Vital Signs
This is the frequency that post op vital signs should be taken.
What is on arrival to unit, 30 minutes, q1 hour x 2, then q4 hours?
These 3 items should never be in the hallway.
What is a suction cannister; suction tubing; yankauer; infant/peds/adult BVM
This item should be in place at the end of every port of IV tubing and all venous access devices.
What are curos caps?
This is the frequency that staff should monitor all intake & output (empty drains, assess po intake/cal counts, diapers).
What is q 4 hours?
These are the times q 4 vital signs should be obtained.
What are 8, 12 and 4?
These items should be removed from each room by the end of each shift.
What are full linen bags, meal trays and any unused equipment?
Hazardous/safety conditions or concerns, Near misses/good catch, Medical errors - regardless of harm status, Sentinel events, Unanticipated adverse patient outcome (whether error occurred or not)
What should be filed in a SAFE report?
These types of devices can be used as respiratory support to help when pt has limited or no movement out of bed and can help with atelectasis and fever.
What are incentive spirometers, pinwheels or bubbles?
**closer than their iphone** :)
These are the frequencies for various IV tubing changes.
What is q24h for TPN & lipid tubing and q96 for all other IV tubing?
These 2 measurements should be obtained on every patient admitted to the unit within 24 hours.
What are height and weight?
These items should be removed from rooms after a patient is discharged.
What are all pumps including removal of IV/feeding tubing/bags, linen bags, suction canister if used, bedside commodes?
This is done when you have "insufficient resources to appropriately handle the level of services to be provided in a timely and safe manner" or a "gut feeling" something is wrong.
What is call a pediatric rapid response?
These are the exceptions for when you DO NEED an Xray (ordered by LIP) to verify NG placement.
What is if NG bundle meds used or can't confirm with aspiration of contents?
This is the care/monitoring for all infusing lines at start of shift.
What is check orders to verify correct fluids and rates for all IVF/infusions, check that tubing is within date & verify all claves have curos cap?
This should be done if a CST obtains abnormal vital signs on a patient.
What is inform the nurse of abnormal vital signs?
What is re-check to confirm accuracy of first reading?
You should do this if you notice extra equipment in the soiled utility room.
What is call service response center and have equipment picked up by patient equipment?
These are the ONLY approved medications that may be kept at the patient's bedside.
These are the correct steps of handoff AND independent double checks by EACH staff member.
What are visualize/review pt, order, med/dose/concentration, pump programming, and all tubing set-up & connections ("walk the line") yourself?
*Not done outside the room or by calling out pump rates to your peer.
These specific cares/tasks should be completed daily for all pts with a central line.
What are daily CHG treatment, wipe down in room for all equipment/high-touch surfaces, linen change & gown/clothing change?
You should do this if a patient/family refuses vital signs.
What is document refusal in EPIC and inform the nurse?
This should be done after every procedure or debridement is performed in the treatment room.
What is remove all supplies/dirty linen, wipe down stretcher and tray table with purple wipes, return equipment to its original location and put new linens on stretcher?
Hugs tags are required to be worn by all patients under the age of 5 and/or any of the additional criteria:
These steps must be followed in order for a patient's own home medication to be given to the pt.
What are -hospital doesn't not have med equivalent on formulary
-LIP enters order for medication and specifies as a home supplied med
-pharmacist inspects the pt-supplied med to verify
-pharmacist prints label and is affixed to the pt-supplied medication
-med is stored per policy (in appropriate med room location)
-Follow normal med admin processes to administer pt supplied med at ordered due times
These specific cares help decrease risk for a CAUTI.
What are peri care, cath care q shift and no dependent loops in catheter tubing and Closed system (no catheters to diaper)?