How to Suction a Tracheostomy Tube

1. Gather equipment and provide privacy for patient.
2. Perform hand hygiene.
3. Assist the patient to a semi-Fowler’s or Fowler’s position if conscious. An unconscious patient should be placed in the lateral position facing you.
4. Turn suction to appropriate pressure.

1. Wall unit

•  Adult: 100 to 120 cm Hg
• Child: 95 to 110 cm Hg
• Infant: 50 to 95 cm Hg

2. Portable unit

• Adult: 10 to 15 cm Hg
• Child: 5 to 10 cm Hg
• Infant: 2 to 5 cm Hg

6. Place clean towel, if being used, across patient’s chest. Don goggles, mask, and gown, if necessary.
7. Open sterile kit or set up equipment and prepare to suction.

1. Place sterile drape, if available, across patient’s chest.
2. Open sterile container and place on bedside table or overbed table without contaminating inner surface. Pour sterile saline into it.
3. Hyperoxygenate patient using manual resuscitation bag or sigh mechanism on mechanical       ventilator.
4. Don sterile gloves or one sterile glove on dominant hand and clean glove on nondominant hand.
5. Connect sterile suction catheter to suction tubing held with unsterile gloved hand.

8. Moisten catheter by dipping it into the container of sterile saline, unless it is one of the newer silicone catheters that does not require lubrication.
9. Remove oxygen delivery setup with unsterile gloved hand if it is still in place.
10. Using sterile gloved hand, gently and quickly insert catheter into the trachea. Advance about 10 to 12.5 cm (4-5 inches) or until patient coughs. Do not occlude Y-port when inserting catheter.
11. Apply intermittent suction by occluding Y-port with thumb and index finger of sterile gloved hand as catheter is being withdraw. Do not allow suctioning to continue for more than 10 seconds. Hyperventilate three to five times between suctioning or encourage patient to cough and deep breathe between suctioning.
12. Flush catheter with saline and repeat suctioning as needed and according to patient’s tolerance of the procedure. Allow patient to rest at least 1 minute between suctioning, and replace oxygen delivery setup if necessary. Limit suctioning events to three times.
13. When procedure is completed, turn off suction and disconnect catheter from suction tubing. Remove gloves inside out and dispose of gloves, catheter, and container with solution in proper  receptacle. Perform hand hygiene.
14. Adjust patient’s position. Auscultate chest to evaluate breath sounds.
15. Record time of suctioning and nature and amount of secretions. Also note character of patient’s respirations before and after suctioning.
16. Offer oral hygiene.

 

BoN-PNA Online Priority Number System

This webpage provides successful NLE passers a guide on how to access the BoN-PNA Online Priority Number System (OPNS) — a new, digital system used to generate an Online Priority Number which is required among new nurses who wish to take their oath at SMX, Mall of Asia only.

The Online Priority Number, the commission said, is required to avail of tickets. If you intend to have your Oathtaking in the province, there's no need to register

The website can be accessed at this URL: http://www.nurseoathtaking.net

Moreover, the PRC announced that oathtaking tickets for the National Capital Region (NCR) and nearby regions will be available at the Philippine Nurses Association (PNA) office at 1663 F.T. Benitez Street, Malate, Manila, from February 28, 2011 on a “first come first serve” basis.

PRC Registration Schedule for December 2010 NLE Passers from Cebu

Here’s PRC Registration for December 2010 NLE Passers from Cebu:

PRC Registration December NLE 2010 Passers Cebu

PRC Registration Schedule for December 2010 NLE Passers in Manila and Pampanga

Philippine Regulation Commission announced the Initial Registration Schedule for December 2010 Nurse Licensure Exam (NLE) Passers from Manila and Pampanga. Venue of registration will be at Occupational Safety and Health Center, North Ave cor Agham Road, Diliman, Quezon City.

Here’s the Schedule of Registration for Manila and Pampanga passers:

PRC Registration December NLE 2010 Passers Manila Pampanga

Check NCLEX results fast

Have you heard of PearsonVue Trick (PVT)?

