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Cleansweep RN

Critical Care Nurses Association of the Philippines, Inc. (CCNAPI) invites all Registered Nurses to join their Continuing Education Seminar updates on different Nursing Related topics for the month of OCTOBER 2008. The following seminars are accredited by Philippine Nurses Association Inc. (PNA) and Critical Care Nurses Association of the Philippines, Inc. (CCNAPI). Participants of the said seminars are entitled to receive certificates and credits for their attendance.
Oct 4, 2008 ---- 8:00 am – 5:00 pm
The Care of the Patients with Mechanical Ventilation
Atrium II, 8F MAB, PHC, East Ave. QC.

Oct 11, 2008 --- 8:00 am – 12:00 nn
Hypertensive Crisis
Atrium II, 8F MAB, PHC, East Ave. QC.

Oct 11, 2008 --- 1:00 pm - 5:00 pm
The care of the Patients after Open Heart Surgery
Atrium II, 8F MAB, PHC, East Ave. QC.

Oct 18, 2008 --- 8:00 am - 5:00 pm
Basic Life Support (BLS) Workshop
Atrium I, 8F MAB, PHC, East Ave. QC.

Oct 25 -26, 2008 --- 8:00 am - 5:00 pm
EKG : Basic Interpretation (WORKSHOP)
Atrium I, 8F MAB, PHC, East Ave. QC.

Registration is still on going for those who are interested to attend the training seminar and don’t hesitate to visit their office at 8th floor, Medical Arts Building , Philippine Heart Center, East Avenue, Quezon City, Philippines Mondays to Fridays 8AM to 5PM. For any questions, you may call the Secretariat Office at (02) 426-4394.

Online application forms are available at their website. For online application, log on at CCNAPI’s website
http://ccnapi.net.ph/ . CCNAPI Members are advised to present their Membership ID to avail discounts (strictly No ID No discounts), for Non CCNAPI members present any identification card upon registration. For those who want to become a member of CRITICAL CARE NURSES ASSOCIATION OF THE PHILIPPINES, INC. (CCNAPI). Please bring the following requirements: 1x1 ID Picture, PRC License/ Claim stub and Php 300 for membership fee.

Registration fees mode of Payment:

Pre-Registration
: Php 300/topic for Member and Php 350/topic for Non-Member
On-site Registration: Php 400/topic for Member and Php 450/topic for Non-Member

For ECG training workshop:

Pre-Registration
: Php 1500 for Member and Php 1700 for Non-Member
On-site Registration
: Php 1700 for Member and Php 2000 for Non-Member

For BLS training workshop:
One day training includes:
Lecture on CPR - Pedia and Adult; Use of AED
Demo on how to perform CPR and the Use of AED
Return Demo on Adult CPR and Written Exam

Pre-Registration
(Sept. 24, 2008 - Oct. 4, 2008): Php 600 for Member and Php 700 for Non-Member
On-site Registration
(starts on Oct. 6, 2008): Php 700 for Member and Php 800 for Non-Member
BLS ID card (issued after the workshop upon passing the exam): Php 150

Deadline of Payments:
Pre-Registration: 2 weeks before the workshop
On-site Registration
: on the day of registration (2 weeks onwards)

REMINDERS: ONCE ENROLLDED TO ANY UPDATES OR WORKSHOPS IT IS NON-TRANSFERABLE. YOU MAY REFUND YOUR PAYMENT, BUT IT IS SUBJECTED TO THE FOLLOWING: SECURE LETTER OF REQUEST FROM CCNAPI, TWO (2) WEEKS BEFORE THE SEMINAR/TRAINING AND PRESENT A MEDICAL CERTIFICATE, IF THE REASON IS DUE TO SICKNESS / HOSPITALIZATION.
Cleansweep RN

Gastric intubation via the nasal passage is a common procedure that provides access to the stomach for diagnostic and therapeutic purposes. A nasogastric (NG) tube is used for the procedure. The placement of an NG tube can be uncomfortable for the patient if the patient is not adequately prepared with anesthesia to the nasal passages and specific instructions on how to cooperate with the operator during the procedure. The main use of a nasogastric tube is for feeding and for administering drugs and other oral agents. For drugs and for minimal quantities of liquid, a syringe is used for injection into the tube. For continuous feeding, a gravity based system is employed, with the solution placed higher than the patient's stomach. If accrued supervision is required for the feeding, the tube is often connected to an electronic pump which can control and measure the patient's intake and signal any interruption in the feeding.

Nasogastric aspiration (suction) is the process of draining the stomach's contents via the tube. Nasogastric aspiration is mainly used to remove gastric secretions and swallowed air in patients with gastrointestinal obstructions. Nasogastric aspiration can also be used in poisoning situations when a potentially toxic liquid has been ingested, for preparation before surgery under anesthesia, and to extract samples of gastric liquid for analysis.

