https://www.youtube.com/@FredrickcMutale

Nurses home, mufulira school of nursing and midwifery, Mufulira (2026)

Q: What is the address?

Mufulira School Of Nursing And Midwifery

09/05/2026

NURSES ⚕️ HOME DATA ‍⚕️‍⚕️.
BY NTS MUTALE FREDRICK CHILESHE MWINE
COURSE MEDI SURGE
TARGET COURSE SURGERY
TOPIC SINUSITIS
Mutale kabwe ,19 years grade 12 pupil at Mufulira secondary school is admitted to your Medical Ward with a diagnosis of severe smusitis.

(a) (i) Define Sinusitis
(ii) Mention the four (4) main sinusis

(b) State six (6) signs and symptoms of sinusitis

(c) Discuss the management of Musonda till discharge

(d) Explain five (5) complications which Musonda may develop if
Management is not effective

ANSWERS:

(a) (i) Definition:
It is the inflammatory condition of the paranosal sinuses.
The main sinusies:
Frontal sinusies
Ethmoidal sinusies
Sphenoida sinuse
Maxillory sinusies

Six (6) signs and symptoms
Pain over the affected sinus
Purulent Nasal drainage
Nasal obstruction and congestion
Low grade fever
Malaise
Nasal stuffiness and headache
Non productive cough
Sore throat

Management till discharge
Investigations
X-ray of the sinus or
Computed tomography, to confirm the diagnosis. It may show fluid in the sinus or thickened mucous membrane.
Nasal endoscopy, used to examine the sinuses and obtain drainage for culture.
Clinical manifestations.

Medical treatment (Drugs)
Effective treatment depends on the type of sinusitis.

Antibiotics.
Amoxycillin, 250 mg, every 8 hours for 5 days. Orally.

Action: Bacteriastatic and bacteriodel.
Side effects: Nausea, diarrhea, rashes, leucopenia and thrombocytopanice in prolonged use.
Nursing Intervention: Avoid it in a patient with history of allergy, renal impairement and leucarmia. Observe for side effects or
Ampicillin 250 mg, orally, 6 hourly for 5-7 days.

Analgesics: Panadol, 1000mg, 3 times daily for 3 days.
Indication: To relieve mild to moderate pain and pynexia.
Side effects: Liver damage on prolonged use.
Nursing Action: Do not give it to a patient with inpaired kidney or liver function.
Ibuprofen: Dose 400mg, orally, 8 hourly, for 3 days.
Indication: Fever and in moderate pain
Side effects: GIT irritation and brouchosposis.

Antihistamines: These may be given if allergy is suspected.
Chlorpheniramine, 2 mg, orally, 6 hours,
Indication: Symptomatic relief of allergy.
Side effects: Exfoliation dematits and tinnitus may develop.

OR

Bomethazine Hydrochloride 20 mg orally/IM

Corticosteroids:
These may be given to relieve inflammation and as anti-allergic drugs.

Prednisolone 20 mg, once per day, for 7 days orally.
Side effects: In prolonged use may suppress immunity.
Nursing consideration: Should be given after breakfast.

OR

Dexamethasone 20 mg initial dose IM.

NURSING CARE:
Nursing Diagnosis:

Pain related to signs obstruction, inflammation or infection.
Altered nutrition, less than body requirements related to decreased appetite and inadequate food intake.
Knowledge deficiency on the condition and self care as manifested by anxiety.
Risk for infection related by impaired mucosal integrity.
Some throat as manifested by difficulties with swallowing.
Need for Health Education.

PAIN, RELATED TO OBSTRUCTION AND INFLAMMATION OF SINUSIS:

- The objective is to relieve pain and promote drainage of secretions.
- Encourage the patient to be taking a lot of fluids to liquefy secretions.
- Steam inhalation and Nasal sprays or humidifier can be used to promote secretion drainage.
- The patient should be encouraged to maintain semi fowlers position to promote sinus drainage.
- Administer prescribed analgestics such as paracetamol 1g orally, 3 times per day
for 3 days, to relieve pain.
- Administer prescribed antibiotics to get ride of infection ie Amoxyccillin 500 mg, 6 hourly for 5 days.

