Required Documentation
How often is telemetry documented? What is documented?
Every 4 hrs (8/12/4)
Rate/Rhythm/Box #
What is 2 safety measures done at the bedside to prevent medication errors?
Asking patient name & dob
Scanning patient
What do you do when a patient is being irritable, yelling/cursing, pacing the unit and highly agitated?
When are the PCTs and Nurses expected to round?
Odd hours (9/11/1...etc) for PCTs
Even hours (8,10,12...etc) for Nurses
What do we do if a piece of equipment is not working properly?
Inform charge nurse
place orange tag and remove from use
place work order to be fixed
What is an audit we preform on the floor that is required by JACHO? It is done at admit and updated as needed.
Care Plan individualization
What must you do before entering and exiting each room?
Wash hands or sanitize
What do you place when an error has happened, a fall, a good catch...etc?
SOS (safety on site) found on Ochweb
What major holidays are rotated?
Christmas and Thanksgiving
New Years and Mardi Gras
Where can you find our welcome new hire signs, staff awards and anniversaries?
Glass windows outside of breakroom
What must be completed on each shift, by each nurse?
A physical (head to toe) assessment
What post surgical process do we follow? We audit this practice each month? What does it stand for?
I-incentive spirometer
C-cough and deep breath
O-oral care
U-understand icough practices
G-get out of bed/HOB elevated >30
What do you do when you find a patient unresponsive/no pulse?
Call a Code Blue #3333
Start CPR
What happens when you call off on a weakened?
You automatically get placed on the opposite weekend
What is the occurrence amount for a call in, missed punch, late punch equal to and what point is a warning/progressive discipline/termination?
Missed punch and late punch= .5 occurrence
Call in =1 occurrence
6 = warning
9= progressive discipline
12= termination
What is the special bath some patients require? And how often/where is it documented.
CHG
patient is required to have one every 24hrs (within 24 of admit/order)
Documented on CHG row under Safety
IV 30mins
PO within 1hr
What do you do when a culture is order for a central line or foley?
Perform a "Culture time out" and call the infection preventionist -Alisha Usmiller (see board for steps/number)
What is the interactive round on day shift performed by provider and case manger with patients primary nurse or charge nurse called and what does it stand for?
SIBR - structured interdisciplinary bedside rounding
You should escalate it up/call Denise Baham to get them access
You should not let them use it under your name
(you should do it for them so you could ensure policy followed through)
If a patient is admitted with a wound, what must you do?
-add LDA for each wound found
-place SOS (select A if present on admit)
-upload picture in EPIC on admit AND again at discharge, plus during hospital stay if worsens
-Consult placed to wound care -(ALL new hospital acquired skin issues must have a consult)
*Utilize wound care standing orders until seen by wound care for patient specific orders*
What is our glucose protocol?
If patient is <50 or >400, immediately restick.
If # remains <50 or >400 then treat patient per order, place STAT serum glucose lab and notify physician.
if physician does not want lab you must document in a note!
What do you do when a patient falls?
Ensure patient is ok
Follow post fall checklist (some examples below)
_____________________________________
Notify MD/CN/HS/Manager...
Post fall huddle
Complete post fall summary (epic flowsheet)
Paperwork to turn into manager
SOS
ENSURE BED ALARM/AVASYS is on patient to prevent future occurrences :)
What are our unit non negotiables? (3)
+1 Bonus
-Bedside handoff
-Hourly Rounding
-Fall precautions
(bonus: SIBR round)
Where can you find consent forms?