Hand Hygiene
Hand hygiene is the #1 way to prevent _______?
Spread of infection
When should pain be assessed?
At least once during your shift
Assess prior to scanning and giving the pain medication
**Should be an ongoing assessment
When administering medications when should the nurse sign stating it has been given?
After the medication has been completely administered
What type of patients require a CIWA scale to be completed?
Drug or alcohol withdrawal patients
Rescue
Alarm
Confine
Extinguish
Should staff wash between glove changes?
Yes, hand hygiene should occur when changing gloves
A nurse should document pain rating and what additional information?
Education given on medication and the pain location
A nurse witness is required for?
Returning a narcotic
Wasting a narcotic
CIWA scale should be completed how often?
Per the doctors order
Wong Baker scale
How long should an individual wash their hands?
15-30 seconds
Name 2 places a pain rating can be charted?
Pain band in iView
MAR when giving pain medication
The time between pulling narcotics and administration to patient should not exceed ____ mins.
CIWA stands for?
Clinical Institute Withdrawal Assessment
Nicotine Wrappers should be disposed where?
Regular trash
When should hand hygiene be performed?
Entering or exiting a patient's room
Before meals
After restroom
Between glove changes
When hands are visibly soiled
The nurse should wait how long before reassessing pain?
Pain must be reassessed within an hour
Medication education for the patient is documented where?
MAR
Name symptoms of withdrawal covered by CIWA?
Nausea and Vomiting
Agitation
Anxiety
Tremors
Headaches
Auditory/visual hallucinations
Tactile Disturbances
Red bio-hazard bag
Soap and water should be used verses hand sanitizer when....
A patient has c-diff or norovirus
Hands are visibly soiled
After restroom
Before meals
Pain rating should be compared to patient's _____ _______?
Pain target
If patient refuses a non-narcotic medication what 2 steps should the nurse do?
Chart patient refused
Return medication to pyxis
Is there a policy regarding CIWA scale for Transylvania Hospital?
No specific policy, but the nurse should follow the providers orders and protocols
Opened medications such as inhalers without a order for the patient to take home at discharge should be placed where?
Pharmacy Black Box