ALTERED NUTRITION:
Encourage frequent oral hygiene to enhance taste of food and remove foul odour.
Provide nutritious, attractive foods to stimulate appetite
Keep the environmental free of bad odour
Give chance to the patient to choose the type of foods he wants.

KNOWLEDGE DEFICITY ON THE CONDITION AND SELF CARE:
Explain to the patient the condition that is inflammation of sinus characterized by pain and mucous discharge. It can be treated used appropriate drugs depending on the course. This is done to increase patients knowledge of self care.
Answer questions completely about self care responsibilities
Instruct the patient to follow interventions
If allergy is the course, follow instructions regarding environmental control, drug therapy and prevention of sinus infection.
Instruct the patient to take prescribed drugs
Observe side effects of drugs such as nausea and vomiting. If they are severe you may change the drug.
Report signs of infection to the physician so that appropriate intervention is instituded

NEED TO PROVIDE BASIC NURSING INTERVENTIONS:
Offer a bath to the patient on daily basis or when ever necessary
Provide psychological care to the patient to relieve anxiety. This can be done by explain all the procedures and by maintaining good patient and nurse relationship.
Observe the elimination pattern to detect abnormalities related to urinary out put and GIT.
Allow friends from school to see him and provide books for reading.

NEED FOR HEALTH EDUCATION FOR CONTINUED SELF CARE AT HOME:
The patient should avoid smoking or other irritants which can irritant nasal passages.
Should avoid factors which can predispose to exacerbations, such as swimming and diving.
Should take prescribed drugs. Instructions should be written.
Should maintain good hygiene especial of the nasal cavity and proper handling of discharges to avoid re-infection.
THE END
IS POWER
ASANTE SANA‍⚕️‍⚕️‍⚕️‍⚕️‍⚕️

TOPIC SINUSITIS
BY NTS MUTALE FREDRICK CHILESHE MWINE

A_TRUSTEE
OUR FACEBOOK AND YOUTUBE CHANNEL NURSES HOME

09/05/2026

It's morning wake up and worship then study
Have a positive mind

09/05/2026

Big shout out to my new rising fans! Norah Shumba, Felix Flex, Itx Ketty Musole, Debřå Ç Kømbe, Carol Mwase Saili, Privilege Maduveko, Christoph Owino, Angelic Aness, Agathar Chibwe, Constance Kaunda, Harriet Chichi, Trudy Bruce, Simugande Royd, Sakala Ivy, Martin Brian Sitali, Ruth Chukwu, Mma Opara, Vivian Opara, Christine Lupili, Rita Changala, Binah Lauren Seleste, Mulumo King Mufasa Mukwati, Lancy Kanyanta, Bagudu Eunice Kankani, Momoh Sesay

09/05/2026

NURSES ⚕️ HOME ‍⚕️‍⚕️
BY NTS MUTALE FREDRICK CHILESHE
COURSE MEDI SURGE
TARGET LEADERSHIP MANAGEMENT AND GOVERNANCE
TOPIC QUALITY ASSURANCE
a) Define Quality Assurance 5%
-Quality assurance is a process of meeting quality standards and assuring that care reaches an acceptable level.
-Quality assurance is an on-going, systematic process that is designed to evaluate and promote excellence in the health care provided to the clients.
-Quality assurance is the process within the health system that leads to the institutionalisation of a culture of doing the right things right, all the time.

