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

By Jon Haws RN Nursing School Mentor and Kati Kleber RN CCRN Nursing Podcast Host with NRSNG

Education Medicine

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Your ultimate guide to NCLEX® prep and nursing school by NURSING.com. The premier nursing podcast.

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LAST EPISODE

2 Letters Kept Me Going In ...

04.25.2022

Nursing school can be overwhelming – but you CAN do this!

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

04.25.2022 2 Letters Kept Me Going In Nursing School (motivation for nursing students) Nursing school can be overwhelming – but you CAN do this!
07.15.2020 HTQOD028: Molecule (Biology, Science) The post HTQOD028: Molecule (Biology, Science) appeared first on NURSING.com.
03.26.2020 BREAKING: Massive Updates to NCLEX due to COVID-19 (must listen) 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.com Speaker 1: What’s up guys. ...
05.09.2019 Why I Give A Shit (or what is your mission statement) 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 ...
06.25.2018 Ep049 Protect Patient from Injury 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
09.04.2017 What Was it Like to be a Nurse During Hurricane Harvey? Nurse Erika Share Her Story When a natural disaster strikes, patients don’t magically stop being sick. I am honored to share the story of Erika RN BSN, who stayed in the hospital 108 hours during Hurricane Harvey providing care for her patients. I am honored ...
08.02.2017 Safety and Infection Control Use of Restraints Monitor evaluate patient response to restraints safety device 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 order if still needed
07.31.2017 Ep079 Safety and Infection Control Use of Restraints Follow requirements for use of restraints andor safety device First try alternatives and document that… then use lease invasive restraint or safety device Notify MD and obtain appropriate order, document! Follow facility’s policy to a tee Use appropriate tie/knot – “quick release” Always secure to the bed and not ...
07.28.2017 Ep078 Safety and Infection Control Use of Restraints Assess appropriateness of the type of restraintsafety device used Have all other alternatives been attempted? Family/friend at bedside Alarms Regular bathroom attempts and food/fluids offered Promote relaxation Remove unnecessary lines, tubes, equipment Provide familiar material Reorientation Address pain, nausea, anxiety and so forth Frequent rounding Ambulate regularly, if appropriate ...
07.26.2017 Ep077 Safety and Infection Control Standard Precautions Evaluate whether aseptic technique is performed correctly 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 Unsterile person touching the sterile field Outside, unsterile packaging, touching inside sterile ...
07.24.2017 Ep076 Safety and Infection Control Standard Precautions Evaluate Infection Control Precautions Implemented by Staff Members Hand washing compliance is being met Trash is disposed of properly Staff is consistently wearing appropriate PPE
07.21.2017 Ep075 Safety and Infection Control Standard Precautions Use Appropriate Technique to Set up a Sterile Field Definition Sterile gloves, mask, and other necessary sterile supplies Maintain sterile technique Follow appropriate protocol if sterile field is broken
07.19.2017 Ep074 Safety and Infection Control Standard Precautions Utilize Appropriate Precautions for Immunocompromised Patients 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 to improve outcomes for neutropenic patients, and isolation is ...
07.17.2017 Ep073 Safety and Infection Control Standard Precautions Educate Patient and Staff Regarding Infection Control Measures 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 compliant signage) before providing ...
07.14.2017 Ep072 Safety and Infection Control Standard Precautions Follow Procedures when Reporting a Patient with Communicable Disease Inform appropriate personnel Infection Control department Center for Disease Control Summary of Notifiable Infectious Diseases, CDC (last updated 2014)
07.12.2017 Ep071 Safety and Infection Control Standard Precautions Apply Principles of Infection Control Hand hygiene Washing hands thoroughly at appropriate times Surgical asepsis AKA sterile technique Maintaining sterility, sterile items may only touch other sterile items Isolation Appropriate room assignment (private room, or may share a room with a patient with similar pathogen ...
07.10.2017 Ep070: Safety and Infection Control Standard Precautions Understand Communicable Diseases 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, gloves Meningitis Pertussis Pneumonia Influenza Contact – isolation room, gown and gloves Colonized ...
07.05.2017 Ep069: Safety and Infection Control Standard Precautions Assess Patient Care area for Sources of Infection 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 fluids, it cannot touch anything else other than sterile ...
07.03.2017 Ep068: Safety and Infection Control Security Plan Use Critical Thinking in Situations Related to Security Planning 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 specific units Know how to use specific equipment to quickly transfer patients Medsleds ...
06.30.2017 Ep067: Safety and Infection Control Safe Use of Equipment Inspect Equipment for Safety Hazards 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 patient If a patient brings in their own electrical equipment (like a ...
06.28.2017 Ep066: Safety and Infection Control Reporting Incident Identify Where Reporting of Incident is Appropriate 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/event/occurrence Evaluate patient Does a process need to change to prevent this from occurring in the ...
06.26.2017 Ep065: Safety and Infection Control Home Safety Assess Need for Patient Home Modifications 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 dexterity to use handrails or a LifeAlert? Can they use their home oxygen/respiratory ...
06.23.2017 Ep064: Handling Hazardous and Infectious Materials as a Nurse 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 ones Maintain distance between yourself and device consistently If necessary use shield (like lead apron) ...
06.21.2017 Ep063: Identify Bio-hazardous, Flammable and Infectious Materials 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 and patient Never recap needles, can result in a needlestick Utilize proper storage ...
