Standard Precautions
the single most important way to prevent infection
what is hand hygiene?
This type of isolation is used for influenza (flu)
What is droplet?
This is the correct order to don PPE
Gown → Mask → Goggles → Gloves
This should always be within reach to prevent falls
What is the call light?
these are the 5 rights of medication administration
what is right patient, right medication, right dose, right route, right time ?
Gloves should be worn at this time
What is contact with blood/body fluids?
This isolation C. difficile requires
What is contact enteric ?
this is the correct order to REMOVE PPE
Gloves → Goggles → Gown → Mask
This is the best fall prevention intervention
what are nonskid socks + bed alarms ?
A nurse is giving digoxin. This safety step is essential before administering
What is check apical pulse for 1 full minute ?
You should you avoid doing with linens
What is shaking them ?
Name 3 airborne illnesses.
What is TB, measles, varicella?
the sterile border on a sterile field extends this far
what is 1 inch ?
Confused patient keeps getting up this is your first intervention
What is move closer to the nurses station ?
This insulin can be given IV during an emergency like DKA
What is regular insulin?
The type of PPE should be worn when there’s a risk of splashing body fluids
What is gown, gloves, mask, and eye protection (face shield) ?
this PPE must be removed before leaving a patient’s airborne isolation room
What is all PPE except the N95 respirator (remove N95 after exiting the room) ?
First flap to open in sterile tray
What is furthest from you ?
You find a patient on the floor - this is your first action
What is assess patient?
A patient is receiving heparin. This lab should be monitored by the nurse
What is aPTT ?
When performing hand hygiene you should scrub your hands with soap and water for this long
what is 20 seconds ?
This type of isolation is required for a patient with neutropenia (low WBC count)
What is protective or reverse isolation?
During a sterile dressing change, the nurse turns away from the sterile field for a moment to grab tape. When turning back, this should be the next thing done
What is consider the sterile field contaminated and start over — once you turn your back, sterility is broken?
A confused patient in soft wrist restraints suddenly becomes pale, cold, and you can’t feel a pulse in the restrained hand. The nurse should do this first
what is remove the restraint immediately and assess circulation?
A patient on morphine develops RR of 8/min and is difficult to arouse. This priority action should be done first
what is administer naloxone (Narcan) ?