b) i. State the quality Assurance Interventions in addressing the reduction in quality of care in relation to professional Health. 25%
• Regular monitoring of data and sharing this information with health facility staff and managers
• Routine monitoring, evaluation and update of action plans from Each Health Care department who are not reaching the minimum standards
• Organizing workshops/forums that help the health care staff to understand how to improve their service delivery
• Regular sharing and discussion of key performance indicators with comparisons to other data
• Mentorship of health staff in different clinical procedures/practice so they can pass on advice and support to others
• Further training of health care staff in particular elements of practice

OR
COMPONENTS OF QUALITY ASSURANCE
1.STRUCTURE EVALUATION
• Focuses on the setting in which care is given. It answers this question: What effect does the setting have on quality of care? Structural standards describe desirable environmental and organizational characteristics that influence care such as equipment and staffing (Booyen, 2001).
2.PROCESS EVALUATION
• Focuses on how the care was given. It answers questions such as: Is the care relevant to the client’s needs? Is the care appropriate, complete, and timely?
• Process standards focus on the manner in which the nurse uses the nursing process.
3.OUTCOME EVALUATION
• Focuses on demonstrable changes in the client’s health status as a result of nursing care.
• Outcome criteria are written in terms of client responses or health status, just as they are for evaluation within the nursing process, for instance, how many clients who undergo caesarian section develop infection?

ii. Describe the five (5) problem identification process of quality improvement. 20%

1.Identify the Problem
2.Define the problem operationally
3.Identify who needs to work on the problem
4.Analyse the problems
5. Choose and design solutions to address the cause

C) Explain the five (5) Standards used to measure the quality of care in relation to the data obtained on maternal mortality rate. 20%
STANDARDS USED TO MEASURE QUALITY OF CARE
1. Technical competence
 The knowledge and skills needed to provide quality and safe health care.
2. Technical performance
 The standards of behaviour.
 Even if a health worker has the knowledge and skills she/he needs to apply these skills and to have the necessary inputs to provide the correct service.
3. Effectiveness
 Care provided must yield the intended results.
4. Efficiency
 Providing services in time and with minimum wastage.
5. Safety
 Both health care providers and clients need protection against harm in our institutions.
6. Accessibility
 Clients have the right to health care.
 All barriers to health care should be eliminated.

7. Continuity in care
 Clients should receive coordinated care.
8. Interpersonal relationships
 Refers to a peaceful and friendly work environment.
9. Amenities
 Refers to accessories for giving comfort to staff and clients.

d) State the Principles of quality Assurance based on involvement of people in solving the increase in maternal mortality rate. 30%
1.CUSTOMER FOCUS
• Health care providers should understand their clients or patients and seek to meet their requirements.
Where possible, they should aim to exceed clients or patients’ expectations.

2.LEADERSHIP
• This standard relates to the direction of the organization: a business should have clear objectives and employees should be actively involved in achieving this.
3.INVOLVEMENT OF PEOPLE
• It recognizes that an organization is nothing without its staff and that their abilities should be used to full effect for business success.
• The benefits- employee motivation and increased innovation.
• When people feel that their skills are being used well they are more likely to work to their maximum potential and contribute ideas.

4.PROCESS APPROACH
• This relates to efficiency and the understanding that appropriate processes will speed up activities.
• The main benefits of this, aside from efficiency, are reduced costs due to effective use of resources, improved and consistent results and focused improvements.

5.SYSTEM APPROACH TO MANAGEMENT.
• Multiple processes are managed together as a system which should lead to greater efficiency.
• When implemented, this principle allows a business to focus their efforts on the processes that are key to their success as well as aligning complementary processes for improved efficiency.

• This process fosters a greater understanding of the interrelation of various business elements.

6.CONTINUAL IMPROVEMENT
• Continual staff improvement is an important aspect for any institution in order to provide skilled and quality nursing care. The benefits of this are increased ability to embrace new opportunities, organizational flexibility and improved performance.

7.ACTUAL APPROACH TO DECISION MAKING
• Analyze and understand the information before a decision can be made. Informed decisions lead to improved understanding of the information in an institution and the ability to defend past decisions.

