ICU HEAD TO TOE ASSESSMENT!!
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- čas přidán 3. 11. 2017
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Having a thorough head to toe assessment in the ICU is critical! I cannot stress enough the importance of getting a solid baseline assessment to start out your shift. Let me know if you guys would like to see any other more in depth videos on this!
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The views and opinions expressed on this channel and/or in the videos on this channel are that of myself and not of any educational institution. In compliance with HIPAA and to ensure patient privacy, all patient identifiers in all videos have been deleted and/or altered. The views expressed on this channel and/or in the videos on this channel are personal opinions. The information I present is for general knowledge purposes only.
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If you have read this far, comment "TO INFINITY AND BEYOND!"
Video idea-What I wished I had known when I graduated nursing school. Tips for applying to jobs, resume ideas, interview tips, stdying for NCLEX, etc.
I've been watching you since before I applied to nursing school, and I graduate May 2018. 7 more months to go!
Kaitlyn Shaddix I’m graduating May 2018 too girl!!!!! Let’s finish it strong!
That's a great ICU assessment! I agree with all the above. I'd also include during your room check that you make sure you have an BVM/ or other emergency equipment at the ready depending on the patient. You're awesome!
Do a video on what to do with a code blue.
I've been a tele nurse for over 2 years but am just starting in a new ICU. This is really great, thank you!!
doing an ICU round for my last semester, Thanks for this great refresher video!
i just finished my senior preceptorship in the MICU and honestly for a while i hated my preceptor, but as im watching your video im almost like predicting the next thing you're going to say. as im watching this video im like, "oh yea i look at the monitor, then we look at the drips (line tracing), then we look at vent, etc etc." makes me think that my preceptor did a great job. anyways great video!
Im applying to nursing school so I️ don’t know anything specific but I️ love these videos! I️ feel as if I’m getting some tips before hand and it will probably help me outline what I️ need to look for when I️ start nursing school! Keep making more:)
Thanks for the video. Today I start ICU and this video is very helpful.
so helpful! ICU extern/ 4th semester NS, studying foundational ICU stuff all this summer to better prepare. Thank you!
I loved this. Thank you!
I’m taking critical care next semester along with mental health. It’s my last semester of my RN program. Taking my OB/PEDS final next week. I love the Emergency department and did an externship there but I love the ICU too! I guess I have time!
Thanks, I'm sarting soon from bedside to icu soon. So excited!
This app prepares me very well for exams. Love it!
Do you do bedside reports? Seems like the best time to check tubes and IVs, and enables you to ask them about it right then and there. They teach it in class, but I hardly ever seen it actually being done. Thanks for the video!
Your so amazing Ashley 🤩
thank you for this. I just started in the icu 4 weeks ago and I'm struggling with the multitasking during the assessment portion.
Okay I’m a new grad RN starting my ICU job pretty soon and even though everything you said makes sense, it’s good, and nothing too crazy just how much it all is seems very overwhelming lol. Nevertheless, great informative video and thank you for this.
at what point during your education or career did you decide you wanted to be in the ICU opposed to a different unit? Also what types of patients would you typically work with (like what types of illnesses or injuries)?
Hi Ashley!! Please could you do a video on nurses (or any other health care professional like OTs, PTs, doctors) working in the US military. Thank you x
this was extremely helpful. Thank you!
Starts at 1:40
Loved this video!!!
Smell is definitely one of the first things I note, it can really tell you a lot!
Hey new grad in ICU who follows ya on TikTok-glad to find ya on YT. Great video thanks
I feel like I do almost all of this, no matter where I’m at. Glad to hear I’m not the only one haha.
Very educational but being an ICU nurse sounds hard! So much to learn and assess and be responsible for
Beautiful and brainy- I love it.
I've watched several videos because I'm doing my preceptorship in ICU. Feeling prepared thanks to your videos.
So thanks! Keep up the good work :)
do you document in the room (have a little notebook) or do you remember everything and document at once when you have time. If you remember, can you give tips on how?
Hi Ashley I was wondering how long do it take you to do your assessment for each patient?
Well I learned something from this video and I’m an ER nurse because they don’t really tell us these things for our ER assessments.
Incredible! Thanks you!
I wish u could give solutions as well in addition to the checklist
I love your videos and you’re beautiful you’re a great nurse
thanks so much for this Ashley! i'm starting my first ICU clinical tomorrow, last semester!! how did you know you wanted to be an ICU nurse, and how did you get over being overwhelmed in the ICU setting (if you were at all?)?
I'm starting nursing school in three weeks, so I've been searching for good advice for new students. I stumbled upon your channel last week, and I think I've watched about half your videos since! I'm a newlywed as well, and my husband recognizes your voice on my computer now. I love how detailed you are and how helpful and high-quality your videos are! Thanks for being awesome!
How long does it take you to assess each one of your patients?
Could you do a video on tips for manual BPs?
PinkCubs1 Tell the patient palm up. Locate the Brachial Artery. Then place the the cuff and begin.
