Friday, July 10, 2020

Why Teach-Back method is essential in Nursing profession ?

Teach-Back method !

What is Teach back method ? 
and why it is important? 
not only in the Nursing Profession it is also important in other fields. Teach-back method is also known as "show me" method it is a process of confirmation of the topic which have already discussed and explained to the patient by nurses.

Image source-Google|Image by- Inpix Creative

Teach-back method in nurses and patient are the the clarity of conversation between both.

It is a method which shows that how much the patient understand the process which is explained by nurses and the nurses make patient to explain them in their own words that how much they understood.

It is a process which is used in the medical field to ensure that the medicines or other techniques which are explained by nurses are clearly understood by the patients and their relatives.

 What are the  Importance of Teach-back method for Nurses ?

Teach back method is important for the nurses as well as the patients to check whether the topic is clear or not.

It is a technique of a clear communication between the nurses and patient.

To recheck the following instructions which you have given to the patient.

It is also helpful in the demonstration class where the teacher teach the  Nursing students and asking them to demonstrate in the dummy verbally explaining it same as the teacher taught. 

How the Nurses can use Teach-back method in Hospital ?

In each and every Hospital, The nurses should ask the patients after explaining the procedure that,
 "have you understood what I have dealt with"

 Instead of saying this the nurses should ask the patient that 

"can you explain in your own words whatever you understood."

With this technique the nurses will be a assured that the patient understood everything and there is no doubt in the patients mind.

Nurses should not ask the client to reply "yes or no". Nurses should allow the patient to explain the information in in open ended and closed ended form. so that the patient can easily explain you. 

Nurses should explain each and everything in a simple language so that patient will easily understood and Explain it easily to the nurse. for example: The nurses should use Non-medical words instead of  using Medical words, so that  patient will easily understand.

How Nurses do Communicate while Teach-Back ?

Nurses should always speak in a clear and precise word which is is easily understood by the patient and their family.

Nurses can also use diagrams to make more clear the topic.

Without maintaining interpersonal relationship with the patient it is not possible to allow the teach-back process with the patient so it is necessary to make or maintain the IPR with patient.

When the nurses talking with the older patients, always talk in a low pitch voice. and when talking with the children's should always use some phrases, Diagrams or videos.

Watch for the body posture at the time when the patient is explaining each and everything to the nurse. because body posture shows the confidence that how much the patient uderstand about it.

When a nurse should use Teach- Back ?

Usually teach-back is used in New diagnosis of the patient and when the nurses give any medication to the patient to explain it thoroughly.

What to do when  patient is not able to teach back ? 

If the patient is not able to teach-back the nurses should repeat the information and take help from their colleagues or from their family/relatives to teach them properly.

Friday, July 3, 2020

Bad habit of Nurses


Bad habit of  Nurses that can be overcome.

No Nurse is Perfect, But need to be perfect

If you want to be a perfect nurse. It is necessary to defeat all the bad habits which are made by the nurses. On every new year we used to make some resolutions, and forget those resolutions after some days or months. If you have a habit of saying yes in all works ganit proves that you have a bad habit of doing work in hospital.

Image Source - Google| Image by PixelsAway

I am going through the top bad habits which always a nurses go through in the hospital
And of course every single nurse have not these habits, but I am sure one of the bad habit pointing you may have touched your life. 

There are some habits that every nurse needs a reminder to adopt in the workplace to make themselves and their work environment more efficient! 

let me know if you are guilty of any of these comment me below: 

Gossiping (spilling tea): 

Everybody wants to know the story of others life that what happened in that ward? what happened with my colleagues? Donot checkout in others life. pay attention in your patients, in your work, be obedient. 

 Blamming others or getting punitive:

If your blamming your unfinished works to your colleagues, that may creat problems. Nurses do everything in a perfect manner but if there is any  default or error happened in your work you always blame others to protect your image.

Nurses always pointout their finger to others whenever the error occur, Instead of pointing finger they should find to prevent the problem.

Vexed or disappointed Nurse: 

The nurse who have always problem in everything like if the stocks of anything is not available in the ward they always leave the work over there because of having lack of material. 

The nurses should always have an inner managerial skills. the disappointed nurses will always see a glass of water is half full rather than using  the available resource. 

leaving the medication half/empty:

leaving the medicines in the patient room or beside the patient this may cause a biggest fault, because living it near to the patient the patient may get confused and may cause overdose.

repeatedly forgetting to report the intake output charting
not reporting about intake output may cause the biggest blunder for the next shift nurse.

Dawdle and delaying the work : 
Procastinating your work will not make you sincere Nurse. for example if you have an emergent issues and have to take one blood sample and you just avoid that and doing some other work. By giving another work to your priority list is same as you are neglecting your work.
Be a dedicated nurse make your work according to the priority of patients diesease rather then the work which is easier for you.

 Eating harmful/ deletarious food: 
Most of the nurses life is hectic even almost every nurses life is hectic and always relying on junk food. it is very important to have their meal of their own and make a habit of taking tiffin to the hospital always.

Don't be slow: 
Some nurses are very slow in their work that may lead to incomplete work and the consequences have been experienced by the other shift nurses.
You may not be able to do the work in emergency situation because of your speed and if you do it creates a problem. 

If you want to speed up your work make the time limits of each and every work so that you can complete your work early or on time. 