Indications:

Diagnostic
1. Evaluation of upper gastrointestinal (GI) bleed (ie, presence, volume)
2. Aspiration of gastric fluid content
3. Identification of the esophagus and stomach on a chest radiograph
4. Administration of radiographic contrast to the GI tract

Therapeutic
1. Gastric decompression, including maintenance of a decompressed state after endotracheal intubation, often via the oropharynx
2. Relief of symptoms and bowel rest in the setting of small-bowel obstruction
3. Aspiration of gastric content from recent ingestion of toxic material
4. Administration of medication
5. Feeding
6. Bowel irrigation

Contraindications:

Absolute contraindications
1. Severe midface trauma
2. Recent nasal surgery

Relative contraindications
1. Coagulation abnormality
2. Esophageal varices or stricture
3. Recent banding or cautery of esophageal varices
4. Alkaline ingestion

Materials:

1.Nasogastric tube
a. Adult - 16-18F
b. Pediatric - In pediatric patients, the correct tube size varies with the patient’s age.

2. lidocaine 2%
3. Oral analgesic spray (Benzocaine spray)
4. Oral syringe, 12 mL
5. Glass of water with a straw
6. Water-based lubricant
7. Toomey syringe, 60 mL
8. Tape
9. Emesis basin or plastic bag
10. Wall suction, set to low intermittent suction
11. Suction tubing and container

Complications:
1. Patient discomfort
2. Generous lubrication, the use of topical anesthetic, and a gentle technique may reduce the patient’s level of discomfort.
3.Throat irritation may be reduced with administration of anesthetic lozenges prior to the procedure.
4. Epistaxis may be prevented by generously lubricating the tube tip and using a gentle technique.
5. Respiratory tree intubation
6. Esophageal perforation



Cleansweep RN

The Critical Care Nurses of the Philippines, Inc. invites all Nurses and BSN students to join the two day ECG workshop entitiled “BASIC ECG INTERPRETATION FOR NURSES” that will be held at University of Saint Anthony, Iriga City, Philippines on October 3 and 4, 2008, 8 AM to 5 PM. The 2 day ECG seminar will provide the RN’s essential information on the basic review of electrophysiology, lead system, components of the wave and systematic approach in analyzing an EKG strip. This seminar will be discussed by ECG specialist Maria Isabelita C. Rogado, RN, MAN.
Registration Fee:
CCNAPI member: Php 1,700 (for those who registered 2 weeks before the start date) and Php 1,500 (for those who registered earlier than 2 weeks)
Non- CCNAPI memeber: Php1,700 and Php 2,000 respectively

Schedule of EKG Interpretation Workshops to be held at Atrium I, 8th floor Medical Arts Building, Philippine Heart Center, East Avenue, Quezon City:

September 27-28, 2008 ------ 8:00 AM to 5:00 PM
October 25-26, 2008 ------ 8:00 AM to 5:00 PM
December 4-5, 2008 ------ 8:00 AM to 5:00 PM

This seminar is accredited by the Philippine Nurses Association (PNA) and Critical Care Nurses of the Philippines, Inc. (CCNAPI). Participants will receive credit units for their attendance. For inquiries, please call (02) 426 4394 / 09219190450
or log in at their website at www.ccnapi.net.ph. CCNAPI office at 8F Medical Arts Building, Philippine Heart Center, East Avenue, Quezon City Philippines 1114. Feel free to drop by the CCNAPI office for registration, CCNAPI Members are advised to present their Membership ID to avail discounts, NO ID. NO DISCOUNT, for Non CCNAPI Members present any identification card.

For those who want to be a member of CITICAL CARE NURSES ASSOCIATION OF THE PHILIPPINES, INC. (CCNAPI)
Please bring the folowwing requirements:
> 1x1 ID Picture
> PRC License/ Claim stub
> Php 300 for membership fee


Cleansweep RN

Operating Room Nurses Association, Inc. (ORNAP) in collaboration with Aesculap Academy Philippines will conduct a seminar-workshop entitled “Lecture and Workshop on Building Competencies in Managing Instruments”. This workshop/seminar aims to enhance the knowledge and skills of Peri-operative Nurses, CSSD, and Operating Room Clinical Instructors in handling surgical instruments. In particular, it intends to review current practices on the care and maintenance of surgical instruments; to provide updates on the different types of reprocessing of surgical instruments; and lastly, to provide recommendations on the proper care and maintenance of basic and surgical instruments.

The seminar is scheduled on the following dates; October 17, 2008, November 11, 2008 and December 12, 2008 at Aesculap Academy, JMT Building, Ortigas Center, Pasig City, Philippines. Participation fee is P300.00 (includes kit and snacks). Pre-registration and Reservation is required to all participants (50 seats only).

The following are the speakers/lecturers of the said seminar-workshop; Antonieta D. Palafox, RN, MAN Chief Nurse, Ospital ng Muntinlupa, Sterile Processing Specialist, and Jennifer C. Fernando Certified Aesculap Academy Trainer Sterile Processing Specialist. For details and inquiries please contact: AESCULAP ACADEMY 2/F JMT Corporate Center, ADB Avenue, Ortigas Center, Pasig City, PhilippinesTel. Nos. (02) 633-7284 to 95 local 118.
Cleansweep RN
Faye Abdellah, RN, Ed.D., Sc.D., FAAN, was the founding dean of the Graduate School of Nursing at the Uniformed Services University, Bethesda, MD. She was the first Deputy surgeon General of the U.S. Public Health Service. She developed a list of 21 unique nursing problems related to human needs in the 1960s. Her early writings contributed to the idea that nurses use a problem-solving approach to practice rather than merely following physician orders, complementing the 1965 statement from the American Nurses Association recommending baccalaureate education as entry into nursing practice.

