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 every 2 hours, what is apply mepilex sacral dressing (if not incontinent), what is apply bilateral mepilex heel dressings, what is off load with a z boot
What imaging method needs to be done to confirm feeding tube placement before use of tube?
What is XRAY?
This needs to be done within 10 minutes of a patient reporting chest pain.
What is get an EKG?
According to our current falls policy, a patient with a Morse score of blank or higher is consider a high fall risk
What is 50
Your patient has new facial droop and is drooling, you activate inpatient stroke activation by dialing this number
What is 7-7111
A patient who is deemed "High Fall Risk" needs what precautions in place?
Who is the only person allowed to push the PCA demand dose button?
Who is the patient?
Which lab value do we trend when a patient is on a heparin drip to determine rate of infusion?
What is a PTT?
If your patient were to fall, what 3 things must be completed?
What are Fall Swarm, SafetyNet, and objective nursing note
ERAS principles is surgical patients need to do this within 6 hours of arriving on the unit
What is ambulation (early ambulation). Ambulation after surgery helps patients breathe better, helps with digestion, and prevents blood clots)
When admitting a new patient to the floor, 2 people are required to do what?
What is 2 person skin check.
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)
This device is used to remove air, fluid, or pus from the pleural space and help re-expand the lung.
What is chest tube?
You are doing an assessment on a patient and discover the patient has a new pressure injury. What 4 things must be done?
What are consult wound care, add wound to WLDAs, complete HAPI swarm, and enter a safety net.
It's after 7 PM, where would I go to find out which specialty provider is on call for the night?
What is QGenda on MyIntermountain?
What type of bath is required for patients with a central line and how often must this be completed?
What is a shower or full body CHG bath once daily.
List at least 4 neutropenic precaution interventions.
What are:
1. Place a neutropenic precaution sign on the door
2. Perform hand hygiene on entry to and exit from the room
3. Keep door closed
4. No visitors with any type of infection/illness allowed
5. No fresh flowers or plants
6. No pets
7. No fresh, unwashed/uncut fruits or veggies
8. The patient must wear a mask if leaving the room
This device is used to immobilize the cervical spine and prevent further injury in patients with suspected neck trauma.
What is cervical collar (c-collar)?
Per the policy, "guideline for post-intervention pain score reassessment time frames", this type of intervention requires reassessment 15-30 minutes post-administration to evaluate its effectiveness in reducing pain.
What is Intravenous pharmalogical intervention?
We need to include at least 3 of these in each of our care plans for the shift.
What are SMART goals.
These 2 things require 2 nurses be present to help ensure sterile procedure.
What are foley catheter insertion and central line dressing changes.
This guideline advises against collecting a urine specimen from a Foley catheter that has been in place for more than________ due to the risk of bacterial colonization in the tubing and bag.
What is 2 midnights?
Before administering blood products, it is crucial to perform this test to ensure compatibility between the donor and recipient.
What is crossmatching?
In terms of fire response, RACE stands for what?
What are Rescue, Alarm, Contain, Extinguish.
This practice is crucial for hospitalized patients as it helps prevent complications such as DVT, pressure ulcers, and pneumonia, and promotes faster recovery.
What is mobility?