06.19.2017 Ep062: Use Ergonomic Principles When Providing Care Assistive devices: use lifts as often as possible with appropriate staff and supplies, prepare client for use of lift, try to allow time to use lift Optimize bed height every single time Raise bed so you are not bending for ...
06.16.2017 Ep061: Provide Instruction and Information to Patient About Body Positions that Eliminate Potential for Repetitive Stress Injuries 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 deciding appropriate supportive devices
06.14.2017 Ep060: Assess Patient’s Ability to Balance, Transfer and Use Assistive Devices Prior to Planning Care Examples of assistive devices: crutches, walker, cane Important to assess their abilities first before coming up with a care plan Don’t assume they can use crutches, plan care, and then find out they have a sprained wrist Not all assistive ...
06.12.2017 Ep059: Participate in Disaster Planning Activities/Drills 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 staff when/if disaster occurs
06.09.2017 Ep058: Implement Emergency Response Plans 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, injuries but not life-threatening Green: low priority, can wait an extended time, non life threatening ...
06.07.2017 Ep057: Use Clinical Decision-making/Critical Thinking for Emergency Response Plan Complete primary and secondary assessments Primary: identify immediate high-priority needs (think ABC’s) Secondary: identify next priority needs (think getting vitals, neuro, cardiac, pain, history, or focused assessments) When in doubt, think back to your ABC’s and Maslow’s hierarchy of needs ...
06.05.2017 Ep056: Determine Which Patients(s) to Recommend for Discharge in a Disaster Situation 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-altering effects if not receiving care they can only receive in the ...
06.02.2017 Ep055: Identify Nursing Roles in Disaster Planning If a disaster occurs, immediately activate the emergency response plan Make sure that you are prepared both at home, at work, and in the community Have an emergency plan and supplies at home and communicate this with those that live ...
05.31.2017 Ep054: Verify Appropriateness and/or Accuracy of a Treatment Order 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 you first before I killed a ...
05.29.2017 Ep053: Ensure Proper Identification of Patient When Providing Care 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 facilities require scanning the armband before giving any medications Always ...
05.26.2017 Ep052: Make Appropriate Room Assignments for Cognitively Impaired Patients 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 them if they call ...
05.26.2017 I’m a Little Bit Scared to Share This #vulnerable 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. Have you ever felt that ...
05.24.2017 Ep051: Implement Seizure Precautions for At-risk Patients 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 this list from John Hopkins about various causes of seizures Patients ...
05.22.2017 Ep050: Review Necessary Modifications with Patient to Reduce Stress on Specific Muscle or Skeletal Groups Change positions Pillow support Active and passive range of motion Routine stretching of the shoulders, neck, arms, hands, fingers
05.19.2017 Ep049: Protect Patient from Injury 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
05.17.2017 Ep048: Provide Patient with Appropriate Method to Signal Staff Members Call lights Adaptive call lights can be used for patients with poor dexterity Phones, or other technology
05.01.2017 Ep 047: Safety and Infection Control: Accident Prevention: Idenitfy and Faciliate Correct use of Infant and Child Car Seats 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 knows how to properly use before leaving
04.28.2017 Ep 046: Safety and Infection Control: Accident Prevention: Verify Prescriptions that may Contribute to an Accident or Injury (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, walker not to short, and so forth Make sure they know ...
04.26.2017 Ep 045: Safety and Infection Control: Accident Prevention: Identify deficits that may impede patient safety 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 they hear if they are in ...
04.24.2017 Ep 044: Safety and Infection Control: Accident Prevention: Identify factors that inlfuence accidents 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: do they use seat belts? Do they drive impaired (alcohol, texting/using ...
04.21.2017 Ep043: Safety and Infection Control: Accident Prevention: Determine Patient/staff Member Knowledge of Safety Procedures 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/violent patients or visitors Know what you need to do as a nurse ...
04.19.2017 EP042: Safety and Infection Control: Accident Prevention: Assess for allergies and intervene as needed 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 contrast Ask about all food, environmental, and medication allergies ...
04.14.2017 Ep041: Management of Care: Referrals: Assess the Need to Refer Patients 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 orders Identify community resources for the client with health care team (Meals on Wheels, respite ...
04.12.2017 Ep040: Management of Care: Performance Improvement: Define performance improvement and quality assurance Performance Improvement (Quality Improvement) Define performance improvement/quality assurance activities Participate in performance improvement/quality improvement process* Report identified client care issues/problems to appropriate personnel (e.g., nurse manager, risk manager) Utilize research and other references for performance improvement actions Evaluate … Continued
03.13.2017 Ep041 Assess the need to refer patients for assistance with actual or potential problem 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 orders Identify community resources for the client with health care team (Meals on Wheels, respite ...
03.13.2017 Ep040: Define Performance Improvement and Quality Assurance Activities Participate in performance improvement/quality improvement process Utilize research and other references for performance improvement actions Report identified patient care issues and problems (utilize chain of command) Evaluate the impact of performance improvement measures on patient care and resource utilization

Older episodes

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

What's The Unofficial NCLEX® Prep Podcast by NURSING.com (NRSNG) about?

