Patient Positioning
In which position is the head of bed at 45-60 degrees?
Fowler's
How many seconds should you lather your hands?
The large hash marks on the pressure gauge are in what increments?
10
When would you use the orange (bleach) sani wipes?
Used to clean exam rooms of patients that come in with diarrhea. (Suspect C-diff)
Supine
When is handwashing required?
(verses using alcohol-based products)
When hands are visibly soiled
After using the restroom
When caring for a patient with suspected/confirmed C-diff
The small hash marks on the pressure gauge are in increments of what?
2
What does dwell time mean?
The amount of time a surface must stay wet.
This position is used when administering an enema.
Left Lateral Sims
What is the policy for fingernails at BJCMG?
Kept short (less than 1/4")
No artificial nail enhancements or artificial nails
Nail polish (that is not chipped), gel, shellac, powder and UV dips in good repair are permitted
Legs uncrossed
Back supported
Arm at heart level
What is an example of what belongs in a clean area AND a dirty area of a room.
Clean Area- Medication, Medication Preparation Supplies, Sterile Supplies
Dirty Area- Sink, CLIA Supplies and Machines, Dirty Equipment, Dirty Instruments, Microscopes
This position is used to reduce pressure on the lungs and improve lung expansion.
Prone
What areas are most often missed during hand washing?
Tips of fingers around finger nail beds.
Thumb.
Wrist - especially if you wear a watch.
What are indications you would not use an arm to obtain a BP?
Mastectomy
Dialysis Graft
Wound
IV or PICC line
Continuous Glucose Monitor
When should you change gloves and perform hand hygiene when performing patient care?
Gloves become damaged.
Gloves become visibly soiled with blood or body fluids.
You move from a soiled body site to a clean body site on the same patient.
You are exiting the patient room.
This position when the head of the bed is at 30-45 degrees reduces the risk of aspiration, prevents acid reflux, and eases breathing.
Semi-Fowler's
What are the 5 moments of Hand Hygiene?
Before touching a patient
Before a procedure
After a procedure or body fluid exposure risk
After touching a patient
After touching a patient's surroundings
What BP reading would prompt you to notify the provider?
Systolic 140 or above
Diastolic 90 or above
What is the correct order to don PPE?
Gown
Mask
Googles or faceshield
Gloves