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Be A.N.G.E.L. (A Nurse is God's Everlasting Love)
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Transcript of Be A.N.G.E.L. (A Nurse is God's Everlasting Love)
Father, the human mind cannot fathom the reason for the quake bringing destruction to Bohol , Cebu and
other nearby provinces and cause the lives of our brethren. Please Jesus, send forth Your Holy Angels to
ease the pain and the sufferings there.
With your merciful heart, we commend the souls of the departed faithful, and we claim healing for the
wounded.
In Jesus name we pray.
AMEN.
PRAYER
Florence Nightingale – Lady with the Lamp
ACHIEVEMENTS
Established the first professional training school for nurses, the NightingaleTraining School at St Thomas' Hospital in 1860
Established a School of Midwifery Nursing at King's College Hospital
Campaigned tirelessly to improve health standards in the hospital throughinfection control measures and a healthy diet for the patient
Published over 200 books, reports and pamphlets on hospital planning andorganisation like "Notes on Nursing: What It Is and What It Is Not".
INTRODUCTION
“If a patient is cold, if a patient is feverish, if a patient is faint, if he is sick after taking food, if he has a bed-sore, it is generally the fault not of the disease, but of the nursing.”
Florence Nightingale
“Notes on Nursing: What It Is and What It Is Not“.”
INTRODUCTION
To know the 7 secrets to do a correct physicalassessment through complete personality adjustmentbased on the acrostic N.U.R.S.I.N.G.
OBJECTIVE
BLOOD PRESSURE APPARATUS
STETHOSCOPE
THERMOMETER
WEIGHING SCALE
HEIGHT SCALE
TAPE MEASURE
VERNIX CALIPER
USE YOUR SIMPLE TOOLS
A.P.G.A.R. Score
A – Appearance
P – Pulse
G – Grimace
A – Activity
R – Respiratory effort
NEWBORN ASSESSMENT
Component of Acronym
Score of 0 Score of 1 Score of 2
Appearance (Complexion)
blue or pale all over
blue at extremitiesbody pink(acrocyanosis)
no cyanosisbody and extremities pink
Pulse Rate Absent <100 >100
Grimace (Reflex irritability)
no response to stimulation
grimace/feeble cry when stimulated
cry or pull away when stimulated
Activity none some flexion flexed arms and legs that resist extension
Respiratory Effort
Absent Weak, irregular, gasping
Strong, lusty cry
APGAR SCORE
Physical Maturity Rating
P – Plantar creaseL – LanugoS – SkinB – Breast budE – EarG – Genitalia
Ballard Score is Age = (2*score+120) /5
NEWBORN ASSESSMENT
Neuromuscular Maturity Rating
S – Scarf sign
H – Heel to ear
Ar – Arm recoil
P – Posture
P – Popliteal Angle
S – Square window
NEWBORN ASSESSMENT
Blood Pressure
Formula ( 2y/o & up)50th percentile of SBP 90 + 2 (age in years)10th percentile of SBP 70 + 2 (age in years)
Cut off point in Hypertension (95th percentile)Newborn – 7 days > 95 mmHg8-30 days > 105 mmHg1 month – 2 y/o > 115/75 mmHg2 – 5 y/o > 130/80 mmHg6-11 y/o > 135/85 mmHg> 11 y/o > 140/90 mmHg
VITAL SIGNS
Cardiac Rate/ Pulse Rate
Fetal Heart Rate 120-160/minute
Newborn 120-160/minute
1 – 7 y/o 100-110/minute
> 7 y/o < 100/minute
VITAL SIGNS
Average Cardiac Rate of Filipino Infants and Children By Age and Sex
Age Group Mean CR (MALES)
+ 2SD Mean CR (FEMALES)
+ 2SD
0-1 month 147 30.5 145 26.2
2-6 months 139 31.4 141 33.5
7-12 months 133 32.4 134 31.9
13-24 months 128 34.1 129 34.3
2-4years 109 32.6 110 29.5
5-9 years 93 23.7 92 23.2
10-14 years 86 20.4 86 20.7
From P.D. Santos Ocampo, A. Librea and M. Borja
Respiratory Rate
Birth – 6 weeks 45-60/minute (40-60/minute)
6 weeks – 2 y/o 40/minute
2-5 y/o 30/minute
6-10 y/o 25/minute
> 10 y/o 20/minute
VITAL SIGNS
Average Respiratory Rate of Filipino Infants and Children By Age and Sex
Age Group Mean RR (MALES)
+ 2SD Mean RR (FEMALES)
+ 2SD
0-1 month 59 18.2 56 22.0
2-6 months 52 22.5 52 21.6
7-12 months 45 24.6 48 22.8
13-24 months 38 14.9 36 22.5
2-4 years 30 12.1 29 12.0
5-9 years 25 6.1 25 6.1
10-14 years 22 3.5 22 3.6
From P.D. Santos Ocampo, A. Librea and M. Borja
Temperature (Average reading)
Axillary = 37.2 C
Oral = 37.6 C
Rectal = 38.0 C
Ear/Tympanic = 38.0 C
VITAL SIGNS
Weight (kgs. , lbs.)
Length (cm, in) or Recumbent Height
Height (cm, in) (occiput, upper part of the back, buttocks, heels)
ANTHROPOMETRICS
Head Circumference:
glabella, supraorbital ridge, occiput
Chest Circumference
xiphoid process in neonate,
nipple area in infants & older children
at mid inspiration
Abdominal Circumference
umbilicus
widest abdominal girth
Mid-arm Circumference
midway between the acromion process and olecranon
ANTHROPOMETRICS
Head (shape, size, fontanel)
EYE (size, color, mass, discharge, epicanthal fold)
EAR (shape, discharge, low set, skin tag)
NOSE (patency, discharge, turbinates, nasal bridge)
THROAT (lips, tongue, palate, ulcer, tooth)
H.E.E.N.T.
9 Regions
Shape, size, bowel sounds, mass, tenderness
Umbilical cord (color, discharge, smell)
ABDOMEN
1 2 3 4 5 6
Eyes Does not open eyes
Opens eyes in response to painful stimuli
Opens eyes in response to speech
Opens eyes spontaneously
N/A N/A
Verbal No verbal response
Inconsolable, agitated
Inconsistently inconsolable, moaning
Cries but consolable, inappropriate interactions
Smiles, orients to sounds, follows objects, interacts
N/A
Motor No motor response
Extension to pain (decerebrate response)
Abnormal flexion to pain for an infant (decorticate response)
Infant withdraws from pain
Infant withdraws from touch
Infant moves spontaneously or purposefully
Pediatric Glasgow Coma Scale*
* Any combined score of less than eight represents a significant risk of mortality.
Be Time conscious.
Adapt yourself to the needs of the moment.
Support your team.
Know your patient.
BE RESPONSIBLE.
Never assume.
Use your senses, simple tools and skills.
Be Responsible.
Be Sensitive.
Take the Initiative.
Nurture your patient.
Be God’s grace.
SUMMARY
Dear Lord, You are a Great Healer
You are the God of all;
Thank You for making me
A real prophet of life.
Make me a living witness
Of Your unconditional love;
May my open arms and touch
Be a sign of Your warm embrace.
The Nurse’s Prayer
As I perform my taskEvery day and every night,Protect every child, every patientYou put under my care.
When I am tired and ailing,Be my strength and healing;When conflicts arise in my workplaceMay I bring harmony and peace.
The Nurse’s Prayer
Make me a true guardian,
A source of light, hope and happiness;
For I am an angel of God,
A Nurse is God’s Embracing Love.
The Nurse’s Prayer