Nursing Terminology
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About this ebook
All professional nurses know that an in-depth knowledge of tools, tests, equipment and products connected to their field is crucial to providing the best-possible care to clients. Our 3-panel (6-page) guide covers these elements in a comprehensive, fluff-free style that is sure to be useful to veteran nurses or those just starting out.
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Nursing Terminology - BarCharts, Inc.
Basic Definitions of Tools, Equipment, Products & More!
GENERAL TOOLS & EQUIPMENT
Bandage scissors: Highly polished surgical steel scissors with a blunted end. Used to safely remove first-aid bandages and dressings.
Forceps: For removal of small foreign objects with needle-point sharpness. Available in a variety of styles for different uses; mosquito forceps, dressing forceps, curved or straightline forceps, and Kelly forceps are just some examples.
Needle: Different types of needles exist. Each type has a specialized use.
Hypodermic needle: A hollow needle commonly used with a syringe to inject substances into the body.
Surgical needle: A needle with holes or eyes; supplied to the hospital separate from its suture thread.
Tuohy needle: A hollow needle suitable for inserting epidural catheters.
Tourniquet: A device, typically a tightly encircling bandage, used to check bleeding by temporarily stopping the flow of blood through a large artery in a limb. Also used to distend a vein prior to venipuncture.
NURSING TERMINOLOGYDOCUMENTATION & CHARTING
Charting: The act of documenting information about a client, focusing on the assessment and treatment of the disease process and the client’s call for and response to nursing care. The goal of charting is communication.
Charting by exception: A focus on deviation from the norm or significant findings.
Computer assisted: Entering client-specific data into a computer for storage and retrieval.
Electronic medical record (EMR) or electronic health record (EHR): A medical record in digital format.
Flow sheets: Recording or graphing of data to demonstrate patterns, trends or alteration in findings.
Narrative charting: Charting by discipline using a narrative to document activity based on chronology rather than systems.
Problem-oriented medical records (POMR): The record is organized according to the individual’s specific problems.
SOAP Note: The acronym S-O-A-P stands for – Subjective (what the client feels or his/her symptoms); Objective (what the nurse observes or signs); Assess (what the nurse assesses the situation to be); Plan (what the nurse is doing).
SOAPIER Note: Similar to SOAP, with the addition of – Implementation (nursing actions in response to the symptoms and signs or carrying out the plan); Evaluation (how the client responded); Revision (how the plan changes based on the client’s response).
NURSING TERMINOLOGYASSESSMENT TECHNIQUES, TOOLS & EQUIPMENT
Vital Signs (VS) – Temperature Scales Temperature: Body temperature is one VS a nurse must assess. It is measured with thermometers that may be calibrated to a variety of temperature scales.
Fahrenheit: A temperature scale still in use for most non-scientific purposes in the United States. In this scale, the freezing point of water is 32°F and the boiling point is 212°F (at standard atmospheric pressure), placing the boiling and freezing points of water exactly 180 degrees apart. A degree on the Fahrenheit scale is 1/180th part of the interval between the freezing point and the boiling point.
Celsius: A temperature scale that is devised by dividing the range of temperature between the freezing and boiling temperatures of pure water