8.MUTUALLY BENEFICIAL SUPPLIER RELATIONS
The relationship between an organization and its clients is interdependent. A strong relationship between the two will enhance productivity and encourage seamless working practices
• There is ‘flexibility of joint responses to customer needs and expectations.
• Care should be taken to ensure that resource expenditure for quality assurance activities is appropriate in amount.
9. COORDINATION
• In planning a total quality assurance program for a health institution, coordination is needed to ensure that objectives and activities of each health profession enhance rather than cancel those of other professions.
10.RESOURCE EXPENDITURE
• Care should be taken to ensure that resource expenditure for quality assurance activities is appropriate in amount.

11.EVALUATION
• Evaluation of care will give feedback to practitioners and is required both to perpetuate good practice and to replace unsatisfactory interventions with more effective methods.
THE END
IS POWER
ASANTE SANA‍⚕️‍⚕️‍⚕️‍⚕️‍⚕️

TOPIC QUALITY ASSURANCE
BY NTS MUTALE FREDRICK CHILESHE MWINE

A_TRUSTEE
OUR FACEBOOK AND YOUTUBE CHANNEL NURSES HOME

09/05/2026

Quality Assurance definitions

1. It is all the process within the health system that leads to the institutionalisation of a culture of doing the right things right, all the time.

2. Quality assurance is anchored in the concept of being able to determine up front acceptable and affordable levels of performance and institutioning mechanisms to be able to tell when these levels are being achieved or not.
THE END
IS POWER
ASANTE SANA‍⚕️‍⚕️‍⚕️‍⚕️‍⚕️

TOPIC QUALITY ASSURANCE
BY NTS MUTALE FREDRICK CHILESHE MWINE

A_TRUSTEE
OUR FACEBOOK AND YOUTUBE CHANNEL NURSES HOME

09/05/2026

NURSES ⚕️ HOME ‍⚕️‍⚕️
BY NTS MUTALE FREDRICK CHILESHE
COURSE MEDI SURGE
TARGET COURSE LEADERSHIP MANAGEMENT AND GOVERNANCE
TOPIC PkRINCIPLES OF QUALITY ASSURANCE

Principle #1: Customer focus. The customer is always the most important factor for
any business, which is why organizations need to understand current and future
customer needs and aim to surpass expectations.
32 | P a g e
Principle #2: Leadership
Leadership Quality assurance principles also suggest that an organization needs
leadership in order to have purpose and direction in achieving quality
Principle #3: Involvement of people
An organization needs to be able to put quality management training into practice.
People at all levels of the business need to bemotivated, committed and fully involved in
the organization. This principle of quality assurance involves people evaluating their
own performance and identifying their constraints, as well as actively seeking
opportunities
Principle #4: Process approach
In order to achieve a desired result, resources and activities should be managed as a
process. The process should focus on resources, methods and materials which affect
the key activities within a business. In order to maintain quality assurance within a
service or product, risks, consequences, the impact on customers and suppliers and
other relevant parties should be continuously evaluated.
Principle #5: System approach
System approach to management Quality assurance training demonstrates how to
create a structured system which is designed to achieve the organizations aims and
objectives using the most effective and efficient methods.
Principle #6: Continual improvement
Another quality assurance principle is that continual improvement should always be an
objective for any business
Principle #7: Factual approach to decision making.
33 | P a g e
This quality assurance principle simply ensures that decisions are based on analyzed
data and information
Principle #8 Teamwork
QA focuses on participation and teamwork to solve problems and implement quality
solutions, recognising that the impact of QA activities is most powerful when team
members draw on the participation, experience and knowledge of major participants
and stakeholders.
Principle #9: Mutually beneficial supplier relationships.
The Quality management standard ISO 9001 encourages organizations’ to create
mutually beneficial relationships with its suppliers.
THE END
IS POWER
ASANTE SANA‍⚕️‍⚕️‍⚕️‍⚕️‍⚕️