Yes, finding the brachial artery first is crucial. Also, make sure the tv is on silent and the patient isn’t talking (obviously lol). It really just takes practice! It was hard for me at first but now I’m pretty good at taking them accurately. You could buy a manual cuff and practice on family and friends.
I acted as a triage nurse for a Remote Area Medical and had to do a manual BP probably 40 times in a row and the muscle memory really helped
I find a good stethoscope really helps! I had the hardest time hearing the B/P until I got a good one..the difference is crazy
And some people say we don't do anything. With just one look we can notice things that others don't notice in a week
Thank you for the refresher I just recently got out of the hospital for a burst appendix I was in the PICU for 2 and a half weeks then I ended up transferred to adult unit for 3 days then the night charge nurse came to me and said I have good news for you your going back up to the PICU that made my day and night and week. I was also transferred from the hospital where I started to another hospital where I spent the rest of my time I really miss the PICU and the nurses and the view of the river. I spent my 28th birthday in the PICU the nurses went above and beyond what was expected of them they brought me in cake balloons a card and decorated my room and 2 of the nurses brought me in Doritos and Sweets from a staff Appreciation. I ended up having 2 drains put in because we thought that the infection was gone so my nurse pulled the tube out but a day or two later I started feeling the same symptoms again so I ended going back down to X-Ray and they put another drain in. I also have 2 shunt tubes so the surgeon was worried about the infection getting into my brain so they Externalized the tube for a week then they brought me to the OR the day that I was being brought to the operating room my nurse waved to me as I was being brought to the operating room and as soon as I came back up she Immediately came right in and saw me and she stayed right by my side until the night shift came. I looked at her and said that I didn't think I could get to the Commode and said don't worry about it I'll Cath you right where you are. I was born with Spine Befida so that's why I have to Cath myself. I've decided that as of this last hospital stay I'm going back to school I had no idea that I was going to want to go into the healthcare industry until now back when I was in school I took building trades and then I went to job Corps and took Facilities maintenance I had no idea that I was going to want to go into the healthcare industry so now I kick myself in the but for not taking medical assistant course at tri-county and the CNA course at job Corps so I've been doing research and the best way that I have found to get my feet in the door is to start with phlebotomy and then become a medical lab tech my ultimate goal is to become a RN.
I am not a nurse but I enjoyed Your description of an Patient assessment In ICU. Do you use a checklist on performing this patient assessment?
Monitors,vent,iv meds running, pupils,facial
Symmetry, suction canister. Central line(meds,dressing) heart lung bowel palpate abdomen, foley? Incisions, edema? Pulses, cap refril, look at whole body(skin), grip push n pulls,
Do you also do the Glascow Coma Scale? If so, what assessment tools do you use?
The Glasgow coma scale is the assessment tool. It is a numeric rating scale that assigns a number based on patient's eye opening, orientation and movement. It is scored from 3-15, where 3= comatose, and 15= completely neurologically intact.
For example, someone who opens eyes spontaneously (4 pts), follows commands (show thumbs up, wiggle toes, etc = 6 points), and is oriented (5 pts) gets a 15. If they open eyes spontaneously (4 pt), and follow commands (6 pts) but are confused (4 pts) that is a 14. Lowest number is GCS 3. That is when there is no eye opening (1 pt), no movement to pain (1 pt), and no verbalization at all (1 pt).
Good video!
Yes, to keep my ARCH in my feet in tact.
Superb👌very thankful, intresting video.👌💐
Apache 2 score. For ICU
You should've done your assessment on Jesse!
What about lab workers??
How often do you do a head to toe assessment on an ICU patient? Is it just once a shift when you do an in depth assessment?
This is mainly based on hospital policy and on patient condition and status. For instance, some patients require neuro checks every 15 minutes (stroke patients). So the time between assessments varies widely. Often times, a general rule is a full HTT (head to toe) assessment every two hours. But again, it is very dependent upon current patient status and hospital/unit policy.
I think I saw you on news saying about pregnant 16nurses in ICU in Arizona. Is that you? Haha~!^^
Can I go to college for a BSN but still receive an ADN after 2 years and continue or do I have to get my ADN first then my BSN
ADN first.
Not entirely sure if I am understanding your question correctly. But you can either get your ADN and practice nursing, or get your BSN and practice nursing. But you do not become an ADN nurse in the middle of being in a BSN program. If you do get your ADN, many states and hospitals are now requiring that you show proof of enrollment in a BSN program before they will hire you. Though this is not true in all states or hospitals.
Brianna S thank you that answered my question
Awesome thanks!!
Your eyes are so beautiful
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I am also early come in Canada for nursing job ok iam fro India
What about skin assessment ? Not a word ,,, boo ..
👋😀
44 haters for no reason
You should have gotten a friend or your husband to help you film this
Yeah for real.
holy shit, this is so basic... should not come up under "advanced"
Your lipstick is distracting me, it's outside your lips. Triggers my OCD
whoa lipstick! I hope you don't wear that much makeup on the unit. Frightening!
Really that’s what you’re focusing on?