Simple Guide for Basic

Nursing Interventions
 Golden Rule
 “Consider and treat every patient as a Normal
human being”
 “Consider and treat every patient unique.”
 “Every patient has the right for many
considerations.”
 “Every patient has the right to be loved and cared
for.” and…
 “Even as Novice… Be confident and act to your
best as professional.”
 Guide for Basic Nursing
Intervention
 Review the history (hx) of the patient (px).
 Be equipped on the theoretical and
technical aspects of the different areas of
diseases (dx).
 Continues update of knowledge through
research.
 A. Principles on Initial Contact with
the Px.
 Review the history (hx) of the patient (px).
 Review the px’s management and
treatment. (Ex. Diet, v/s, s/p, dx, IVF and
etc…)
 Review, review and review…
B. Management and Intervention
 Note for the following:
 Physical setup of the environment
 Presence of significant relations to the px.
 IV – volume, flow rate, number, main line and side
drip (check for SD/ML incorporation/dilution) and IV
location of each line. IV level equal to 50cc or
BELOW should be changed to avoid lapse.
 Drain tubes connected to the px.
Continued…
 Perform the review of system (ROS) and
brief physical examination (PE) before and
after px monitoring.
 Utilize the General Health Status
Assessment by obtaining subjective datas.
 Be knowledgeable on the different process
of Physical Examination and Neurologic
Examination.
Continued…
 If there are any CHANGES, UNUSSUAL or
UNTOWARD SIGNS in the px; notify and
report it to the clinical instructor, staff nurse
and physician (as the need arise).
 If in Doubt; throw it OUT. Ask first and do
not intervene.
 ALWAYS HAVE THE KNOWLEDGE AND
PRESENSE OF YOUR IMMEDIATE
SUPERVISOR (CI’S) BEFORE
INTERVENING.
Continued…
 Review and study all over again the case
and documents of the px.
 For better improvement and development of
potentials through study:
“Do not just be a VERY BEAUTIFUL
DECORATIONS by being stagnant; sit
down and relax but DO SOMETHING
WHICH IS VERY PRODUCTIVE…being
productive is priceless and appreciative.”
 Easy Guide for Diagnosis
Construction
A nursing diagnosis should be focused on
the studied specialize area.
 Always consider primarily independent
intervention/action before dependent and
collaborative.
 To prioritize the problem that will be the
basis for the diagnosis, should you consider
the following: Maslows, 21 nursing problem,
14 BN and ABCD principle.
Continued…
 The intervention and planning should be
organized and systematized.
 Not ALL intervention and planning are
applicable, it’s a case to case basis.
 Refer to NANDA
 Diagnosis Conceptual Framework
DX = Medical-Surgical, Maternal & Child, Community Health, etc…

Related to (r/t) = Anatomy and Physiology or related factor (RF NANDA)

Secondary to = etiology or the disease process

Ex. Alteration in peripheral tissue perfusion r/t decreased

peripheral blood flow (ischemia) secondary to Diabetes
(disease process) as manifested by … (PE findings)
“We cannot live only for ourselves. A thousand fibers
connect us with our fellow men.”
-Herman Melville

“When it comes to our style, let us flow with the

current of the river. When it comes to our
principles and philosophies, let us stand like a rock
in the middle of the rivers ragging water”
-Anonymous
 ALARCA, Melvin Nizel M.*,
College of Nursing
Extension Program and Services Coordinator,
09155815589; nizel_17@yahoo.com

Thank you very much!

God Bless Us All!