Can't Touch This
What you do just before pushing the shock button on the Automated External Defibrillator.
What is look at the patient, call "ALL CLEAR, EVERYONE CLEAR," ensure everyone is out of the way before pushing the button to deliver a shock?
This is the correct way to obtain a respiratory rate for a patient.
What is count or observe the number of respirations for a full minute?
What to do for patients at risk for falls after assisting them to the bathroom.
What is stay with patient or never leave patient alone while using the toilet?
Steps to take when removing a urinary catheter if the balloon will not deflate.
What is remove the 10ml syringe, reapply the syringe to mechanism, and try again; notify the RN if problem persists?
The first leads you will connect to the patient when doing a 12-lead ECG.
What are the limb leads?
Limb leads should be an equal distance from the heart and in the same place on each limb.
This is how often you should clean the 12 lead ECG machine.
What is after every patient use?
Always use hospital approved wipes to clean equipment.
The reason we draw blood for lab tests in a certain order when collecting multiple vials of blood from a patient.
What is to prevent cross contamination of additives from one vial to another?
This is how often to place a patient on a turning schedule.
What is at least every two hours?
What to do when you notice a reddened heel or the begining signs of a pressure injury.
What is notify the RN, relieve the pressure by turning, repositioning, or elevating heels on pillows?
Technique for performing pericare on the female patient who is menstruating.
What is wipe from front to back with only one washcloth or saniwipe?
This is always used to clean equipment that's in a patient's room who has Clostridium difficile (C-Diff).
What are bleach or bleach wipes ?
At least one way to prevent your patient from hospital-acquired pneumonia (HAP).
What are giving oral care at least twice a day, elevate head of bed 30-45 degrees, offer incentive spirometry or ambulation as ordered?
These are signs and symptoms at an IV site that means the IV may need to be removed.
What are site pain, tenderness, redness, blanching, edema, leaking or drainage?
Response to RN who asks you to place a urinary indwelling catheter.
What is tell the nurse this is outside your scope of practice and that you are unable to perform?
The proper technique of mixing blood and additives in a blood tube.
What is gently mix the blood collection tube by inverting 8-10 times?
This type of precaution is used if your patient is coughing or sneezing with the flu.
What are droplet precautions?
Droplets are formed and may be inhaled when a patient is coughing or sneezing.
These are reasons a lab specimen may not be accepted by the lab.
What is if the label is wrinkled or torn; if the label is placed so the specimen cannot be seen; if date, time, initials & lawson # are missing?
This would be done if you notice your patient's Purwick wall suction is set to 100 mmHg.
What is adjust the suction to 40-60 mmHg?
Things to report if your patient's VS are P 135, RR 20, Temp 38.3C, and BP 125/75.
What is increased HR and elevated Temp?
Supplies needed to properly remove an IV.
What are gloves, sterile gauze pads, tape and adhesive bandage (optional)?
This must be used when caring for a patient on airborne precautions.
What is a N95 mask?
Or Powered, air-purying respirator (PAPR) or controlled air-purifying respirator (CAPR).
What is gown, gloves, hand hygiene, eye shields, and mask?
Three standard precautions used for all patients to prevent falls.
What are clear room of clutter or obstacles, provide non-slip socks, have adequate lighting, place call light and personal items within reach, or clean all spills?
What to do if you report to the nurse that your patient is now confused and restless, but the nurse says "he's fine" and doesn't assess the patient.
What is repeat concerns to the nurse, and if still no response, report concerns to the charge nurse?
What you instruct the patient to do for relaxing the pelvic floor muscles before pulling out a urinary catheter.
What is take a deep breath in and then exhale out while gently removing the catheter?