Shortcuts :
Shortcuts are always been proven wrong. The more you take short cuts the bigger your issues will be. 

Suppose a Nurse shift is from  6am to 2 pm, and the nurse have already charted the prescribed medicine (magnesium sulfate), so that you complete your work fast, which has to be given thrice a day before giving it to the patient. 

And the patient died at 12 pm in your shift, and the charted medicine is the proof showing shortcut behaviour of the Nurse.For making your Nurse life shorcut free do your work efficiently without under pressure. 

Not checking the expiry dates 

and leaving the IV sets after completing the IV fluid bottles. 
Getting too emotional: Nurses should always be strong enough to handle any situation. 

Make decision smartly, Getting emotional in any situation like mourn or if listen a bad news about someone will be the toughest part of the nurse. Nurses always be there for supporting psychologically to the patient party. 

Bedside conversations: 

Donot discuss about other patients results infront of the patient. some patients diagnosis is confidential and intended solely.

Coming hospital distracted: The nurses should always be focused in their work, donot get distracted simply by other problems do your work sincerely. 
This may get decrease your colleagues zeal in their work. 

Wednesday, July 1, 2020

Health and fitness for Busy Nurses

Health and fitness for Busy Nurses

Health and fitness is very essential for everyone. every nurses have a dream to become fit, as we won't be able to care ourselves. because nurses life is is all hectic they only take care of patients, family or others. they have no society,no social link ups, and not having time to spend with their family.

Image source-Google|Image by michaeljung

Nurses have a big role in supporting the responsibilities of the hospital as well as the whole union of any team in which the nurses are.

It is very essential for the nurses to make their life healthy and fit to keep help others so that they take care of themselves too.

A busy nurses having a busy schedule though they could not be able to to make time for themselves to be fit or do exercise to be fit. 

As we all know physical exercise is very important for each and everyone. I will tell you in this post certain tips to follow them so that the nurses can make their life easy and fit. 

In the duty hours, Nurses are always on their feet. and have different shifts because that they wont be able to manage their life.

If the Nurse duty is on Morning shift: 6AM to 2 PM

 1. whatever the shifts,nurses get  tired off after completing duty. 
Nurses have to be smart always over their duities to stay fit. 

2. They should never skip their breakfast meals either they have to see the consequences. for making time for exercise to the morning shift nurses is very difficult.

3. I know it is very difficult to wake up early at 4 o'clock. But if you are a morning shift  nurse then you have to wake up early at 4 o'clock, have at least two glass of water which hydrates you as well as your body, freshenup yourself, do stretching, take your bath. make your breakfast and have it. 

4. Do not skip your breakfast before going to the hospital as you know the consequences of empty stomach before going in the hospital.

Have your breakfast smart:

1. If you are having your breakfast full of protein that's the great idea to make your body full of energy. for example if you are non veg try to you have pouched egg, boiled
 egg at least two or three if you are female, or if you are male have at least 4,5 egg daily.

2. If you are vegetarian you can have sprouts in the morning sprouts salsa different nuts with milk, protein biscuits etc.
Eat every bite slowly so that it will not hurt your GIT. Eating slowly is very good habit because it easily digest the food which you have taken and prevent from acid reflexes.

3. Always make your morning breakfast as a high protein breakfast.
 
4. Don't let yourself furious:  to go in the hospital if you are in hurry always be on time because if you are awake in 4 o'clock at the morning then you have alot of time to manage yourself and get ready for the hospital.

5.Work smartly:
if you have a lot of work in the hospital then divide your work with your colleagues and carry on, do not let yourself in the burden it may destroy your image.

6.  After coming to Home: Take a shower and relax yourself have your lunch or if you have already done your lunch then just enjoy your precious time with your family and take a rest or a sleep for at least 2 hours.
after waking up in the evening do some exercise go for the walk or running, skipping, cardio exercise.

7. To do your evening meal before 7 o'clock:  That will be very best method to make your GIT strong enough. Do not eat too much in the night that may cause trouble in your GIT and your whole body.

8. Always make yourself hydrated which will definitely  give good result to the body as well as your healthy mind.
9. Try to sleep early if your shift is morning.
In your meals do not have food for deep fry food.

  If The Nurse duty is Mid day shift: 2PM to 10PM

1. Whatever the shift is, the nurses should always wake up at 4 o'clock

 2. Do exercise in the morning, because you do not get time in the evening to to do exercise 

3. Have a bath, Eat nutritious breakfast.
do miscellaneous work and then take a sleep of 11am to 1 pm and get ready for the duty hour to go for the hospital in 2:00 p.m.

4. Never forget to take your tiffin box to the hospital eat healthy to stay fit.

 If your duty is Night shift: 10PM to 6AM

1. After completing your night shift when you come in the home about 7 a.m. Take your bath have your breakfast.

2. Go for the sleep till 1 to 2 p.m.  After waking up have your lunch and do your miscellaneous work aur even after that you may take your sleep or do some other work. then in the evening you must have your exercise freshen up yourself and have your evening food.

3. Rest of the time which are left can do your miscellaneous work or spend time with your family. 

Note : 

If every nurse will follow these rules, No nurse will complaint about having lack of time, health wellness and exercise in their life. Because by following these schedule you are getting all the three important things i.e. sleep, Health by doing exercise or taking nutritious food and family Time.



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