Two interventions to prevent NV-HAP
Mobility and Oral Care
Total care patient's should be turned
Every two hours or more often as needed
Who can call a rapid response
Anyone, even family members and patients can call a rapid response
Safety rounding is completed every _______
Every one hour and then every two hours after 10pm
Your patient has a procedure scheduled for tomorrow AM, they are NPO after MN. What does NPO stand for?
What is Nothing by Mouth
Airway
Every 30 minutes
Detects early signs or patient deterioration by scoring vital signs and level of consciousness
My patient is a fall risk I will ensure they have ____ socks on and ______wrist band on
Your patient needs to get OOB for all meals, what does OOB stand for?
What is Out of Bed
PCTs are to chart Hygeine Care/Perineal Care, CHG, Oral Care, and _________
What is intake and output?
Localized damage to the skin and underlying soft tissue
Pressure Injury
My patient's glucose is below 70mg/dl this is called
Hypogylcemia
The 6p's are pain, potty, position, possessions, plan of care, and
Pumps
Your patient needs SBA out of bed?
What is Stand-By-Assist
Patients with indewelling catheters or otherwise known as foley catheters, need what kind of bath once a day
CHG bath
___________ prominences are at higher risk for pressure injures
Bony
During a code I can get the bed flat fast by
Using the CPR lever/latch located on the bed's side rail
My patient is a suicide risk patient they will need to have a __________ 24/7
Patient Safety Attendant
You patient LOC is Alert and Oriented times person, time, and place. LOC stands for
What is Level of Consciousness
After a patient completes their meal what degree should they remain upright for 30-60 minutes after eating?
30-45 degrees
Patient positioning with _________ are a essential tool to prevent pressure injury
Wedges
Patient has a purple band on this means by patient code status is
Do Not Resusciate (DNR)
Bed is lowest position
Your patient has a central line and a foley catheter and needs a CHG bath. CHG stands for
What is Chorhexidine Gluconate