Not Charted, Not Done
Policies & Procedures Playbook
Acronym Alley
Medical Directives in Action
College Standards
100

The minimum frequency of vital signs and documentation

What is every 2 hours

100

For all patients who die in the ED, a phone call is made within the hour to whom

What is TGLN
100

This mnemonic is used to structure communication with patients

What is AIDET (Acknowledge, Introduce, Duration, Explain, Thank You)

100

To be implemented if blood products, fluid resuscitation, or parenteral medications are anticipated

What is a peripheral IV

100

This term describes the limits and allowances of what a nurse is legally authorized to do based on their edcuation and license

What is Scope of Practice

200

The frequency in which orders should be reviewed for patients

What is every shift

200

Admitted patients with a history of this or who are from a nursing home or who are from a nursing home or are receiving home care or reside in a shelter will need this test

What is a MRSA swab

200
Used to structure nursing notes on Epic

What is SOAP

200

Within 10 minutes of someone complaining of chest pain, this is obtained

What is an ECG

200

This formal document is completed immediately when an adverse patient event has occurred such as a medication error

What is an incident/Datix report

300

A patient greater than 65 years of age or those who are at risk for developing delirium will be assessed with this tool

What is the Confusion Assessment Method (CAM)

300

All blood and blood products must be completed within this timeframe

What is 4 hours within issue

300

This mnemonic is used for high alert medications

What is PINCH TVP

300

To treat a patient who has an IV but is unconscious and has a blood glucose meter is equal or less than 4 mmol/L

What is IV 50% dextrose 

300

This formal authorizing mechanism allows an RPN or RN to perform a controlled act without a direct order, provided specific conditions and a specific protocol are met

What is a Directive

400

Upon admission, these two assessments are to be completed

What is a Braden and Falls Risk

400

Before discharge or transfer, patients with ongoing abnormal vital signs should have their vitals checked again within this time

What is within 30 minutes of discharge or transfer

400

To determine what PPE I need to wear, I will do this

What is a point of care risk assessment (PCRA)

400

Before the insertion of Morgan lens, this should be applied

What is tetracaine

400

This legal and professional concept occurs when a nurse fails to provide the care that a reasonably competent nurse would provide in similar circumstances

What is negligence

500

A purple Behaviour Care Plan banner, purple dot, and purple stop sign is used when this assessment is positive

What is the Violence Assessment Tool

500

The code used to solicit help for an individual who has collapsed in the parking garage

What is a medical emergencies on hospital grounds

500

Intubation, bronchoscopies, and tracheostomy procedures are a type of this

What is an AGMP (Aerosolizing Generating Medical Procedure)

500

These medications under the medical directives are contraindicated for abdominal pain

What is analgesics

500
Annually, to maintain registration with the CNO, every practicing nurse is legally required to participate in this program

What is the Quality Assurance (QA) program

M
e
n
u