Documentation
What documentation confirms that the RN has reviewed all active orders at the beginning of the shift?
What is the Shift Order Check?
What number should you dial to activate a Code Stroke?
What is 600?
This bedside tool helps ensure patient safety and fall prevention.
What is the bed/chair alarm?
Pain must be assessed at least once per _____ and at each transition of care.
What is shift?
Where should report for CHF and all of our patients take place?
What is at the bedside?
How frequently must CAM (Confusion Assessment Method be completed?
What is every 8 hours?
What is the Neuro Complex Assessment?
This Fall Risk Assessment must be completed every 24 hours or with any change in condition.
What is the Morse Fall Scale?
What tool is used to assess sedation level in patients receiving IV Opioids?
What is the Pasero Opioid Sedation Scale (POSS)?
What are two examples of patient goals that should be reviewed with the patient during bedside report?
What are fluid restriction and ambulation? - could have daily weight, diet, or educational goals
If an IV is removed due to phlebitis or infiltration, how often should the site be reassessed?
What is every 4 hours for 48 hours?
How often do you document on the Neuro Complex Assessment?
What is the fall risk scale used?
What is the Morse Fall Scale?
When administering IV opioids, what is the minimum that should be documented within 30 minutes after pain assessment and administration of the medication?
What is pain reassessment, sedation (POSS scale) and RR?
What is one symptom of CHF patients should be educated to report their MD after discharge?
What is shortness of breath, weight gain, edema or orthopnea?
This smart phrase is used for hypoglycemia events.
What is .bwfhypoglycemia?
What is the most important information you can provide to the stroke team that will be helpful in determining the patient's care?
Which vital assessments must be done immediately following a fall?
What is level of consciousness, neurological signs, and vital signs?
When administering non-iv opioid pain medications such as Tylenol, when do you Reassess the pain?
What is within 1 hour of administration?
CHF patient should limit which two things in their diet?
What is fluid and sodium?
When a patients glucose is <70, how soon must a repeat POCT be performed?
What is 30 minutes?
Who will bring the TeleStroke machine to the bedside and may assist with video conferencing?
Who is the stat RN or ICU RN?
What is the Morse Fall Scale number that we use to start Fall precautions?
What is 45?
What are the only pain scales that should be used at BWFH?
What is Verbal/Numeric (scale 0-10), rFLACC (non-verbal or cognitively impaired) and CPOT (intubated patients only)
When giving a diuretic, what should be checked prior to administering?
What is electrolytes and creatinine labs?