TOPIC PRINCIPLE'S OF QUALITY ASSURANCE
BY NTS MUTALE FREDRICK CHILESHE MWINE

A_TRUSTEE
OUR FACEBOOK AND YOUTUBE CHANNEL NURSES HOME

09/05/2026

PRINCIPALS TO OF QUALITY ASSURANCE

"CLIP SCAM"

C= Customer/Client Focus
L=Leadership
I= Involment OF people
P= Process Approach

S= System Approach
C= Continual Approval
A= Actual Approach to Decision Making
M= Mutual Benefits to Supplier Relationship
THE END
IS POWER
ASANTE SANA‍⚕️‍⚕️‍⚕️‍⚕️‍⚕️

TOPIC PRINCIPALS TO OF QUALITY ASSURANCE
BY NTS MUTALE FREDRICK CHILESHE MWINE

A_TRUSTEE
OUR FACEBOOK AND YOUTUBE CHANNEL NURSES HOME

09/05/2026

. ___________________________________________ is a branch of economics concerned with issues related to efficiency, effectiveness, value and behavior in the production and consumption of health and health care.
A. Economics
B. Quality assurance
C. Health Economics
D. Health planning

08/05/2026

Happy Nurses Week to all nurses: past, present, and those on the way. It’s a privilege to be part of this amazing profession that works tirelessly to care for others. I'm so thankful for the pioneers of our field and those in the profession today who continue to raise the standard of patient care and shape the future of nursing. Over the years, I've been shaped, encouraged, and taught by some exceptional nurses whom I deeply admire. It's an honor to be counted among you. I love you all 💜💜💜

08/05/2026

NURSES ⚕️ HOME ‍⚕️‍⚕️
BY NTS MUTALE FREDRICK CHILESHE
COURSE MEDI SURGE
TARGET COURSE SURGERY
TOPIC WOUND
QUESTIONS
1. Define Wound. 5%
2. State the types/classification of wounds. 10%
3. State the factors that affect wound healing. 15%
4. Describe wound healing process. 20%
5. Outline the management of wounds 40%
6. List the complications of wound healing. 10%
MARKING KEY
DEFINITION
It is a break in a continuality of the skin or mucous membrane or Wound-an injury to living tissue caused by a cut, blow, or other impact, typically one in which the skin is cut or broken.
TYPES OF WOUNDS
 INCISED/INCISION WOUNDS:
This type of wound occurs when the skin is broken by a sharp instrument or a piece of glass. The wound bleeds freely and heals quickly.
 PUNCTURED WOUNDS.
The depth is greater than the length and there’s a danger of deep organs to be injured. It is caused by a pointed instrument e.g. Screw driver, needle, knife or gun shot.
 LACERATED WOUNDS
The skin and tissues are torn rather than clean cut and the edges of the wound are irregular. There’s commonly crushing of the skin and muscles.
 CONTUSED WOUNDS
There may be little damage to the skin but underlying tissues may be severely damaged with bleeding under the skin. This is some times called bruises. These are caused by violence, blow or blunt instruments e.g. Hammer.
 AVULSION WOUND
This happens when the tissue is forcibly separated or torn from the body. All the above types of wounds may occur in an avulsed wound.
FACTORS AFFECTING WOUND HEALING
 Nutritional deficiencies- Vit C, Zinc & Proteins
 Inadequate blood supply to a tissue
 Infection
 Drugs-corticosteroids
 Smoking
 Advanced age
 Conditions-diabetes mellitus
 Anaemia
MANAGEMENT OF WOUNDS
 Stop haemorrhage.
 Sit the patient down or let him lie down.
 Expose the wound if necessary cut off cloths.
 Wash hands and put on gloves.
 Remove any obvious foreign bodies or dirty.
 Hair around the wound may be clipped or shaved (only as directed) if it is anticipated that the hairs will interfere with wound closure.
 Then clean the skin around the wound with soap or antiseptic. Do not put antiseptic directly on the wound, they may kill the patient’s tissues.
 Apply a clean sterile dressing.
 Apply pressure bandage to stop bleeding.
 Large wounds of a limb especially those involving the joint should be splinted or immobilised.
 Each wound has to be judged on it’s own merits.
 If there’s boiled cooled water (36.1-37.2) add a pinch of salt and immense the gauze in it and apply it on the bowel.
 Every abdominal wound must be referred to the hospital.
TYPES OF WOUND HEALING PROCESS
Repair by parenchymal regeneration Labile cells, Stable cells and Permanent cells
Repair by connective tissue
Depending on the extent of damage, tissue healing may occur by primary intention or by secondary intention.
 Primary intention healing, the wound is clean and dry and the edges are approximated, as in a surgical wound. Little scar formation occurs, and the wound is usually healed in a week.
• Initial phase (3-5 days)
• Granulation phase (5days-4 weeks)
• Maturation phase (7days-several months)
 Secondary intension healing
The wound or defect is larger and gaping and has necrotic or dead material. The wound fills from the bottom upward with granulation tissue. The process of repair takes longer and results in more scar formation, with loss of specialized function.
COMPLICATIONS OF WOUNDS
✍️ Adhesions due to excessive and prolonged inflammation, which leads to an overproduction of fibrous connective tissue during the healing process.
✍️ Contractures due to scar tissue tightening and shortening near or over a joint after a deep burn.
✍️ Evisceration due due to Infection: Bacterial invasion of the burn wound can lead to sepsis and subsequent breakdown of tissues.
✍️ Evisceration due to Depth of burn: Full-thickness burns (third-degree or fourth-degree) can damage underlying tissues, increasing the risk of evisceration.
✍️ Evisceration due to Loss of abdominal wall integrity (Severe burns can compromise the integrity of the abdominal wall, leading to organ protrusion.)

