Finally, a video that keeps JVP measurement simple.

شكرا جزيلا على الشرح الممتاز ❤️❤️❤️

Isn't it jacob from twilight??

Do you have a video for a full head to toe assessment? I am an FNP student and love your videos! Such a huge help.

good explanation and beautiful Dr thanks

@JessicaNishikawa

7 жыл бұрын

Hi X-men Love, Thank you for watching!

Sternal angle is the point where you hv to measure the vertical pressure by scale not Sternal notch Maybe slip of tongue

@lucyjane7375

4 жыл бұрын

Actually, this patient's IJ pulsation was at the notch. That is what she is referencing. Re-watch the video and this time pay attention.

nice video DR

Seriously easy on the eye. Wow.

sorry but the position of ruler should below ear most visible pulse ......thnks

What are the causes of not visible Internal Jagular Vein?

That’s a beautiful patient you have! 😝

@docpepz1660

5 жыл бұрын

Roxasora123 😂😂😂

@arno557

4 жыл бұрын

😂😂

@hoodoo457

4 жыл бұрын

All i see is a beautiful doctor..

@drtashkash2398

3 жыл бұрын

I agree with you

@patriottoday9970

3 жыл бұрын

@@drtashkash2398 you dont know... but, im love u❣️

you should measure at sternal angle, not sternal notch..

Good..

Nice info

Thank you so much.

@JessicaNishikawa

7 жыл бұрын

Yes! Of course. Thanks for watching Kimura!

That’s a buff patient.

Why you put the ruler on the sternal notch but not the sternal angle? How are you sure you are not palpating the carotid pulse instead of JVP ?

@JessicaNishikawa

7 жыл бұрын

Hi Armen Sanosyan, good catch! Should have said sternal angle (angle of Louis). I often start looking for the pulsations in the suprasternal notch. The easiest way to distinguish between the internal jugular and the carotid is to palpate... the carotid is strong and isn't eliminated by palpation where as the internal jugular is. You often can't "feel" the jugular pulsation, only see it. When you try to palpate it, the pulsation goes away. You could also have the patient take a deep breath or change the level of the bed, the carotid pulsation isn't affected. Thanks for watching!

@armensanosyan

7 жыл бұрын

Thank you Jessica for kind reply

@lucyjane7375

4 жыл бұрын

Because this patient's JV pulsation happens to be at the notch. She said that.

Wakanda forever

Super😘😘🤗

Nice

damn thats some eye candy......

hmm .... handsome patient

Doctor do cut your nails😂 Can hurt patient or good infection carrier too🤣

She isn’t a doctor. She is a nurse practitioner.

@JessicaNishikawa

6 жыл бұрын

Aloha Med Ed, thanks for watching this video too! You're having a busy study night! As for your comment - they are not mutually exclusive terms. I know from your comments that you saw the video explaining this, so I'll spare you the lecture or the link. Good luck watching all the rest of my videos, if you want additional resources, I'm happy to share :)

@rwskiller5

6 жыл бұрын

Jessica Nishikawa thanks for replying. There are many medical students with a doctorate (pharmD, DPT, PHD) but they don’t dare introduce themselves as doctor so and so to patients. In academia it is fine to introduce yourself as doctor so and so, but it is naive to say you are doctor so and so to patients and not confuse them that you are not a physician.

@rwskiller5

6 жыл бұрын

Jessica Nishikawa also should an RN with a PHD introduce herself as doctor to her patients while functioning in a capacity as an RN? Isn’t that confusing For pAtients who already struggle figuring out who are the dozens of providers entering their rooms? What if the CNA has a doctorate that she or he purchased online from one of those degree mills. Would it be safe for the CNA to be called doctor because she earned a doctorate albeit in some random field like business administration?

@JessicaNishikawa

6 жыл бұрын

Hi Med Ed, You are welcome, I value each opportunity to discuss DNP education, educate the public and other health professionals, and generally increase the awareness of nurse practitioners. As for your post, since you haven't cited any of you statements, am I to gather you have expertise on the subjects? I tried to do a quick search about the number of entering medical students with doctoral degrees and couldn't find any. So I looked at the recent graduating classes of two different medical schools that I was able to find online, and none of them had PharmD or PhD's. It seems we have different meanings of the word "many". We also have different views on the word "doctor". Perhaps my patients are smarter than yours, or perhaps I take more time to explain who I am and what I do, because none of my patients seem confused when I say "Hi, I'm Dr Nishikawa. I'm one of the nurse practitioners that works with your physician, Dr Yim".

@JessicaNishikawa

6 жыл бұрын

Aloha Med Ed, I can tell this is a passionate topic for you. You've spent quite a bit of time replying to my videos lately. In your most recent post it does seem you've overlooked how different PhD and DNP degrees are. Just like the PhD and MD degrees are very different. Clinical doctorates practice clinically, they interact with patients at the bedside and deliver care. Anyone with a clinical doctorate can be addressed by their earned degree in clinical settings. Certainly an RN with a PhD can be addressed as Doctor in non-clinical settings. In a few (okay maybe like 10) years I doubt this will be an issue at all as we gravitate towards titles with meaning, like Nurse Practitioner or Physician or Pharmacist, and away from the watered down title of Doctor.