IV insertion
a. Week 7 reflection: Next I thought I would walk you through a mindful IV insertion, using the visualization technique. Remember, these are just some general steps. Always refer to your organization’s policy and procedure. Go ahead and close your eyes and visualize this with me. First, introduce yourself to the patient and explain the procedure. Then pick an area of the body that is ideal for an IV to be placed. Avoid the antecubitals or narrow joint or close to an artery. Place a tourniquet taut around the limb so we’ll hopefully see that vein come to the surface. Palpate the vein and make note, visually, to locate the path of the vein, avoiding bifurcations or valves. Now that you’ve located an ideal vain, remove the tourniquet and prepare your IV catheter and saline flush. Next, clean the site vigorously with an antiseptic solution. While allowing the proper dry time for the solution take a mindful breath, envision the catheter gliding into the vein and remind yourself that you can do this. Now pull the skin taut, tell the patient they’re going to feel just a little poke, and insert the catheter in an angle just like you’re landing a plane. Feel that tiny pop as the needle punctures the vein. Notice the blood return now present in the catheter. Simply inch up the remainder of the catheter into the skin as you hold the needle in place. Now release that safety mechanism. Now is a great time to check in with your patient. You can say something like, all right, it’s in. The worst part is over. Next I’m just gonna secure it. Take your Tegaderm and seal that catheter in place. Now grab your flesh and feel how smoothly it flows through that vein. Now anchor the tubing near the catheter to prevent accidental removal. Release your tourniquet and hook up those fluids that have been ordered. Now take a moment to feel that great sense of accomplishment of your successful IV insertion. So bring your awareness back to your breath. And when you’re ready, just open your eyes. 1. Meredith discusses in the video ways that technology can cause stress in school or practice. Whatways were mentioned in the video that can stress you out and what are ways you can deal with stress? 2. Can you describe a moment in your life that technology stressed you out? transcript (6).txt b. Week 8 reflection: You may recall a couple classes ago I discussed how mindful imagery has been shown to be beneficial in two different ways. It can help you perform better at a physical task and it can help you manage stress and elicit that relaxation response just like all those other mindful techniques we’ve discussed so far. In that class I explained the benefits of this technique and Meredith walked you through a mindful imagery exercise of an IV insertion. Now I’d like to guide you through an imagery technique help you manage stress and build resilience. You may remember when we discussed mindful imagery a couple classes ago. I talked about how you can improve your chances of success if you incorporate all five of your senses and the feelings and emotions that you would feel when you’re in that situation. For instance, when I ask people to pretend they are in this location that you see here, they’re talking to me on a cell phone, and that they need to describe to me the scene. They typically say something like I’m in a forest, there’s fall colors on the trees, there’s a stone bridge and there’s a flowing brook with rocks in it. And yes that’s all true, but they’re really only describing what they’re seeing. In order for this technique to work as best as possible you really need to kind of immerse yourself in the scene. You really need to describe it as vividly as you possibly can. If I were to completely immerse myself in this scene I’d see the yellow and the orange and the leaves clearly and vividly. I look at all the different stones in the water. Study the exact shape of that bridge. Then I’d also pay attention to what I heard. I’d hear that babbling brook as it rushes against the rock. Perhaps I take a deep breath and smell that damp fall air. Or maybe bend down, place my hand in the brook and feel the water flow through my fingers. I notice the temperature of the water, I wanna incorporate my sense of touch in this. Finally, I’d stand back up take note of that sense of calm and peace that I feel in this wonderful natural scene. So for this mindful imagery technique you’re gonna wanna pick out a place that you associate calm and peace with, and this is really different, or it could be different for all of us. Maybe for you it is something like the scene that we just looked at, that fall scene. Maybe it’s you’re standing on a beach with the sun shining down on you. Maybe you’re lying in a meadow, just lying there and watching the clouds go by. It could be maybe a scene from your childhood that you remember, or maybe a picture of some place that you wanna go visit or could be completely made up in your head. The main thing is it’s gotta be someplace that you associate with peace, calm, happiness, whatever it is or something similar to that. So let’s take a moment, take a moment just to think about what your calm peaceful place is. Once you have that I’ll start to guide you through this technique. Why don’t we start that now? If you go ahead and kind of get in a comfortable open position. Begin just by focusing on your breath, goes in and out. Breathe at that normal natural pace. And whenever you’re ready you can close your eyes begin to imagine that location. In your mind’s eye place yourself in that calm peaceful location. Take in all aspects of this location. Truly experience being there in this wonderful peaceful place. I’m now gonna guide you as you experience being in this location with each and every one of your senses one by one. I’ll begin by asking you to pay close attention to what you see. Look all around you. What’s ahead of you? Your left, your right. The next few moments identify each of the objects you can see, colors, the shapes, and all of the other details around you, see them vividly in your mind’s eye. Now, listen carefully to the sounds around you perhaps you hear the breeze rustling the leaves on the trees, waves on a beach or maybe children laughing. For the next few moments pay close attention to those sounds and hear them clearly all around you. Now, take a deep breath in through your nose and notice the scents that are wafting through the air. Perhaps you smell flowers around you or your favorite meal cooking on the stove. For the next few moments pay close attention to those wonderful scents all around you. Next, focus for a moment on your sense of taste. Is there a familiar taste you can experience in this location? Perhaps you can drink crisp, cool water from a stream or pick an apple from a tree, take a bite out of it and enjoy the taste of this delicious healthy treat. For the next few moments pay close attention to your sense of taste. At this time I’ll ask you to focus on your sense of touch. Perhaps you’re lying in a meadow and can feel each part of your body touching the ground and the soft grass brushing up against your bare arms. Or maybe you’re bare foot on a beach looking out at the ocean, if so, take time to feel the warm sand between your toes. For the next few moments pay close attention to your sense of touch as you experience this calm peaceful place. Finally, pause and identify the emotions and the feelings you’re experiencing in this place. You may feel calm and peaceful perhaps joy, happiness or contentment. For the next few moments pay close attention to those emotions. Identify where they are in your body, soak in those emotions and experience them fully. As we end this practice I ask that you slowly watch this location drift off. As it does remember that you can bring it and the calm peaceful feelings you may be experiencing at this moment by simply closing your eyes and imagining it again. As you lose sight of this location begin to picture the room around you. Focus on your breath as you breathe at a normal natural pace. Begin to wiggle your fingers and your toes, And whenever you’re ready you can open your eyes. I hope you enjoyed that mindful imagery or visualization technique that we just went through. I’d ask you to compare that to the other techniques we’ve been doing over the class to help you elicit that relaxation response and determine did you like this one maybe better than the others? If you did what I encourage you to do is to try this out, maybe on a daily basis, do this one, this mindful imagery where you’re thinking of that relaxation peaceful place. But maybe for just five to ten minutes each and every day and see if that helps you better manage your stress and build the resilience like we’ve been doing in this whole class. 1. Tom discusses the difference between fixed mindset versus growth mindset. Do you knowsomeone who functions with a fixed mindset or growth mindset? 2. Do you think it will be easier to advance in nursing school and practice with a fixed mindset,growth mindset or a little of both? And why? transcript (7).txt
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