Abdellah's 21 problems are actually a model describing the "arenas" or concerns of nursing, rather than a theory describing relationships among phenomena. In this way, distinguished the practice of nursing, with a focus on the 21 nursing problems, from the practice of medicine, with a focus on disease and cure. Although Abdellah spoke of the patient-centered approaches, she wrote of nurses identifying and solving specific problems. This identification and classification of problems was called the typology of 21 nursing problems. Abdellah's typology was divided into three areas:

(1) The physical, sociological, and emotional needs of the patient;
(2) The types of interpersonal relationships between the nurse and the patient; and
(3) The common elements of patient care.

Adbellah and her colleagues thought the typology would provide a method to evaluate a student's experiences and also a method to evaluate a nurse's competency based on outcome measures.

Abdellah's Typology of 21 Nursing Problems:


1. To promote good hygiene and physical comfort
2. To promote optimal activity, exercise, rest, and sleep
3. To promote safety through prevention of accidents, injury, or other trauma and through the prevention of the spread of infection
4. To maintain good body mechanics and prevent and correct deformities
5. To facilitate the maintenance of a supply of oxygen to all body cells
6. To facilitate the maintenance of nutrition of all body cells
7. To facilitate the maintenance of elimination
8. To facilitate the maintenance of fluid and electrolyte balance
9. To recognize the physiologic responses of the body to disease conditions
10. To facilitate the maintenance of regulatory mechanisms and functions
11. To facilitate the maintenance of sensory function
12. To identify and accept positive and negative expressions, feelings, and reactions
13. To identify and accept the interrelatedness of emotions and organic illness
14. To facilitate the maintenance of effective verbal and nonverbal communication
15. To promote the development of productive interpersonal relationships
16. To facilitate progress toward achievement of personal spiritual goals
17. To create and maintain a therapeutic environment
18. To facilitate awareness of self as an individual with varying physical, emotional, and developmental needs
19. To accept the optimum possible goals in light of physical and emotional limitations
20. To use community resources as an aid in resolving problems arising from illness
21. To understand the role of social problems as influencing factors in the cause of illness
Cleansweep RN

The Professional Regulation Commission (PRC) advised the applicants of the November 2008 Nurse Licensure Examination (NLE) to follow a new scheme in the processing of their applications. According to PRC, the issuance of the pre-numbered Nurses Application Forms (NAF’s) is coursed through the deans of the colleges of nursing. NLE applicants may secure a copy of the NAF from their respective colleges. The procedure will aid the applicants to have time to read and accomplish the NAF properly, prepare requirements and to minimize the long backlog and congestion in the filing areas. Applicants are also advised to enter correct codes of their respective schools to assist the PRC and BON in the accurate recording and reporting of the performance of the colleges of nursing in the Nurse Licensure Examinations. As control measure, the deans of respective universities/colleges must submit the following requirements issued by PRC.


Letter of request signed by the Dean of the College of Nursing
List of graduates taking the NLE
Commitment letter stating that NO fee shall be charged to the applicant for the issuance of the NAF

Filing of the NAF and the accompanying requirements shall be undertaken personally by the applicant. The PRC Central Office and any of the Regional Offices will NOT ACCEPT and/or process application unless personally filed by the applicant. The PRC Application Division is currently accepting applications for the November 29-30, 2008 Nurse Licensure Examination. DEADLINE FOR THE SUBMISSION of application with all requirements is on OCTOBER 17, 2008. Applicants are encouraged to apply ahead of time.

Cleansweep RN
An object is sterile only when it is free of all microorganisms. Sterile technique is practiced in operating rooms, labor and delivery rooms, and special diagnostic areas. The technique is employed for many procedures in general care areas such as administering medications and injections, changing wound dressings, catheterization and intravenous therapy. In all these situations, principle of surgical asepsis is applied.

The purpose of the surgical hand scrub is to reduce resident and transient skin flora or bacteria/ microorganisms to a minimum. Other purpose includes reducing the risk of transmission of microorganisms and cross-contamination among clients. Proper hand scrubbing provides the patient with the best possible barrier against pathogenic bacteria in the environment and against bacteria from the surgical team. Before beginning the hand scrub, don a surgical cap or hood that covers all hair, both head and facial, and a disposable mask covering your nose and mouth.

There are two types of surgical hand washing namely, Time method and Brush-stroke method. Time method use a clock or some timing device to measure brushing time, the length of the scrub varies from one institution to another. This method has been most frequently used in the past. While the Brush-stroke method of surgical hand washing uses prescribed number of brush-strokes, applied lengthwise of the brush or sponge, and it is used for each surface of the fingers, hands, and arms. The practitioner should strictly follow the following prrocedures in performing the surgical hand washing.






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