Restraints
Pressure Injury Prevention
Care Plans/Fall Prevention
Blood Administration
100
Nurses can enter violent restraints as a verbal order
What is False
100
Location this dressing would be used.
What are the sacrum/coccyx?
100
Nurses are held liable for what is and is not documented in the EHR.
What is True
100
Timing of vital signs prior to start of blood products
What is less than 15 min PRIOR to blood administration but cannot be at the exact blood start time?
200
RN documents non-violent restraints are removed and resolves the use of restraints on the care plan.
What is true.
200
OR patient will be positioned supine, is 68 years old, BMI is 38, and Braden Score is 15.
What are risk factors for the patient developing a sacral/coccygeal pressure injury?
200
Waffle grip, pink pad, MATS
What are devices available to safely position or help move a patient.
200
Frequency of vital signs during blood administration
What 15 min. after start of infusion and when transfusion is completed?
300
For patients in violent restraints a Face-to-Face Evaluation must be completed within 1 hour of restraints by
Hospitalist, ED provider, or Intensivist
300
2 RNs conduct a thorough skin assessment
What is the 4 eyes skin assessment?
300
When the OR table is positioned in Trendelenburg during the surgery, your concern is
What is a risk of shifting and falling off the OR table?
300
Associate will obtain and sign prior to administering any blood product
What is the blood consent in EPIC?
400
Handcuffs and shackles.
What devices are not considered restraints?
400
Brand name of the foam border dressings applied to prevent pressure injuries
What are Allevyn dressings?
400
Care Plans will be individualized to each patient, aligning their diagnosis and other patient safety focuses
What is True
400
When remainder of blood and tubing should be returned to the blood bank
What is when a blood transfusion reaction occurs and blood administration is stopped prior to completion?