What Do You Mean I'm In Charge?
This helps us assess a patient's risk for falls
What is the Morse Scale or standardized fall risk assessment?
You should hear this many normoactive bowel sounds in 1 minute
What is 5-30?
This is the correct order to don and doff PPE
What is gown, mask, gloves to don, gloves gown mask to doff?
These are ways to prevent falls in the hospital
What are wrist band, low bed, 2-3 bedrails, purposeful rounding, bed/chair alarm, reminder safety belt, gait belt/assistive device when ambulating, grippy socks, call light in reach?
LOC
Level of Consciousness
These are the 5 P's to purposeful rounding
What are pain, potty, positioning, possessions, pathway?
This helps us determine a patient's risk for skin breakdown
What is the Braden Scale (sensory perception, mobility, activity, friction, moisture, nutrition)?
These are actions to care for a foley
What are CHG wipes, pericare, routine emptying of bag, hang bag below level of bladder, assess if the patient still needs it, I&O?
These are the 10 rights of safe medication administration
What are person, med, dose, route, time, documentation, reason, response, education, refusal?
DM
Diabetes Mellitus
These are the steps of the Nursing Process
What are Assessment, Analysis, Planning, Implementation, Evaluation
These are key interventions for a patient who is SOB
What are high fowlers, oxygen, pursed lip breathing?
A healthy adult should produce this much urine per hour
What is at least 30 ml/hr?
These interventions can prevent pressure injuries
What are frequent repositioning, offloading bony prominences, increase protein, incontinence care, using drawsheet or TAPS system, avoiding briefs or diapers, cushioning to worn medical devices, routine skin assessments?
SpO2
Blood Oxygen Saturation
These are the goals of a post-op colorectal patient
What are early ambulation, return of bowel function, tolerating diet, pain control?
These different apparatuses deliver oxygen to patients
What are nasal cannula, simple mask, non-rebreather, venti, trach collar, oxygen tent, high flow, pendant?
Your patient hasn't produced any urine during your shift. These could be reasons.
What are dehydration, retention in bladder, kidneys not producing urine?
These are 5 moments for hand hygiene
What are before touching patient, before procedure, after body fluid exposure, after touching patient, after touching patient environment?
POD
Post-Op Day
These are all types of things nurses chart on during a shift
What are care plan, assessment, I&Os, vitals, POC labs, abnormal events, fall risk, skin risk, critical labs, provider notifications, education, interdisciplinary communication, meds, treatments?
These are signs of hypoglycemia
What are blood sugar <70, dizziness, shakiness, lightheadedness, fatigue, nervousness/anxiety, nausea, hunger, lack of coordination, nightmares, irritability, blurry/impaired vision, confusion, tingling in lips/tongue, rapid heart beat, headaches, unconscious
These are the acceptable conditions for a patient to have an indwelling urinary catheter
What are retention, obstruction, surgical procedure, perineal/sacral wound, end of life comfort?
Aspiration can be prevented using these interventions
What are sit upright for meals, no straws, small sips/bites, altered texture diet, thickened liquids, supervised dining, cues
ACHS
Before meals and at bedtime