Licensed or Unhinged
Nurse or Serial Killer
"I gave them something to help them sleep"
Nurse Serial Killer - Charles Cullen, ICU nurse, overdosed his patients. Likely 100's of patients, but has only confessed to 29 pts.
What do we use at CSEW most often to prevent and/or treat pressure injuries that a pct or a nurse can apply?
What is barrier cream.
What does Aphasia mean?
What is difficulty speaking or understanding language after brain injury or stroke.
What is the name of the fall risk screening tool we use.
What is "Morse Fall Risk Screening
Nurse or Serial Killer
"I watched them take their last breath, then I went to lunch"
Serial Killer Nurse- Richard Angelo, NY nurse killing at least 8 patients by giving drugs that gave them respiratory failure and then would try to resuscitate them. He wanted to save them to look like a hero.
What is pressure injury stage 1.
What does FOMs stand for?
What is Functional Outcome Measures.
Name 4 fall prevention strategies we can use.
1. Non-skid footwear
2. Bed alarm
3. Chair alarm
4. Education
5. Sitter
6. Move pt closer to nurses' station
7. Lap belt
Nurse or Serial Killer
"I didn't kill them; I just ended their suffering."
Serial Killer posing as a nurse - Donald Harvey "angel of death". He claims he was helping end their suffering. Responsible for poisoning at least 80 patients.
On a patient's heel you notice what appears to be a bruise. It is a dark purple, maroon color. The heel is boggy. How would you document this?
What is a deep tissue injury.
What does PLOF and CLOF mean?
What is Prior Level of Function and Current Level of Function.
Who are the 3 people/teams that have to be notified after a fall?
1. Provider
2. Pt's family
3. Caregiver team
Nurse or Serial Killer
"I loved taking care of people, I just didn't love the people."
Nurse serial killer - Kristin Gilbert, VA nurse who injected people with Epinephrine causing heart attacks and then would try to resuscitate them. She was not good at resuscitations.
Upon admission, what 7 items are required to be documented when finding a pressure injury?
1. Location
2. Measurements
3. Stage
4. Description of wound & surrounding tissue
5. Picture
6. Present on admission
7. Care Plan initiated
What does IRF-PAI stand for?
What is Inpatient Rehabilitation Facility - Patient Assessment Instrument.
What has to be updated after a fall and who is required to complete?
What is care plans, an RN
Nurse or Serial Killer
"They trusted me and that made it easy."
Serial Killer Nurse - Beverly Hallet, pediatric nurse in the UK. Injected children with insulin, potassium and air to cause cardiac arrest. Killed 4 children and injured 9 others.
Upon discharge or within 24 hours of discharge what 4 items are required to be documented for a pressure injury?
1. Photo
2. Measurements
3. Stage
4. Description of wound and surrounding tissue
Every morning during 8:15 huddle and throughout the day at CSEW you may hear the term PEM score. What does PEM stand for and why is it important?
What is Performance Evaluation Model, and it is a scoring system used to benchmark, rate, and track the clinical outcomes and quality of care provided to rehab patients across the country. The higher our PEM the better!
What are 5 things that have to be documented after a fall?
1. Patient assessment
2. Note
3. Post-fall documentation in Cerner.
4. Incident Report
5. Post Fall Huddle