NB Evisceration is a serious complication requiring immediate medical attention.
✍️ Dehiscence due to poor wound care and inadequate dressing and immobilization.
✍️ Fistula formation due to deep tissue damage and infection.
✍️ Infection due to Loss of skin barrier
✍️ Haemorrhage due to damage of blood vessels and erosion of major blood vessel.
✍️ Keloid formation due to abnormal healing response.
THE END
IS POWER
ASANTE SANA‍⚕️‍⚕️‍⚕️‍⚕️‍⚕️

TOPIC WOUND
BY NTS MUTALE FREDRICK CHILESHE MWINE

A_TRUSTEE
OUR FACEBOOK AND YOUTUBE CHANNEL NURSES HOME

08/05/2026

NURSING MANAGEMENT OF NEONATAL JAUNDICE

AIMS
✍️To offer psychological care to the mother
✍️To promote rest and comfort
✍️To prevent hypothermia
✍️To observe the baby
✍️To prevent hypoglycaemia
✍️To promote hygiene
✍️To prevent infections
✍️To promote baby mother bonding
✍️To carry out investigations
✍️To provide IEC.

✍️CARE UNDER PHOTOTHERAPY (Before and During Procedure)
✍️ I will ensure the phototherapy machine is working properly to provide effective treatment and prevent failure of therapy.
✍️ I will place the baby 50 cm below the light to ensure proper light intensity for bilirubin breakdown.
✍️I will undress the baby completely to maximize skin exposure to light for effective treatment.
✍️ I will feed the baby or give 10% dextrose and encourage breastfeeding to prevent hypoglycaemia and dehydration and promote bilirubin excretion.
✍️I will cover the baby’s eyes with pads or eye shields to protect the retina from light damage.
✍️I will cover the ge****ls to protect the go**ds from possible light exposure effects.
✍️ I will clean the skin with warm saline and avoid creams or lotions to prevent skin irritation and allow proper light pe*******on.
✍️ I will monitor intake and output (urine and stool) to assess hydration status and effectiveness of treatment.
✍️ I will turn the baby every two hours to ensure even exposure of the whole body to light.
✍️ I will maintain the baby’s temperature between 36.2°C and 37.2°C to prevent hypothermia or overheating.
✍️I will switch off the light during feeding to allow proper feeding and mother–baby interaction safely.

