FALLS
What is considered a patient fall?
An unplanned descent to the floor with or without injury, witnessed or unwitnessed.
If a patient knee hits the floor, it is considered a fall.
Who notifies the RN for a sepsis/safe alerts?
RN Manger/TL- they will be notified by the Monitor Tech first.
On POD 0, the orthopedic patient needs to be ambulated by __________.
midnight
What is the basic protocol for doing bedside shift report?
Using the WOW
ENTERING patient's room every time with every patient
What needs to be documented when administering a pain med?
before and after pain score
What Assessment tool do we use in Cerner for Falls?
Morse
How long do you have to notify a physician after receiving a Sepsis Alert?
15 minutes- the task needs to be cleared off by either placing a call to the MD and documenting it
If V/S were entered incorrectly-this is the time to fix and clear.
How many times do you need to try and ambulate a patient by midnight?
2-3
Who is responsible for answering call lights?
EVERYBODY!!!
What is a "NEW" requirement for new admissions that needs to be documented in Cerner?
Preferred patient pharmacy
When and How do you properly update the stop light?
Every shift
Write in the Date in the correct color stop light
How long do you have to complete the Sepsis bundle?
3 hours
What do you need to document when a patient is unable to ambulate by midnight?
0 feet with a comment stating the reason
What information should be passed on between shifts for MD-RN rounding?
hint: 5
Significant changes in assessment
Significant changes in labs and/or diagnostics
Consult updates
Care coordination needs-PT/OT, ambulation requirements, DME...
Utilization-Do they still need Tele,foley, O2?
What are two things that need to be done when a patient is transferred to you from another unit?
Patient belongings form
4 eyes
What interventions should be in place for a high fall risk patient?
Stop light red sign
Bed alarm-in the second zone
Yellow socks
Yellow clip
Low bed if needed
Where in Cerner do you look to find out why a sepsis safe alert is firing?
MPAGE
Orders
What are non-pharmacological ways to control pain?
hint: 4
ice
elevation
ambulation
rest
How long do you have to discharge a patient once a discharge order is placed?
2 hours
How often should oral care be performed and documented?
How often should a patient a bath?
Oral care q shift
Bathing q 24 hours
What Assessments and Actions does the RN complete when they have a fall?
Patient assessment-V/S, BS
Notification of physician, house sup and family
Interventions/diagnostic
Post Fall Huddle in Cerner
Incident/Verge report
Post fall excel audit- done by the CM/TL
What is included in the sepsis bundle?
hint: 4 items
Blood cultures
Lactic acid
Abx
Bolus
What is the correct position for an arm in a sling?
Position of neutrality
What should be written on specimen labels?
How many patients lab tubes can be sent in one bag?
DWN and Lawson (cerner ID)
date/time
1 patient per bag
What should be documented for a wound?
Present on admission
Size
Location
Wound consult
4 eyes