unsafe/vi...

EP042: Safety and Infection Control: Accident Prevention: Assess for allergies and intervene as needed from 2017-04-19T06:00

Important to ask about all allergies, not just medication allergies Some medications may have ingredients from different foods in their coating or capsules Must ask aboutallergies to IV dyes or ...

Ep041: Management of Care: Referrals: Assess the Need to Refer Patients from 2017-04-14T06:00

Examples of necessary referrals include therapy services (physical, occupational, speech), wound care, nutritional services, and so forth Recognize the need for referrals and obtain necessary or...

Ep048 Provide Patient with Appropriate Method to Signal Staff Members from 2017-03-13T06:00

Call lights Adaptive call lights can be used for patients with poor dexterity Phones, or other technology

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Ep 046 Identify and Verify Prescriptions for Treatments that may Contribute to an Accident or Injury from 2017-03-13T06:00

(This does not include medications) At home oxygen and supplies, CPAP’s, assistive devices, drains, tubes, and so forth. Make sure assistive devices are sized appropriately Crutches not too tall...

Ep045 Identifying deficits that may impede patient safety from 2017-03-13T06:00

Visual: can they see what’s in front of them while walking? Can they see that they are taking the appropriate medication? Hearing: can they hear someone speaking to them or yelling at them? Can ...

Ep044 Identify factors that influence accidents and injury prevention from 2017-03-13T06:00

Various factors can influence the likelihood that a  patient will get injured Age and developmental stage: elderly as well patients that may physically be older, but mentally younger Lifestyle: ...

Ep043 Determine patientstaff member knowledge of safety procedures from 2017-03-13T06:00

Many facilities have various protocols on how to deal with various safety issues Falls Armed intruder Large patient influx/at capacity Infant abduction Weather issues Acts of terrorism Unsafe/vi...

Ep042 Identify and Facilitate use of Infant and Child Car Seats from 2017-03-13T06:00

Important to ask about all allergies, not just medication allergies Some medications may have ingredients from different foods in their coating or capsules Must ask about allergies to IV dyes or...

Ep041 Assess the need to refer patients for assistance with actual or potential problem from 2017-03-13T06:00

Examples of necessary referrals include therapy services (physical, occupational, speech), wound care, nutritional services, and so forth Recognize the need for referrals and obtain necessary or...

Ep040: Define Performance Improvement and Quality Assurance Activities from 2017-03-13T06:00

  Participate in performance improvement/quality improvement process Utilize research and other references for performance improvement actions Report identified patient care issues and problems ...

Ep039: Providing Care Within the Legal Scope of Practice from 2017-03-07T06:00

Know your state board of nursing Do not attempt to provide care outside of this scope – it is illegal Example: Texas Board of Nursing https://www.bon.texas.gov/practice_scope_of_practice_rn.asp<...

Ep038 Report Unsafe Practice of Health Care Personnel and Intervene as Appropriate from 2017-01-06T06:00

Substance abuse/diversion Improper care Staffing practices

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Ep037 Report Patient Condition as Required by Law from 2017-01-04T06:00

Abuse and neglect Child, elderly, domestic Know your local reporting agencies (Child Protective Services) Communicable diseases Vaccine Adverse Event Reaction System (VAERS, vaers.hhs.gov) Repor...

Ep036 Review facility policy and state mandates prior to agreeing to serve as an interpreter for staff or primary health care providers from 2017-01-02T06:00

To be clinically appropriate medical interpreter, you must have appropriate credentials This is important because medical jargon is very different from fluency in a language, therefore competenc...

Ep035 Recognize Limitations of Self and Others and Seek Assistance from 2016-12-23T06:00

Be able to know when something is outside of your comfort zone High risk, low frequency procedures Know your chain of command for both clinical “how-to” situations and also administration issues...

Ep034 Identify and Manage the Patients Valuables According to Facility Policy from 2016-12-21T06:00

Most facilities have policies and procedures to properly secure valuables Ideally, valuables are given to family/friends to be taken home and secured If this is not possible, there should be a s...

Ep033 Identify and Educate About Legal Issues Affecting the Patient from 2016-12-19T06:00

Refusing treatment HCPOA disputes/living wills Mental illness and inability to sign own consents

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Ep032: Utilize Information Resources to Enhance the Care Provided to a Patient from 2016-12-16T06:00

This includes evidenced-based research, information technology, policies and procedures) Access data for client through online databases and journals Most hospitals have subscriptions to journal...

Ep030 Receive and or Transcribe Health Care Provider Orders from 2016-12-12T06:00

Each facility may have a different process Identify inappropriate and/or unclear treatments or medications A nurse must administer treatments unless they believe they are inappropriate or unclea...