OBSERVATIONS
✍️I will check the temperature frequently to detect hyperthermia or hypothermia since the baby is undressed during phototherapy. If the baby is in an incubator
✍️I will ensure the temperature is maintained within the normal range of 32–37°C.
✍️I will observe respirations for any abnormalities such as dyspnoea or respiratory distress syndrome.
✍️I will observe the skin colour to assess the level of jaundice and determine whether the treatment is effective.
✍️I will observe the baby’s activity level to detect signs of kernicterus such as convulsions, vomiting, or a high-pitched cry.
✍️I will observe reflexes, which may be reduced in severe cases.
✍️I will observe urine output and note the colour, especially if it remains dark yellow.
✍️I will observe stool frequency, consistency, and colour to assess bilirubin elimination.
✍️ I will observe for signs of dehydration such as dry mucous membranes, dry lips, and dry skin.
✍️I will observe feeding patterns to ensure the baby is feeding well.
✍️I will observe fluid intake if on parenteral feeding to ensure correct administration.
✍️I will observe the cord and eyes for any abnormal discharge or bleeding.

MOTHER–BABY BONDING
✍️I will allow the mother to feed the baby to promote attachment and breastfeeding.
✍️I will encourage the mother to talk to and touch the baby to strengthen emotional bonding.
✍️ I will encourage eye contact during feeding by removing the eye pads when feeding the baby and involving the mother in care and other procedures.

NURSES HOME HOME OF COMFORT
KNOWLEDGE IS POWER
TOP ONE POWER HOUSE✍️

MAINTENANCE OF RESPIRATION
✍️ I will assess for the breathing pattern to monitor for regularity of the respirations
✍️ I will Ensure the room is warm to stimulate spontaneous respirations
✍️ I will Assess the airway for any visible secretions that may Impair ventilation and suction with a penguin sucker.
✍️I will Place the baby in lateral position to open the airway
✍️I will check the oxygen saturation to determine the Indications for oxygen therapy.
✍️ I will administer oxygen 0.5-1litre/min to improve gaseous exchange
✍️I will Nebulize with salbutamol nebules if indicated to open the airway and improve ventilation
✍️Baby can be put on CPAP if indicated to maintain some positive airway pressure to the lungs

PROVISION OF WARMTH (Prevention of Hypothermia)
✍️ I will Assess the baby's body temperature to monitor for hypothermia or fever.
✍️ I will Nurse the baby in a thermal neutral environment to prevent exposing the baby to cold.
✍️I will Cover the baby in adequate clothing and linen to conserve some heat and warmth.
✍️ I will Avoid unnecessary exposure of the baby to prevent heat loss
✍️ I will Encourage Breastfeeding so as to promote heat generation
✍️I will Close nearby window to prevent exposing the baby to extreme cold.
✍️ I will Do procedure in blocks that can be done simultaneously to prevent baby expoure.
✍️ I will Encourage kangaroo mother care to promote bonding and warmth.

