Quality and Safety
Pressure injury prevention measures to take if a patient has a Braden scale of less than 18 (list at least 3)
What is turn at least every 2 hours, apply mepilex sacral dressing (if not incontinent), apply bilateral mepilex heel dressings, off load with z flex boots
How do you confirm placement of a small bore feeding tube?
What is an chest XRAY?
Patient reports chest pain and SOB. Vitals: BP 150/90, HR 110, SpO₂ 92%. What is your priority intervention?
What is get an EKG? An EKG needs to be done within 10 minutes of a patient reporting chest pain.
You have to perform a chest tube dressing change and need to refresh your skills on current best practice. Where would you go to find this information?
What is Lippincott and/or PolicyTech.
You can call a stroke alert or fall swarm (on ALL falls) by dialing this number.
What is 7-7111
When admitting a new patient to the floor, 2 people are required to do what?
What is 2 person skin check.
You are performing a BMAT assessment on a patient. They are able to stretch and point each leg/foot, but are unable to stand with good balance for 5 seconds. What BMAT level are they and what equipment might you use to mobilize them?
What is level 2. What is a sit to stand, hoyer lift, etc.
Patient on heparin shows platelet drop from 220K to 90K. What condition and next action?
What is HIT; What is hold heparin and notify provider.
If your patient were to fall, what 4 documentation items must be completed?
What are a Fall Debrief form, a SafetyNet, objective nursing note in the patient chart, and a Morse fall score reassessment.
How often do safety checks need to be done on an SI patient? How often does the room clearing sheet need to be filled out?
What is every 15 minutes?
What is once per shift and after any visitors?
These 2 procedures require 2 nurses be present to help ensure sterile procedure is maintained.
What are foley catheter insertion and central line dressing changes.
The provider orders a chest tube set up to continuous suction: 20cm. What does the wall suction need to be set to achieve this?
What is -80mmHg (on wall)
You're changing your patient's chest tube dressing and you feel crepitus around the insertion site. What does this mean? And what do you do?
What is air is leaking into the subcutaneous tissue and notify the provider.
The provider has ordered a UA and culture on your patient that is suspected of having a UTI. Their Foley was placed 4 days ago. Are you able to collect the UA off of the Foley? The culture?
Would you be able to collect the culture at the same time/add the culture to an existing sample?
What is no on both; would need to replace Foley first.
No. A new sample needs to be collected for a urine culture order. NO ADD ONS.
It's after 7 PM, where would I go to find out which specialty provider is on call for the night?
What is QGenda found on the MyIntermountain homepage?
What type of cleaning treatment is required for patients with a central line and how often must this be completed?
What is a daily full body CHG treatment after a hygiene bath.
Your patient has been diagnosed with meningococcal meningitis. What type of isolation will be the placed in and what PPE is required to ambulate the patient in the hallway.
What is droplet?
What is the patient needs to wear a surgical mask as long as they are able to control their secretions. The nurse/PCT uses standard precautions.
Nitroglycerin is often contraindicated in which type of STEMI? Why?
What is can cause reduced preload and hypotension worsening the patients condition
You just gave IV dilaudid to your patient and performed a pain assessment. Per policy, when do you need to perform a reassessment?
What is within 1 hour?
In our care plans, we need to include three SMART goals. What does SMART stand for, and can you provide an example of a SMART goal
What is SMART stands for:
What is example....
Which type of isolation would be used for a patient with COVID and what PPE is required?
What is Respiratory Enhanced?
What is N95 mask/PAPR, goggles/face shield (if no PAPR), gown, gloves.
A trauma patient's X-Ray shows no fracture in the cervical spine. The family is wondering if we can remove the C-collar. What would be your response?
We need to wait for official C spine clearance from the provider before removal.
Before administering blood products, it is crucial to perform this test to ensure compatibility between the donor and recipient.
What is crossmatching/type & screen?
In terms of fire response, RACE stands for what?
What are Rescue, Alarm, Contain, Extinguish.
ERAS principles state surgical patients need to do this within 4-6 hours of arriving on the unit and why?
What is ambulation (early ambulation); what is Ambulation after surgery helps patients breathe better, helps with digestion, and helps prevent blood clots.