The Pressure is On
This should always be used in the chair to help prevent pressure injuries on the sacrum.
What is a waffle cushion?
These four risk factors that place a patient at higher risk for fall with injury
What are...
A- Age
B- Bone Health
C- Coagulation
S- Surgery
Required daily for all patients with Central Lines and Foley Catheters to prevent device associated infections.
What is a CHG Bath?
*Of note, a patient requires BOTH a regular bath and a CHG bath*
What does the acronym BLT stand for?
What is- bending, lifting, twisting
What are the warning signs of a stroke and what number do you dial to activate a stroke code?
BEFAST; balance, eyes, face, arms, speech, time
55555
This feature on the bed helps to prevent friction and shear
What is the knee gatch?
An object used for impulsive patients to help facilitate a soft landing if they fall
What is a fall mat?
The required personal protective equipment (PPE) when changing a central line dressing.
What are sterile gloves, a mask (for nurse and patient), and a sterile dressing change kit?
A surgical procedure approached through the front of the neck that removes affected discs and fuses vertebrae to relieve nerve compression and pain
What is- ACDF; anterior cervical dissection and fusion
During the dual nurse skin timeout on a new admit, the nurse notices a wound. The skin is intact with non-blanchable redness. The nurse takes a picture of the wound and places a wound consult, the nurse then places the wound in the patients LDA and labels it as stage I pressure injury.
Were all of the actions taken by the nurse correct? yes or no?
What is No- the nurse should not have labeled the wound in the LDA, only the wound nurse consulted should stage the wound in the LDA
The best method to check for early signs of a developing pressure injury in patients with darker skin tones.
What is assessing for changes in skin temperature, texture, and localized pain rather than just redness?
Fall or No Fall?
A staff member was with the patient and attempted to minimize the impact of the fall by slowing the patient's descent.
What is a FALL?
A planned descent is when a staff member and patient decide to intentionally lower to another surface for patient and staff safety
The proper position of the urinary drainage bag to prevent backflow and infection.
What is keeping the bag below the level of the bladder, without touching the floor?
A procedure where the surgeon removes the damaged disc from between two vertebrae in the lower back and replaces it with a bone graft or synthetic material, this creates stability of the spine and promotes fusion to the vertebrae.
What is a TLIF- Transforaminal Lumbar Interbody Fusion
A post-op craniotomy patient with a fixed, dilated pupil on one side may have this life-threatening condition.
What is a herniation?
This dressing is commonly used to treat DTIs and helps to reduce inflammation and should be changed every 3-5 days.
What is Polymem?
In addition to bed and TABS alarms, these strategies can help reduce fall risk in a confused or high-risk patient, especially those prone to unassisted bed exits.
What are placing fall mats, moving the patient closer to the nurses' station, using a bucket chair, and positioning the bed against the wall to minimize exit points?
To Culture or Not to Culture?
On admission pt has a PICC line placed. On day 10, the PICC line is discontinued. PICC site WNL. On hospital day 11, the pt's vitals are T 98.6; HR 115, RR 16; BP 110/70. The pt's WBC is WNL. The physician orders two sets of peripheral blood cultures.
Do NOT Culture
The patient meets SIRS criteria, but not sepsis criteria. Pt is not exhiiting symptoms of infection (i.e. PICC site is WNL). Consider another non-infectious source of SIRS symptoms (i.e. PE)
If a patient suddenly becomes hypotensive and bradycardic after a cervical spinal injury, they may be experiencing this
I can go here to find the Senior Resident on-call in cases where I need to escalate beyond the Junior Resident.
Where is MD call schedule on NMI?
NMI>>Resources>>MD Call Schedule
This is a fenestrated dressing designed for delicate skin, that can stay in place for 7-14 days.
What is Mepitel?
This tool recognizes contributing factors and interprets the recently documented data to calculate fall risk score for the patient, alerting staff via fall risk icons, banners, and chart advisories
What is the Fall Risk Predictive Model?
The recommended technique for removing a central line to prevent air embolism.
What is placing the patient in Trendelenburg or supine position, having them perform the Valsalva maneuver, and applying an occlusive dressing immediately?
name this strength: patient can lift their arm, has full range of motion, but when resistance is applied, it falls back down
What is a strength of 3
The best type of oxygen therapy used to help air reabsorb in patients with pneumocephalus.
What is high-flow oxygen (or 100% oxygen via a non-rebreather mask)?