INFECTION PREVENTION
✍️I will Assess the baby for any signs of secondary Infections such as fever to prevent occurrence
✍️I will Keep the room clean by dump dusting with Jik 1:6 to prevent nosocomial Infections.
✍️I will Encourage Breastfeeding to boost the imumme system.
✍️I will Ensure that staff with contagious Infections such as flue do not handle the baby to prevent cross Infections
✍️I will Restrict visitation to prevent exposing the baby to Infections that may worsen due to immunosuppression.
✍️I will Cord care should be done atleast twice daily to prevent cord Infections.
✍️ I will Ensure all invasive procedure are done aseptically to prevent

NURSES HOME HOME OF COMFORT
KNOWLEDGE IS POWER
TOP ONE POWER HOUSE✍️

PROVISION OF NUTRITION AND HYDRATION (prevention of hypoglycemia)
✍️ I will Assess the baby's nutrition status to prevent compromise of the nutrition status.
✍️ I will Child may be kept nil per oral in the acute stages of the Infection to prevent necrotizing enterocolitis.
I will Check the baby's blood sugar levels to rule out Hypoglyceamia
✍️I will Insert a cannula and administer 5mls/kg of 10% Dextrose to treat and prevent Hypoglycemia
✍️I will Then maintain on 60mls/kg in 24hours of 5% Dextrose to prevent rebound hypoglyceamia

SUPPORT REGULATORY SYSTEMS
✍️ I will Monitor the vital signs including temperature, pulse, respirations, oxygen saturations to monitor for further deviation from normal.
✍️ I will Observe for any episodes of apnea and commence oxygen therapy
✍️ I will Observe for signs of Hypoglycemia and administer dextrose.
✍️I will Assess for cyanosis as it signifies decreased pulmonary perfusion

FAMILY CENTERED CARE
✍️ I will Assess for the levels of anxiety in the family and offer appropriate psychological care to allay anxiety
✍️ I will Allow the family to be with the baby during the illness as they are constant in the life of the baby to promote bonding
✍️ I will Advocate for the care that the baby is receiving for continuity of care
✍️I will Allow the family to be active participants in the care of the baby to allay anxiety

MANAGE PAIN AND DISCOMFORT
I will Assess the child for any irritability that may signify pain.
I will Nurse the child in a quiet room to promote rest and comfort.
I will Do procedures in blocks to promote rest
I will Using a pain scale to assess for the level of pain
I will administer the prescribed Analgesia to relieve pain
I will admitter an Analgesia at each painful procedure, to relieve pain.
I will Change soiled linen frequently for comfort.

PROTECTION FROM INJURY
✍️ I will Assess the baby for any signs of injuries that may be due to seizures.
✍️I will Nurse the child on the acute bay for close Monitoring.
✍️ I will nurse Baby in a railed bed to prevent fails in cases of seizures
✍️ I will Cut long nails that may cause self Injuries on the child to prevent injuries

GROWTH AND DEVELOPMENT
✍️I will Assess the baby's growth and development to promote developmental milestones
✍️ I will Encourage the mother to bond with the baby as this promotes cognitive development of the child.
✍️ I will Ensure and promote rest to promote well being
✍️I will Encourage Breastfeeding to promote nourishment

INFORMATION, EDUCATION, AND COMMUNICATION
✍️I will Teach the mother on exclusive breastfeeding to promote nourishment
✍️I will Teach the mother on Importance of under five clinics to build immune system
✍️I will Teach mother to keep review dates and importance of follow up visits to promote well being of the neonate
✍️ I will Teach the mother on cord care to prevent complications such neonatal tetanus
✍️ I will I will Teach the mother on drug adherence to promote health
✍️ I will Teach the mother on importance of
THE END
IS POWER
ASANTE SANA‍⚕️‍⚕️‍⚕️‍⚕️‍⚕️

TOPIC NURSING MANAGEMENT OF NEONATAL JAUNDICE
BY NTS MUTALE FREDRICK CHILESHE MWINE

A_TRUSTEE
OUR FACEBOOK AND YOUTUBE CHANNEL NURSES HOME

Nurses home

09/05/2026

09/05/2026

09/05/2026

09/05/2026

09/05/2026

09/05/2026

09/05/2026

09/05/2026

08/05/2026

08/05/2026

08/05/2026

Address

Telephone

Website

Alerts

Contact The Business

Shortcuts

Share

Category