For lots of NCLEX takers, waiting for the NCLEX result is the most stressful part. That’s why some candidates would pay $7.95 at Pearsonvue just to view the Quick Results, but not all state Board of Nursing participate in that service.

Pearsonvue Trick hints you about your NCLEX result, sometimes hours after taking the exam. Yes, it’s quicker than Quick Results, and most of all free. Even candidates whose state Board of Nursing does not participate in QR can utilize this method of checking NCLEX result.

Alright, I’ll give you the steps on how to do Pearsonvue trick for checking the NCLEX results fast with images.

1. Type address http://pearsonvue.com/nclex/activity/. Login your Username and Password, as shown below:

2. Click ‘Register’ button.

3. Choose your Exam Type. Below NCLEX-RN was selected. Click ‘Next’.

4. Select Country of Test Center Location. Click ‘Next’.

In the next items, you may answer only the required field (with *).

5. Click ‘Yes’ in first Question, then select your Country in drop down menu Wait for page to refresh.

6. Leave the City and Program Code fields blank if you’re in foreign country, as shown below. Click ‘Search’ and again, wait for the page to refresh.

7. Then select the Country(or your nursing programwith Program Code) that appeared after refresh, as shown below. Click ‘Next’.

8. Select your Board of Nursing, as shown. Take a deep breath, the next screen will hint you of your result. If you’re ready, click ‘Next’.

Here are the possible outcomes:

• If you passed the NCLEX, there’s a pop-up that says, Our records indicate that you have recently scheduled this exam. Please contact your Member Board for further assistance. Another registration cannot be made at this time.’

• If you failed, the registration will continue and ask you for Payment, credit card details.

• If you get a pop up that says ‘The candidate currently has test results that are on hold. A new registration cannot be created at this time.’, it has nothing to do with passing or failing; it means you will possibly have to wait a few more days and do the Pearsonvue trick again.

December 2010 NLE Top Nursing Schools

The lists of top performing schools and performance of schools in alphabetical order for the December 2010 Nurses Licensure Examination (NLE) are available as they were already officially released by the Professional Regulation Commission (PRC).

NLE December 2010 Top Performing Schools With 50 or More


NLE December 2010 Performance of Schools in Alphabetical Order

December 2010 NLE Results

December 2010 NLE Top 10 Examinees

December 2010 NLE Top 10 Examinees

MANILA, Philippines—Following are the top 10 nursing board examinees:

