Educational Nursing Skits + Study Notes

The Neuro Collection

Educational Nursing Skits + Study Notes

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Eliza G.
Eliza G.
Verified ownerVerified owner
5/5

Okay this totally saved my life! Can we have more PEDS resources like this please! I love the portion on IV Insertion tips and the OB Delivery section! I can’t thank you enough for this amazing jam packed resource! Can’t wait for more!

4 weeks ago
PEDS ER Cheat Sheet Product Photo (1)
PEDS ER Cheat Sheet
nursetabi
nursetabi
Verified ownerVerified owner
5/5

Definitely helpful for my new grad nurse job in the ED!

1 month ago
ER Cheat Sheet Product Photo (1)
ER Cheat Sheet
Brian D.
Brian D.
Verified ownerVerified owner
5/5

So much great information that’s broken down so easy to understand. I haven’t gotten through everything yet because it’s so many pages but the value you get for the price is very worth it. I really like how she included detailed information and then at the end of each type of shock there are easy key points if I want a quick review! Thank you Nurse Hailey!

2 months ago
RN NEW GRADS SHOCK IN DEPTH PRODUCT PHOTO
Shock In-Depth Notes
Enxhi
Enxhi
Verified ownerVerified owner
5/5

Amazing collection of nursing knowledge! Delivery is very fast and straightforward to the email address and items easily accessible by downloading.
Keep up the good job!

2 months ago
Heart Failure Product Photo
Heart Failure In-Depth
Tegan
Tegan
Verified ownerVerified owner
5/5

Every cheat sheet I have purchased here has been helpful and a wealth of knowledge and this one is no different. As an experienced RN, I can recommend these to New Grads and “Old grads” alike. 🙂

3 months ago
Med Surg Tele Med Cheat Sheet Product Photo (1)
Med/Surg-Tele Med Cheat Sheet

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About Us

Hello there and thanks for stopping by! My name is Hailey, and I am the founder of RN New Grads! RN New Grads was developed in 2019 when I was a freshly graduated nursing student. I struggled to find a centralized resource that provided information on hospitals that accepted RN new grads or had RN New Grad Programs.

After countless hours of research, I composed a word document of all the RN New Grad Programs in Southern California. I thought, “If I am having this problem, others must be too.” So, I decided to create RN New Grads to help the job search easier for others. Since our inception, RN New Grads has grown into a comprehensive platform for all things nursing.