Ep029: Obtaining Informed Consent from 2016-11-23T06:00

What is informed consent?  Basically the patient is giving permission for treatment and acknowledging that they understand the risks and benefits of the procedure as well as the consequences for...

Ep028: Practice in a Manner Consistent with a Code of Ethics for Registered Nurses from 2016-11-21T06:00

Two codes of ethics for nurses Last updated 2015 First developed in 1953 Last updated 2012 The American Nurses Association Code of Ethics The Code of Ethics for Nurses (International Council of ...

Ep024: Follow Up on Unresolved Patient Issues from 2016-11-11T06:00

Issues arise frequently that require the nurse to address them and ensure the problem has been resolved Examples Lab problems: unable to get serum sample, sample obtained hemolyzed, came to draw...

Ep021: Nursing Documentation from 2016-11-04T06:00

  If it wasn’t documented, it wasn’t done!   Nurses are responsible for documenting many things. Some of which include: Care plans Medications (many facilities use barcode scanning) Nursing note...

Ep020: Provide and Recieve Report from 2016-11-02T06:00

Report will look different in various areas of the hospital ED report is very short and concise Critical care report is very detailed Floor report is more detailed than the ED, but less detailed...

Ep018: Maintain Patient Confidentiality and Privacy from 2016-10-28T06:00

Keep your password of EHR’s protected and confidential Don’t talk about sensitive information in public areas Speak with patient about which members of their support system they want involved in...

Ep017: Assess Understanding of Confidentiality from 2016-10-26T06:00

Make sure the patient knows that their privacy is a priority to us It is one of their rights, it is not optional Intervene if necessary (episode 018)

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Ep016: Manage Conflict Among Patients and Staff from 2016-10-24T06:00

The nurse is at the bedside with the patient 24 hours/day and they typically feel most comfortable with their nursing staff.  Therefore, if a problem or personality conflict arises, the patient ...

Ep014: Identify Responsibilities of Health Care Team from 2016-10-19T06:00

This needs to be done daily to ensure we are facilitating the appropriate plan of care As other members of the health care team assess the patient and develop plans and goals, we need to update ...

Ep011: Patient Rights: Discuss Treatment Options with Patient from 2016-10-12T06:00

Discuss treatment options with the health care team and make sure you understand them fully, then the physician (or support staff) will present to the patient The patient and their support syste...

Ep010: Case Management: Initiate, Evaluate, and Update Plan of Care from 2016-10-10T06:00

Care plans / clinical pathways must be initiated upon admission and are complete at discharge Complete an initial evaluation to assess their current situation, read the notes from the health car...

Ep009: Case Management–Ensure an Informed Discharge from 2016-10-07T06:00

The patient and their support system must have all information related to the discharge process as early on as possible Location, contact information (and contact info for after-hours situations...

Ep008: Case Management–Plan Care Specific to Patient Needs from 2016-10-05T06:00

Consider diagnosis, prescribed treatment recommendations, ability to remain compliant, patient’s understanding of situation, support system available, ability to utilize resources when questions...

Ep007: Case Management–Work to Provide Cost Effective Care from 2016-10-03T06:00

Consider cost when setting up care/resources Is this sustainable? How does their insurance coverage, Medicare, or Medicaid factor in? Do so in a non-judgemental way Speak with the patient and su...

Ep005: Case Management: Explore Resources to Maintain Independence from 2016-09-28T06:00

Become familiar with your community’s resources that can be helpful to patients attempting to maintain independence Nursing homes, respite care, SNF, home health agencies, Meals on Wheels Consid...

Ep004: Identify Tasks for Delegation Base on Patient Needs from 2016-09-26T06:00

NCSBN Delegation | ANA: Developing Delegation Skills You will be responsible for delegating tasks to others; nursing assistants, other nurses, and so forth Not all tasks are appropriate to deleg...

Ep002: Advocating for Your Patient–What Does it Mean? from 2016-09-16T06:00

Advocating – help the patient and their support system understand the clinical picture and identified treatment options, identify their wants/needs, support the patient, speak on their behalf if...

Advanced Directives in Nursing: What do you need to know? from 2016-09-16T06:00

It is the nurse’s job and part of the law (Client Self-Determination Act) to assess for existing advanced directives and integrate them into the patient’s care, and inform and educate about them...

Ep000: Welcome to the Unofficial NCLEX® Prep Podcast for Nursing Students from 2016-09-16T06:00

Welcome to our brand new . . . hot off the presses podcast.  This podcast is designed to provide you with a step-by-step outline for the majority of the key points the NCSBN wants nursing studen...