CONGRATS

1	WEANNE MYRRH RAZON ESTRADA	ADVENTIST UNIVERSITY OF THE PHILIPPINES	88.40
2	MARY GRACE BERMUDEZ RALLO	CENTRAL LUZON DOCTOR'S HOSPITAL EDUCATIONAL INSTITUTION	86.80
3	MARIA KRISTINA PAMINTUAN BICAS	SAINT LOUIS UNIVERSITY	86.60
4	VANESSA GARMA ELUMBARING	SAINT MARY'S COLLEGE-TAGUM	86.40
	KIMBERLY MEDINA MALUBAGO	SOUTHERN LUZON STATE UNIVERSITY-LUCBAN (SLPC)	86.40
5	JESSA LORRAINE DEJAN ANDALAN	XAVIER UNIVERSITY	86.20
6	YUGIE CAROLINE MURILLO DEMEGILLO	ILOILO DOCTORS' COLLEGE	86.00
7	HANAKO SASAKI ARANILLA	FIRST ASIA INSTITUTE OF TECHNOLOGY & HUMANITIES	85.80
	TEENA MARIE JUNIO PASCUA	SAINT MARY'S UNIVERSITY	85.80
	NONAH VEE CORNELIO SARENO	DAVAO DOCTORS COLLEGE, INC.	85.80
	ELNATHAN SAMSON SUBARDIAGA	UNIVERSIDAD DE ZAMBOANGA (for.ZAEC)	85.80
	KARL MARIE STA ANA TUVILLA	UNIVERSITY OF NEGROS OCCIDENTAL-RECOLETOS	85.80
8	KARL GABRIEL ALFERI BONIFACIO	COLEGIO DE SAN AGUSTIN-BACOLOD CITY	85.60
	DENNIS GONZALES DURAN	PAMANTASAN NG LUNGSOD NG MAYNILA	85.60
	BERNADETTE LUMIBAO GUEVARRA	COTABATO MEDICAL FOUNDATION COLLEGE	85.60
	CRISELLE LYN GUERRERO LI	FATHER SATURNINO URIOS UNIVERSITY (URIOS COLL)	85.60
	VINCENT JUBELAG SUMERGIDO	WEST VISAYAS STATE UNIVERSITY-LA PAZ	85.60
9	JACQUILINE JANE BANZUELA DE JESUS	ARELLANO UNIVERSITY-PASIG	85.40
	RIZYL JEM FRANCO JAPITANA	COLEGIO DE SAN AGUSTIN-BACOLOD CITY	85.40
	CHRISTINE JANNIE PAEZ RIVERA	PAMANTASAN NG LUNGSOD NG MAYNILA	85.40
	NICOLE ANNE ALBALADEJO SALES DIAZ	COLEGIO DE SAN AGUSTIN-BACOLOD CITY	85.40
10	JAIME DELA ROCA BONIFACIO JR	ADVENTIST UNIVERSITY OF THE PHILIPPINES	85.20
	MICAELA OREVILLO DE GUZMAN	XAVIER UNIVERSITY	85.20
	ROSE ANGELA REYES MAHIPUS	DAVAO MEDICAL SCHOOL FOUNDATION	85.20
	IRENE KATE FAUSTINO NICOLAS	PAMANTASAN NG LUNGSOD NG MARIKINA	85.20
	CESAR RYAN ESPERA ORTIZ	AQUINAS UNIVERSITY	85.20
	ROBY ANN GUTIERREZ PRADO	COLEGIO DE DAGUPAN (for.COMPUTRONIX COLL)	85.20

December 2010 NLE Results

December 2010 NLE Results

MANILA, Philippines—A total of 29,711 out of 84,287 passed the Nurse Licensure Examination given by the Board of Nursing in the cities of Manila, Baguio, Butuan, Cagayan de Oro, Cebu, Dagupan, Davao, Ilocos Sur, Iloilo, La Union, Legazpi, Lucena, Nueva Ecija, Pagadian, Pampanga, Tacloban, Tuguegarao and Zamboanga in December, the Professional Regulation Commission said.

The results of examination with respect to two (2) examinees were withheld pending final determination of their liabilities under the rules and regulations governing licensure examination.

How to fight colds and flu!!!

Many different viruses can cause colds and flu. They are passed on by inhaling infected droplets that have been sneezed or coughed into the air or by touching an area with live infection.

Symptoms of cold & flu

A runny or blocked nose, sore throat, sneezing, cough, headache and mild fever are all signs of the common cold flu symptoms are similar but the fever is usually higher, alternating with chills and accompanied by sweating, aches and pain and fatigue.

Try It: Vitamin D
In a study published recently in the American Journal of Clinical Nutrition, children who took daily vitamin D supplements (1,200 IU) were 40 percent less likely to get a common flu virus than kids who took a placebo. Laboratory studies indicate that the nutrient may help immune cells identify and destroy bacteria and viruses that make us sick, says Adit Ginde, M.D., M.P.H., a public health researcher at the University of Colorado School of Medicine in Denver. 


Want to try something different?

Here are natural ways to knock out a cold or flu using herbal a remedies.

1. Eat plenty of leeks and green onions.

These herbs have powerful cold fighting properties.You can eat healthy vegetable soup with leeks or green onions in it. This will make you sweat , but don't take a shower whlie you have fever. Just clean your body with wet towel and change the night clothe and sleep well.