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Let’s break down real quick the pathophysiology of Acute Respiratory Distress Syndrome (ARDS):⁣
⁣
1️⃣ 𝗜𝗻𝗶𝘁𝗶𝗮𝗹 𝗜𝗻𝗷𝘂𝗿𝘆 𝗮𝗻𝗱 𝗜𝗻𝗳𝗹𝗮𝗺𝗺𝗮𝘁𝗶𝗼𝗻:⁣
▪️ARDS can be triggered by various direct or indirect insults to the lungs. Direct causes include pneumonia, aspiration, and inhalation injury, while indirect causes encompass sepsis, trauma, and pancreatitis.⁣
▪️The initial injury leads to the activation of the immune system, causing an influx of inflammatory cells (like neutrophils) into the alveoli and pulmonary capillaries.⁣
⁣
2️⃣ 𝗜𝗻𝗰𝗿𝗲𝗮𝘀𝗲𝗱 𝗖𝗮𝗽𝗶𝗹𝗹𝗮𝗿𝘆 𝗣𝗲𝗿𝗺𝗲𝗮𝗯𝗶𝗹𝗶𝘁𝘆:⁣
▪️The inflammatory response damages the capillary endothelium and the alveolar epithelium.⁣
▪️This damage increases the permeability of the pulmonary capillaries, allowing protein-rich fluid to leak into the alveolar spaces.⁣
⁣
3️⃣ 𝗔𝗹𝘃𝗲𝗼𝗹𝗮𝗿 𝗘𝗱𝗲𝗺𝗮 𝗮𝗻𝗱 𝗥𝗲𝗱𝘂𝗰𝗲𝗱 𝗦𝘂𝗿𝗳𝗮𝗰𝘁𝗮𝗻𝘁 𝗣𝗿𝗼𝗱𝘂𝗰𝘁𝗶𝗼𝗻:⁣
▪️The fluid accumulation in the alveoli disrupts normal gas exchange, leading to decreased oxygenation.⁣
▪️The injury to alveolar cells also impairs the production and function of surfactant, a substance that helps keep the alveoli open. This results in alveolar collapse (atelectasis) and decreased lung compliance (stiffness).⁣
⁣
4️⃣ 𝗙𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻 𝗼𝗳 𝗛𝘆𝗮𝗹𝗶𝗻𝗲 𝗠𝗲𝗺𝗯𝗿𝗮𝗻𝗲𝘀:⁣
▪️Protein-rich exudate and cellular debris accumulate. This further impairs gas exchange and contribute to the stiffening of the lungs.⁣
⁣
5️⃣ 𝗩𝗲𝗻𝘁𝗶𝗹𝗮𝘁𝗶𝗼𝗻-𝗣𝗲𝗿𝗳𝘂𝘀𝗶𝗼𝗻 𝗠𝗶𝘀𝗺𝗮𝘁𝗰𝗵:⁣
▪️The damage and fluid in the lungs cause regions with poor ventilation relative to blood flow (ventilation-perfusion mismatch), worsening hypoxemia.⁣
▪️This mismatch can lead to areas of shunting, where blood passes through the lungs without being oxygenated.⁣
⁣
6️⃣ 𝗙𝗶𝗯𝗿𝗼𝘀𝗶𝘀 𝗮𝗻𝗱 𝗖𝗵𝗿𝗼𝗻𝗶𝗰 𝗖𝗵𝗮𝗻𝗴𝗲𝘀:⁣
▪️In some cases, prolonged inflammation can lead to the development of fibrosis (scarring) within the lungs. This fibrosis further decreases lung compliance and can result in long-term respiratory impairment.
Story of every ER nurse’s life 😂
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𝗜𝗳 𝘆𝗼𝘂 𝘄𝗮𝗻𝘁 𝗺𝗼𝗿𝗲 𝗘𝗞𝗚 𝗵𝗲𝗹𝗽 𝗰𝗼𝗺𝗺𝗲𝗻𝘁 “𝗘𝗞𝗚” 𝘁𝗼 𝗴𝗲𝘁 𝗮 𝗱𝗶𝗿𝗲𝗰𝘁 𝗹𝗶𝗻𝗸 𝘁𝗼 𝗼𝘂𝗿 𝗘𝗞𝗚 𝗖𝗵𝗲𝗮𝘁 𝘀𝗵𝗲𝗲𝘁 𝘁𝗵𝗮𝘁 𝗯𝗿𝗲𝗮𝗸𝘀 𝗱𝗼𝘄𝗻 𝟮𝟯 𝗼𝗳 𝘁𝗵𝗲 𝗺𝗼𝘀𝘁 𝗰𝗼𝗺𝗺𝗼𝗻 𝗘𝗞𝗚 𝗿𝗵𝘆𝘁𝗵𝗺𝘀 𝘆𝗼𝘂 𝗻𝗲𝗲𝗱 𝘁𝗼 𝗸𝗻𝗼𝘄!⁣

What went wrong at the end of this Educational Nursing Skit and what should they have done?! 
⁣
🫀Whenever a patient comes to the emergency department with chest pain, you immediately should obtain an EKG on the patient to evaluate the heart rhythm to see how to best manage the patient. If your patient happens to be in SVT, here are some steps you want to make sure to do:⁣
▪️Hand the EKG to the physician immediately so they can confirm the EKG and also be kept in the loop because they obviously will be putting orders in⁣
▪️Get them to a room and start an IV in at least the upper forearm or higher. Try a 20 g but if you work in the ER you know sometimes you just get what you can get!⁣
▪️Try vagal maneuvers. These don’t work often but if they do it’s fantastic for the patient. Common vagal maneuvers are having the patient try to blow in a syringe, immerse their face in cold water, or have them hold their breath and bear down (Valsava maneuver)⁣
▪️Things to prepare before adenosine: Crash cart, pads on the patient, frequent vitals, fluids, adenosine drawn up, MD at bedside prior to pushing⁣
▪️Before giving adenosine always always tell the patient they are going to feel like absolutely sh*t (maybe not in those words like I would probably say) after getting the medication. They may get a few doses depending on the MD ranging from 6-12 mg. Try to use a stop cock if you can or bring some extra tubing with two ports so you can slam the NS flush immediately after the adenosine.⁣
▪️Remember to record the rhythm⁣
▪️I would say most of the time I see adenosine work, but if it doesn’t they may try another medication such as a calcium channel blocker or beta blocker prior to trying cardioversion⁣