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🏥 *JAWAHARLAL INSTITUTE OF POST-GRADUATE MEDICAL EDUCATION & RESEARCH (JIPMER)* 🎯 🔖 *NUMBER OF VACANCY -* *154* ( 80% Seat Reserved For Female Nursing Officer's & 20 % Reserved For Male - *80:20 Ratio)* 🔖 *ONLINE FORMS START FROM - "19/07/2024"* 🔖 *LAST DATE OF ONLINE APPLICATION FORM - "19/08/2024"* Till 4.30 P.M. 🔖 *ADMIT CARD WILL BE RELEASE ON - "02/09/2024"* 🔖 *EXAM DATE - "14/09/2024"* 🔖 *ONLINE REGISTRATION LINK* ⬇️ https://cdn.digialm.com/EForms/configuredHtml/827/89979/Registration.html 🔖 *LOGIN LINK* ⬇️ https://cdn.digialm.com/EForms/configuredHtml/827/89979/login.html 🔖 *JIPMER OFFICIAL WEBSITE* ⬇️ https://www.jipmer.edu.in/ 🔖 *OFFICIAL & DETAILS ADVERTISEMENT*⬇️ https://acrobat.adobe.com/id/urn:aaid:sc:AP:e6baf571-75fc-49bf-8feb-b775fcea269e

recumbent. *• During internal radiation –* patient should be on bed rest while implant is in place. *• Autonomic Dysreflexia* – place client in sitting position (elevate HOB) first before any other implementation. *• Shock* – bed rest with extremities elevated 20 degrees, knees straight, head slightly elevated (modified Trendelenburg). *• Head Injury*– elevate HOB 30 degrees to decrease intracranial pressure. *• Peritoneal Dialysis* when outflow is inadequate – turn patient side to side before checking for kinks in the tubing. *• Myelogram Water-based dye*– semi Fowler’s for at least 8 hours. *• Myelogram Oil-based dye –* flat on bed for at least 6-8 hours to prevent leakage of CSF. *• Myelogram Air dye –* Trendelenburg

😊DISEASES AND POSITIONS😊 *#POSITIONS (QUESTION)* ============================= *• Asthma* – Orthopneic position where patient is sitting up and bent forward with arms supported on a table or chair arms. *• Post Bronchoscopy –* flat on bed with head hyperextended. *• Cerebral Aneurysm –* high Fowler’s. *• Hemorrhagic Stroke –* HOV elevated 30 degrees to reduce ICP and facilitate venous drainage. *• Ischemic Stroke* – HOB flat. *• Cardiac Catheterization* – keep site extended. *• Epistaxis* – lean forward. *• Above Knee Amputation*– elevate for first 24 hours on pillow, position on prone daily for hip extension. *• Below Knee Amputation* – foot of bed elevated for first 24 hours, position prone daily for hip extension. *• Tube feeding for patients with decreased LOC* – position patient on right side to promote emptying of the stomach with HOB elevated to prevent aspiration. *• Air/Pulmonary embolism* – turn patient to left side and lower HOB. *• Postural Drainage –* Lung segment to be drained should be in the uppermost position to allow gravity to work. *• Post Lumbar puncture* – patient should lie flat in supine to prevent headache and leaking of CSF. *• Continuous Bladder Irrigation (CBI)* – catheter should be taped to thigh so legs should be kept straight. *• After myringotomy –* position on the side of affected ear after surgery (allows drainage of secretion). *• Post cataract surgery –* patient will sleep on unaffected side with a night shield for 1-4 weeks. *• Detached retina*– area of detachment should be in the dependent position. *. Post thyroidectomy –* low or semi-Fowlers, support head, neck and shoulders. *• Thoracentesis*– sitting on the side of the bed and leaning over the table (during procedure); affected side up (after procedure). *• Spina Bifida* – position infant on prone so that sac does not rupture. *• Buck’s Traction –* elevate foot of bed for counter-traction. *• Post Total Hip Replacement –* don’t sleep on operated side, don’t flex hip more than 45-60 degrees, don’t elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows. *• Prolapsed cord –* knee-chest position or Trendelenburg. *• Cleft-lip –* position on back or in infant seat to prevent trauma to the suture line. While feeding, hold in upright position. *• Cleft-palate*– prone. *• Hemorrhoidectomy –* assist to lateral position. *• Hiatal Hernia*– upright position. *• Preventing Dumping Syndrome*– eat in reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low fiber diet, and small frequent meals). *• Enema Administration* – position patient in left-side lying (Sim’s position) with knees flexed. *• Post supratentorial surgery (incision behind hairline)* – elevate HOB 30-45 degrees. *• Post infratentorial surgery (incision at nape of neck)*– position patient flat and lateral on either side. *• Increased ICP*– high Fowler’s. *• Laminectomy*– back as straight as possible; log roll to move and sand bag on sides. *• Spinal Cord Injury –* immobilize on spine board, with head in neutral position. Immobilize head with padded C-collar, maintain traction and alignment of head manually. *Log roll* client and do not allow client to twist or bend. *• Liver Biopsy –* right side lying with pillow or small towel under puncture site for at least 3 hours. *• Paracentesis –* flat on bed or sitting. *• Intestinal Tubes –* place patient on right side to facilitate passage into duodenum. *• Nasogastric Tubes –* elevate HOB 30 degrees to prevent aspiration. Maintain elevation for continuous feeding or 1hour after intermittent feedings. *• Rectal Exam –* knee-chest position, Sim’s, or dorsal

Nagpur 3RD WAITING LIST

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Which of the following step is not included in surgical safety checklist? a. Time in b. Time out c. Sign in d. Sign out

*To the incredible teachers and mentors who have shaped our minds and touched our souls, Happy Guru Purnima!* 🙏🏻

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