Download our free app to listen on your phone

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

2 Letters Kept Me Going In Nursing School (motivation for nursing students)

HTQOD028: Molecule (Biology, Science)

BREAKING: Massive Updates to NCLEX due to COVID-19 (must listen)

Why I Give A Shit (or what is your mission statement)

Ep049 Protect Patient from Injury

What Was it Like to be a Nurse During Hurricane Harvey? Nurse Erika Share Her Story

Safety and Infection Control Use of Restraints Monitor evaluate patient response to restraints safety device

Ep079 Safety and Infection Control Use of Restraints Follow requirements for use of restraints andor safety device

Ep078 Safety and Infection Control Use of Restraints Assess appropriateness of the type of restraintsafety device used

Ep077 Safety and Infection Control Standard Precautions Evaluate whether aseptic technique is performed correctly

Ep076 Safety and Infection Control Standard Precautions Evaluate Infection Control Precautions Implemented by Staff Members

Ep075 Safety and Infection Control Standard Precautions Use Appropriate Technique to Set up a Sterile Field

Ep074 Safety and Infection Control Standard Precautions Utilize Appropriate Precautions for Immunocompromised Patients

Ep073 Safety and Infection Control Standard Precautions Educate Patient and Staff Regarding Infection Control Measures

Ep072 Safety and Infection Control Standard Precautions Follow Procedures when Reporting a Patient with Communicable Disease

Ep071 Safety and Infection Control Standard Precautions Apply Principles of Infection Control

Ep070: Safety and Infection Control Standard Precautions Understand Communicable Diseases

Ep069: Safety and Infection Control Standard Precautions Assess Patient Care area for Sources of Infection

Ep068: Safety and Infection Control Security Plan Use Critical Thinking in Situations Related to Security Planning

Ep067: Safety and Infection Control Safe Use of Equipment Inspect Equipment for Safety Hazards

Ep066: Safety and Infection Control Reporting Incident Identify Where Reporting of Incident is Appropriate

Ep065: Safety and Infection Control Home Safety Assess Need for Patient Home Modifications

Ep064: Handling Hazardous and Infectious Materials as a Nurse

Ep063: Identify Bio-hazardous, Flammable and Infectious Materials

Ep062: Use Ergonomic Principles When Providing Care

Ep061: Provide Instruction and Information to Patient About Body Positions that Eliminate Potential for Repetitive Stress Injuries

Ep060: Assess Patient’s Ability to Balance, Transfer and Use Assistive Devices Prior to Planning Care

Ep059: Participate in Disaster Planning Activities/Drills

Ep058: Implement Emergency Response Plans

Ep057: Use Clinical Decision-making/Critical Thinking for Emergency Response Plan

Ep056: Determine Which Patients(s) to Recommend for Discharge in a Disaster Situation

Ep055: Identify Nursing Roles in Disaster Planning

Ep054: Verify Appropriateness and/or Accuracy of a Treatment Order

Ep053: Ensure Proper Identification of Patient When Providing Care

Ep052: Make Appropriate Room Assignments for Cognitively Impaired Patients

I’m a Little Bit Scared to Share This #vulnerable

Ep051: Implement Seizure Precautions for At-risk Patients

Ep050: Review Necessary Modifications with Patient to Reduce Stress on Specific Muscle or Skeletal Groups

Ep049: Protect Patient from Injury

Ep048: Provide Patient with Appropriate Method to Signal Staff Members

Ep 047: Safety and Infection Control: Accident Prevention: Idenitfy and Faciliate Correct use of Infant and Child Car Seats

Ep 046: Safety and Infection Control: Accident Prevention: Verify Prescriptions that may Contribute to an Accident or Injury

Ep 045: Safety and Infection Control: Accident Prevention: Identify deficits that may impede patient safety

Ep 044: Safety and Infection Control: Accident Prevention: Identify factors that inlfuence accidents

Ep043: Safety and Infection Control: Accident Prevention: Determine Patient/staff Member Knowledge of Safety Procedures

EP042: Safety and Infection Control: Accident Prevention: Assess for allergies and intervene as needed

Ep041: Management of Care: Referrals: Assess the Need to Refer Patients

Ep040: Management of Care: Performance Improvement: Define performance improvement and quality assurance

Ep041 Assess the need to refer patients for assistance with actual or potential problem

Ep040: Define Performance Improvement and Quality Assurance Activities