Am I Alive?
When should a BP be reported to RN?
What is Diastolic less than 60 and greater than 90 and Systolic less than 90 and greater than 140?
Your patient has a MEWS of 3, how often should their vitals be taken?
Every 2 hours x3 or until MEWS is less than 3.
What should you do if you get an abnormal reading when checking your patients vitals or blood sugar?
What is notified RN of abnormal and then document abnormal in EMR with a comment of RN’s first and last name that was notified
This is the frequency of purposeful rounding.
What is hourly?
This item is used during a code. There should be at least on in each room at the head of the bed.
What is an ambu bag
When should a pulse be reported to an RN?
What is less than 60 and greater than 100
How do you get an accurate MEWS Score?
What is a full set of vitals signs in the same column
What should you do if your patient reports that they are having pain to you?
What is notify RN and then document pain score in EMR with a comment of RN’s first and last name who was notified
This is when and where shift report occurs
At the bedside between shifts (at shift change).
This is the best way to weigh a patient if they can get out of bed.
What is a standing scale
When should you report an O2 sat to an RN?
What is less that 92%
Your patient has a MEWS or 4, how often do you take their vitals?
What is every hour X3 or until MEWS is less than 4.
When must you report a blood sugar to an RN?
What is less than 70 or above 140
This is where you chart nutritional supplements
What is the I & O flowsheet
This is how you count respirations
what is watch for full breaths (inhale and exhale) for up to one minute.
When should you report a temperature to an RN?
What is less than 97 or greater than 99
Your patient has a MEWS of 5, how often should you take their vitals?
What is every 30 minutes X3 or until MEWS is less than 5
This is the phrase to use when someone doesn't wash in or wash out
"Don't forget to wash in and wash out"
This is the first thing to do when a patient's monitor shows asystole
What is check the patient
This how many times you should chart intake and output.
What is every time, right when it happens.
When should you report respirations to an RN?
What is respiration’s of less than 12 and greater than 20
What does MEWS stand for?
What is modified early warning system
Your patient has a blanchable red area on their sacrum. They have a brief on and have a "blue pad" on their bed. They are able to walk to the bathroom. Name one of the two items that are contributing to the reddening area.
What is: brief on in bed and "blue pad" when they are not incontinent.
These are the 5 "Ps" of hourly rounding
1. Pain 2. Potty 3. Position. 4. Personal belongings
5. Promise to return
This is one of the responsibilities of the NCA during an arrest.
1. take direction from RN, traffic control, provide emotional support for the roommate, perform CPR, help in other areas of the unit.