Assessment Skills
Assessment Tools
Drains
Dressings
Troubleshooting
100

A simple method to assess protective sensation in feet 

Monofilament Test

100
The acronym PHQ stands for and measures what 

Patient Health Questionnaire, mood/depression

100

Dressing type commonly used in drain care

Split gauze

100

Brand names for this type of dressing are Tegaderm and Hydrofilm

Transparent dressing

100

Pulse oximeter display suddenly turns off

No signal is detected longer than 8 seconds OR the batteries power is too low to work.  

200

The National Institute of Clinical Evidence (NICE) recommends this test for gain and balance evaluation in fall prevention among the elderly

TUG Test Timed-Up-and-Go

200

A multifactorial, standardized, and validated tool that provides the clinician with a quick and efficient way to assess fall risk in the home health patient while meeting OASIS-E1 guidelines 

MAHC-10 

Missouri Alliance for Home Care Fall Risk Assessment Tool

200

Strip or milk this type of drain every 4 hours to clear drain tubing and maintain suction

Jackson-Pratt or JP Drain

200

This type of dressing maintains wound hydration by preventing the loss of moisture and is commonly used to treat pressure ulcers 

Hydrocolloid dressing

200

Unit has detected significant negative pressure. If this alarm is not resolved in three minutes, therapy will be interrupted and repeat an audible tone.

Wound Vac Leak Alarm

300

Assess this tube's placement every four hours and prior to administration of feedings or medications

Enteral Tube (J-Tube OR G-Tube)

300

Uses green, yellow, and red to educate patients/caregivers to monitor symptoms 

Zoning Tool

300

Used for managing recurrent pleural effusions and malignant ascites

Denver Pleurx Drain

300

Substance found in brown seaweeds used to absorb and retain fluids effectively

Alginate

300

True Metrix Glucometer E-3

The meter detects the test strips are compromised.

400

Use this tool to auscultate and differentiate between normal and abnormal lung sounds 

Stethoscope 

400

Measures temporal orientation and the ability to place oneself in correct time

BIMS

Brief Interview for Mental Status

400

Thin catheter that drains pee (urine) from your kidney into a bag

Nephrostomy Tube

400

Indicated for use as a primary dressing in the treatment of partial- and full-thickness wounds such as skin grafts, donor sites, surgical wounds, tunneling wounds, infected and non-infected wounds, and wounds with minimal to heavy exudate (depending on the form of the dressing).

Collagen dressings

400

You did not apply blood to the PT/INR test strip within 180 seconds after the blood drop symbol appeared

Error 000 Time Exceeded

500

Figure Eight or Circumferential Method measures 

Edema or Oedema 

500

Used to classify and treat a traumatic wound caused by mechanical forces, including removal of adhesives 

STAR Skin Tear Classification System

500

These types(s) of drains allow for gravity to help remove excess fluid without the use of pressure  

Passive drains (ex. Foley, Penrose)

500

Are contraindicated for use on patients with known sensitivities and cannot be worn during magnetic resonance imaging (MRI) procedures 

Silver Antimicrobial Dressings

500

Action(s) when oxygen concentrator produces a steady alarm

Unplug & replug machine into a different outlet OR push in Reset Button OR make sure machine has power OR make sure machine is not against the wall/curtains

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