Wounds
COCA
What is color, odor, consistency, amount?
How to measure for NG tube
What is measuring from the tip of the nose, to the earlobe and to the xiphoid process?
PERRLA
What is pupils equal, round, reactive to light and accommodation?
iSBAR
What is introduction, situation, background, assessment, and recommendation?
Address and phone number
What is biographical data?
Measurement for wounds
What is length, width, and depth (in that order)?
Necessary check before setting up decompression
What is the suction regulator and canister?
Checking that a person is A&O x 4
What is ask the patient full name, DOB, place, situation or time?
AIDET
What is acknowledge, introduce, duration, explanation, and thanks?
Metformin
What is medication?
Undermining
What is tissue loss under the edges of a wound (like a cave) that is not obvious to the skin surface?
Rate for G tubes versus J tubes
What is the rate of G tubes are much faster than J tubes due to location?
Circumduction
What is shoulder 360 degree rotation (ie. arm circles)?
Also would accept full 360 degree rotation of hip
Wong-Baker scale
What is a type of pain scale typically used in children?
Smoking
What is social?
The medical term for pus
What is exudate?
Acceptable gastric residual before enteral feedings
<250mL in consecutive feedings or <500mL for one feeding
The four signs of a DVT
What are redness, warmth, pain, and swelling?
Five examples of non-pharmacological pain management
What are relaxation, TENS unit, distraction, heat, cold, massage, acupressure, acupuncture, hypnosis, music therapy, and/or exercise?
Job
What is occupation/social history?
Bacteria that commonly smells musty
What is pseudomonas?
How to know NG tube is in the small intestine without radiology
What is high pH (~6-7.4)?
Type of infection patient is at risk for if they have a Stage IV pressure ulcer (medical term)
What is osteomyelitis (bone infection)?
Type of wound Braveheart endured at the end of the movie
What is evisceration?
Non-sedated incision and drainage of abscess
What is surgical?