Reviewer

REVIEWER: Vision: “St. Luke’s Medical Center will be one of the top 5 medical institutions in Asia by year 2010.” Mission: “To deliver excellent healthcare through caring and highly competent professionals, utilizing world-class technology and research. These we shall do in the most financially viable way without losing sight of our purpose-to be of service to God and mankind.” Core Values: (S.P.I.C.E.T) • • • • • •

Social responsibility Passion for excellence Innovation Customer service Expertise Teamwork

Nursing Competencies: • • • • • • • • • • • •

Safe and effective quality nursing care Health education Ethico-moral Research Record management Collaboration and teamwork Quality improvement Management of resources and environment Legal responsibility Personal and professional development Communication Customer service

National Safety Goals: • • • • • • • •

Patient identification Improve communication Medication safety Health-care associated infection Reduced falls Correct site, correct procedure, correct person Patient involvement Pressure ulcers

Patient Identifiers: • • • • •

Patient’s identification wrist band Patient room signage placed inside the door of the patent’s room. On all pages of the patient’s charts or medical record On IV labels and multi-dose vial medications of the patient Specimen containers of the patient.

10 Golden Rules for Administering Drugs Safely • • • • • • • • • •

Administer the right drug Administer to the right patient Administer the right dose Administer the drug by the right route Administer the drug at the right time Teach the patient about the drug he is receiving. Take complete patient drug history Find out if the patient has any drug allergy Be aware of potential drug-drug or drug-food interactions Document each drug you administer

Inventory and Accountabilities • • • • • •

Pharmacy supplies Central Sterile Supplies Office supplies Housekeeping supplies Linen Asset accountabilities

Needle Prick Injury • • •

Diets

Immediately report all exposure Comply with post-exposure follow-up Support your peers IR- NUM, Resource Unit Manager, EHC (Mon.-Fri.) ER (Sat.-Sun &Holidays), own copy

1. General Diet- full diet or DAT 2. Clear Liquid Diet- given before and after surgery 3. General Liquid Diet- for oral surgery and plastic surgery of neck and face. – For the transition to soft diet 4. Soft Diet- soft whole food that is lightly seasoned and moderately low in fiber. – For post-op who cannot tolerate full diet 5. Mechanically Soft Diet- foods modified only in texture for easy mastication. 6. Low Fat Diet- provide 15-20% of total calories – Patients with fatty liver, gall bladder disease, GI disturbance 7. Bland Diet- foods that do not unduly increase gastric acid production and are not irritating to the GI tract. – Low fiber, spices, and condiments 8. High Fiber Diet- greater emphasis on fiber rich sources 9. Low Residue Diet- easily digested and is almost absorbed leaving minimum residue. 10.Low Purine Diet- increase carbohydrate and reduce fat. Carbohydrate aides in excretion of purine while fats retain purine 11.Low Tyramine Diet- prescribed to patients taking MAOIs – To prevent sudden HPN with the reaction to animase. 12.Low Iodine Diet- given to patients with hyperthyroidism and for patients undergoing cancer therapy. 13.Vegetarian Diet – Lacto-ovo- allow milk and egg – Ovo- allow egg – Lacto- allow milk and dairy products – Pesco- allow fish – Strict vegans- only fruits, vegetables, and cereals

14.Low Oxalate Diet- oxolic acid occurs primarily in food of plant in origin 15.Low Calcium Diet- to reduce level of Calcium in the urine to maintain diluted urine. 16.High Iron Diet- given to patients with depleted hemoglobin in the blood due to other related disease. 17.Hypoallergenic Diet- to prevent sensitivity reactions. Usually given to patients with asthma 18.Ketogenic Diet- to produce ketosis by limiting very severely the amount of available glucose and increase remarkably the intake of fat. – For epileptic patients 19.Diabetic Diet- better control of blood glucose. 20.Heart’s Delight Diet- for patient with heart ailment. – Initially recommended to a patient post bypass. 21.Hemoglobin Free/ Dark Colored Foods- to study the presence of occult blood in the stool. 22.Low Vitamin K- for patients taking Coumadin 23.Bariatric Surgery- designed for patients with body mass index of 40 and above. 24.Dysphagia Diet- diet for difficulty swallowing.