Cath Lab
q15x4, q30x2, q1hrx4, q4x2
How often should you empty a foley and chart it?
q8 hours, before transport, or 2/3 full (whichever is first)
What assessment requires two nurses?
Skin assessment during admit or transfer of a patient
Uh Oh! You clogged an NG tube...what do you use to unclog it?
Clog Zapper
Sodium Bicarb and pancreatic enzyme (provider order)
Hot water
What staff member works for a Seattle sports team and what team is it?
Becky (PSS) and Seattle Mariners
What should you do with the cath lab nurse before you leave?
Assess Sites (pulses, CMS, vitals)
Check for Orders and release
If applicable, hemostasis time with roc band turns/TR band air or bedrest until
How often do you rotate anchor device for a foley and where on the thigh should they be placed?
qday and top of thigh
How often do you have to chart a A+Ox4 and independet patient's position?
q2 hours
When should you use a waffle cushion?
People at risk for pressure (Braden <18) who are up in chair or occipital pressure injury risk
Name 2 staff members that are currently serving in the military.
Dan and Chris!
Come up and show us where you chart your post cath lab assessments
Need to show vitals, CMS, dressing, RP check, hematoma, and pulse
The PCT completed Antiseptic Care (Theraworx) at 2100, when would be the best time to do foley care?
In the morning (ideally 0900), if you did it later in the shift the patient could go almost 18 hours without foley care.
Reminder: chart when you actually do things (easy to chart it later even if you did it earlier in the shift)
What should you do if you find a pressure injury?
Create LDA, measure the wound and chart characteristics, wound consult, safety net
Suction to low (40mmHg or 60mmHg for 2 sets)
Use only disposable underwear or nothing to hold it in place
Only 1-2 extension tubing
*Change q12 hours or if soiled with feces/blood
What 6NE staff commutes the longest to work?
Merlita
Cath lab came up with a ROC band and hemostasis was achieved at 1030, what time can you start releasing pressure on the ROC band?
1230
Your patient has a foley and made no urine in 12 hours, what should you chart?
Type 0 in output
Obviously - please reach out to provider this is not ok ;)
Your patient is at risk for a heel pressure injury, what product do you use? And where can you find it?
SAGE Boots and 747 room
When would you consider ordering a air loss specialty bed?
Braden <18, excessive moisture or incontinence problem, severe pain that impedes turning, or current pressure injury
Katryna
When you release a ROC band, how much do you turn it and how often?
1/2 turn every 10 minutes
BONUS 100 pts! What are you looking for when you release?
The MD ordered for a Foley for strict I/Os on your AOx4, IND, and voiding naturally patient who is on a lasix gtt. What would you do next?
This order is NOT appropriate for acute care! Foleys for strict I/Os require q1 hour I/Os which acute care cannot do (must be in ICU). Also, increases risk of CAUTI on a patient that can be avoided
DOUBLE JEOPORDY!!
Do you make a LDA for blanchable erythema?
Do you make a LDA for incontinence dermatitis?
Blanchable erythema: No! This just goes under skin assessment under redness
Incontinence dermatitis: Yes!
Come up and show how to order specialty bed in Epic.
Need to show order and Cosign required
Out of the July-September 2023 crew who started first?
Serina
Annelise
Jieun
Ami
Emmy
Lyanne