April 23, 2014

Inpatient Medicine Newsletter

VESNIP Students are starting in May!

MAY… MAY NOT…

Blood/

Blood products

Aid in set-up of IV tubing

Monitor vital signs during the admin-

istration of blood

Perform phlebotomy for specimen col-

lection

Administer blood and blood products

Cosign blood administration records

Catheters Insert Foley catheters

IVs Administer normal saline flush for pe-

ripheral IVs

Start IVs

Administer IV push medications

Medications Give medications but only under the

direct supervision of a preceptor

Have access or remove medications

from electronic medication cabinets

including

- Admin RX

- Acudose cabinet

Be given passwords to the above medi-

cation cabinets

Cosign narcotic tracking sheets

Cosign controlled drug records

Point of Care Testing Perform Point of Care Testing

Consent Obtain or witness consent from pa-

tients for procedures or surgery

Please view the tentative student assignments on the proceeding pages. At the start of the

shift show the student the unit and introduce them to the other team members. Just be

aware your co-workers get sick or a change in the schedule can happen at the last minute.

The CSL/RSL know more of the assignment situation than I do so they have the authority to

make any changes necessary to the student’s preceptor assignment. Please accept any last

minute student if necessary. Thanks.

Acute Care VESNIP Schedule

2014 VESNIP Acute Care Track Preceptor Match Up

All Shifts are 7A

8 North 8 South 7 Round Wing 5 Round Wing

Student Precptor Student Precptor Student Precptor Student Precptor

WK1

5/13/2014 Holly Blake

Mildred Cadie Starr

Chiquita

5/14/2014 Mildred Chiquita

WK2

5/19/2014

Cadie Starr

Joslyn

Kayla Jones

Johanna Carol Ann Ecken-

fels

Amanda

Jordan Huston

Shao

5/20/2014 Joslyn Taylor Brett Shao

5/21/2014 Joslyn Taylor Amanda Margaux

WK3

5/26/2014

Kayla Jones

Mariam

Karl Everett

Matt

Olivia Holloway

Haley

5/27/2014 Rob C. Matt Rose

5/28/2014 Rob C. Laura Rose

WK4

6/2/2014

Macey Cornwell

Sidney Sanchez

Lauren Sulewski

6/3/2014

6/4/2014

WK5

6/9/2014

Macey Cornwell

Carol Ann Ecken-

fels

Cadie Starr

6/10/2014

6/11/2014

WK6

6/16/2014 Carol Ann Ecken-

fels

Olivia Holloway

Kayla Jones

6/17/2014

6/18/2014

WK7

6/23/2014

Olivia Holloway

Sidney Sanchez

Sara Demaged

Jessi Barcus

6/24/2014

6/25/2014

NGT tubes: Did you know??

Covidien's Salem Sump nasogastric tube is a dual lumen

tube allows for safer continuous and intermittent gastric

suctioning. The large lumen allows for easy suction of gas-

tric contents, decompression, irrigation and medication de-

livery. The smaller vent lumen allows for atmospheric air to

be drawn into the tube and equalizes the vacuum pressure in

the stomach once the contents have been emptied. This prevents the suction eyelets

from adhering to and damaging the stomach lining.

When the anti-reflux valve is attached and maintained

properly, the ARV prevents stomach contents from exiting

the vent lumen. This prevents unnecessary patient gown

and bedding changes and reduces the risk of exposure to

potentially infectious materials. This ARV allows the vent

lumen to neutralize the vacuum pressure in the stomach

when the contents are fully evacuated.

Frequently Asked Questions

Why should I use the Salem Sump™ Anti-reflux valve?

The Salem Sump™ anti-reflux valve is designed to allow atmospheric air to enter through its valve into

the vent lumen while keeping gastric reflux from exiting. This reduces the risk of exposure to potential-

ly harmful gastric contents.

Is the Salem Sump™ Anti-reflux valve a plug?

NO. Air can still pass through the ARV. Flow studies demonstrate that there is no significant decrease

in air flow through the vent lumen of the Salem Sump™ tube when using the Salem Sump™ ARV proper-

ly.

How can I tell if the tube is clogged?

Under normal conditions, the ARV will "whistle" at a low volume when suction is being applied and

stomach contents are being emptied. The absence of the "whistle" when suction is being applied will

alert you to a potential clog at the distal end of the tube.

Want to be a Geriatric Resource Nurse?

Looking for nurses interested in learning more

about caring for the a patient 65 years and older.

Special self learning modules that cover both

Acute Care and Critical Care needs of an older

adult.

Role: To complete the self learning modules and

share with your co-workers what you have

learned.

Resources: A mentor will be assigned that has al-

ready completed the Geriatric Resource Program.

Interested or Questions? E-mail InpatientMedi-

cineEducators@vanderbilt.edu or talk to Sandy.

Are you tired of your WOW battery dying?

If a battery completely depletes by leaving it unplugged then it takes 6 to 8

hours to regenerate a charge that allows you to unplug the machine. If un-

plugged before it regenerates a charge it will keep going dead shortly after

being unplugged.

Nurse’s Week: May 2-12th

May 2nd kicks off the week with

Nursing Awards Ceremony from 3-4

in Langford Auditorium. Be involved

in your unit and celebrate with our

wonderful staff!