2. Take a large clove of Garlic, peel and keep it in your mouth.

Bite down every so-often to release the natural juices. Replace with a new clove every four or five hours. Your cold symptoms should be to gone in twenty four, to forty eight hours.

3. Your nose all stuffed up?

Try eating some hot or spicy foods which should open up those blocked nasal passages and you won't have the rebound effect of taking too many nose drops!

4. Not hungry?

Try a few minutes of vigorous exercise. The increased oxygen demand of your body will almost certainly cause you to breathe deeper and help open-up your blocsked nasal passages naturally.

5. Chest congestion

can be effectively cleared up by breathing a mixture of hot vinegar, or white wine. Breath in the vapors for a few minutes, and you should get relief!

6. Coughs and sore throats can be controlled with several home remedies.

A classic requires a large lemon. Start by slowing roasting it until it just splits open. Now take up to half a teaspoon of honey with the juice from the lemon. Repeat at hourly intervals until the cough is under control.

7. Feel better with elderberry

Elderberry tea to treat respiratory infections, now scientific evidence suggests that taking a standardized elderberry extract can shorten the length of time you're sick by 50 percent.

8. Soothe a sore throat

Drink a tea made of mucilaginous herbs such as marshmallow or slippery elm, which coat the throat.

9. Stop the cough

When you can't quit coughing, drink hot ginger tea. Ginger stimulates circulation and helps clear your sinuses and lungs of mucus. You may also get some relief with the natural cough suppressant, bromelain, an enzyme from pineapple.

10. Breathe easier

One of the best ways to open clogged sinus and bronchial passages is to breathe warm steam to which you've added essential oil of eucalyptus.

Raymond is an author of "How to blast your allergies away forever!". He cured himself of his hay fever, itchy skin and also discovered quick relieve for cold and flu using his original natural remedies. thenaturalremedies.com

HAAD Exam for Nurses in UAE

If you intend to work for a nursing job in UAE, one of the requirements is passing the HAAD exam for nurses. HAAD or Health Authority-Abu Dhabi is the regulatory body for all healthcare related professions, including Nursing, in UAE.

Just like NCLEX, HAAD exam is administered by Pearsonvue, and HAAD candidates can take it in any Pearsonvue Testing Centers around the world. If you’re a Filipino nurse, the you can take it in Pearson Test center in Trident Tower, Makati.

HAAD exam is computer-based exam, with 150 items in multiple choice format. It covers Nursing Fundamentals, Maternity nursing, Med-Surg nursing, Psychiatric nursing and nursing management and leadership. It is said to be easier than NCLEX and CGFNS exams. Saunders NCLEX Book and Mosby NCLEX are good references for study.

Result for HAAD exam is made available just minutes after the exam, so be ready. List of successful applicants is also posted in HAAD website. If you fail, you can retake HAAD exam in 3 months.
Other Testing Area in the Philippines

PRC targets February 20 to release December 2010 NLE Results

One of the Board of Nursing (B0N) member Marco Antonio Sto. Tomas revealed via Facebook that the Philippine Regulatory Commission (PRC) is targeting February 20, 2011 (Sunday) as the release date of the December 2010 Nursing Licencure Exam or December 2010 NLE Results

Sto. Tomas posted on his Facebook wall,

"Perhaps it will help if people like those awaiting results will offer prayers for us too! We also wish to finish and release the results because this is not the only job BoN is engaged in.. the 20th is a reasonable target and we and the rest of the PRC staff are working on it even on saturdays and sundays, up to midnight..."

He added that the December 2010 NLE takers should just turn their anxieties to prayers, instead.

"...to process examinations for 84-85,000 examinees X 5 subjects is certainly not a joke so turn your anxieties into prayers instead, be faithful to our "calling" but be open to God's will all the more," Sto. Tomas posted on his Facebook page."

The December 2010 Nursing Board Exam was held last December 19-20, 2010. But with the volume of exam papers to check the BoN is having a real hard time to release the date at a soonerdate as everyone would like to.

The results of the nursing board exam will be posted when available here.