IV Insertion
Wash you hands, Identify yourself, Identify the patient, attend appropriately to standard precautions, and hygiene, safety, privacy, and body mechanics.
What is the first thing you do when enter a patient's room to start an IV?
Verify the medical prescription for type of tube to be placed and whether it is to be attached to the suction or gravity drainage.
What should a nurse do first when inserting an NG tube (after completing normal proecures steps)?
Med surg
Which type of nursing is the root of all other nursing practices?
Knowledge of pathophysiology
Which competency did the Nursing Executive Center of the advisory Board identify as the greatest academic practice gap for new graduate nurses?
Right Patient, right drug, right route, right dosage, right time, right documentation
What are the 6 rights of medication administration?
Place in basin of warm water for 10 minutes or wrap around index finger.
What are 2 ways to prepare an NG tube?
To differentiate the nursing role from those of other health professionals.
Why is it important to develop a definition of the profession of nursing?
Develop a question
A med-surg nurse wants to determine if a policy change is needed for an idenitified clinical problem. Which is the nurse's first actions?
Patients name, date, nurse intials (time hung, time completed)
What are the items the nurse must documentation on IV solution container?
Leave wire in place until tube is positioned and placement checked on x-ray.
What do you do with the guidewire once NG tube placed?
Preferred provider organization
Which type of managed care provides patients with the greatest choice of providers, medications, and medical devices?
SBAR
What is the standardized communication format nurses use to share critical information with other healthcare providers?
Blow on the site to help it dry faster.
What is a thing a nurse should never do when waiting for the antiseptic to dry while preparing IV insertion site?
Ask a coworker to assist with insertion.
What do you do with a combative or confused patient when trying to insert an NG tube?
Medicaid
What is the health program, administered by the state and funded by federal and state governments to provide care for low-income people?
Medication administration, initiating a procedure, admission.
What situation would a nurse be required to verify patient's identification using 2 sources?
10 to 20 cm (4 to 8inch) above the selected site.
Where should the tourniquet be placed when starting an IV?
Inspect the posterior Pharnyx for presences of coiled tube, aspirates stomach contents, asks patient to speak, ensures an x-ray to verify proper placement.
What is one way to verify tube placement at the bedside?
The Quality and Safety Education for Nurses (QSEN)
What project is one of the organizations that has identified competencies students are expected to acquire before graduation?
To improve patient outcomes
What is the purpose of clinical judgement?