Surgical
Incentive Spirometry is used for the prevention of _______.
What is pneumonia? (Will also accept atelectasis)
How soon after surgery should a patient void and how much should we expect?
8 hours; 150 mL
Vitals are done ____ times per shift.
What is 3?
How often should foley care be performed?
Every shift.
_____ on the Morse fall scale indicates high risk for fall.
>45.
___ are the names of the garments worn in the hospital to prevent blood clots.
What are TED/Compression Hose and SCD's?
True/False: Patients can shower with dermabond dressing?
True - It is water RESISTANT not water proof. No soaking.
___ bathing should be performed on all post op patients and/or patients with invasive lines (PICCs, foleys, etc)
What is CHG?
What time should the daily weights be completed by?
5AM.
___ _____ ____ minimizes hospitalization complications, improves overall strength and endurance and decreases length of stay.
Early Progressive Mobility.
All surgical patients should use a ____ the first time getting up.
2 person assist.
_____ should be activated and read upon arrival to the unit.
Orders!
____ _____ should be documented every 2 hours and prior to and post administration of medication.
What is pain level?
When should I/O be charted?
Meals should be charted when trays are picked up.
Output documentation should be completed when hygiene activities are performed. Minimum q4h.
_________ is a helpful aide to assist in getting patients from the bed to the chair/restroom and can be used on any patient as long as they can hold their trunk upright.
Sara Steady.
How soon after surgery should patients be mobilized?
Within 5 hours or as ordered.
What should you do if your patient has a drain?
1. Assess the point of insertion for s/s infection.
2. Assess the output; color, clarity amount.
3. Empty the drain at regular intervals.
4. Document the output in Cerner.
5. Check the drain during every BSSR.
____ should be completed in Cerner during each shift change. It is found in the _____ tab in Cerner.
What is handoff?
What is the discharge readiness/handoff tab?
____ is the first vital sign to indicate change in condition.
Respirations.
______ are the most underutilized tool to assist in mobility. It helps steady a patient during ambulation and can assist in lowering a patient to the ground if they start to fall.
Gait belts.
What does P.O.U.R. stand for?
Post Op Urinary Retention.
What is OIRD and how do you complete this order?
Opioid induced respiratory depression.
Open the order monitor and document ETCO2 for 12 hours and document the Pasero sedation scale every 2 hours. If ETCO2 monitor not available perform vitals q2h.
True/False: When running maintenance fluids, longer infusions (>1 hour) should be placed on a separate mainline, NOT piggy-backed.
True.
_____ ______ starts on admission.
DISCHARGE PLANNING!!!!!!!!!!!!!!!!!
What is the tool used to assess progressive mobility and where can it be found?
BMAT, in Cerner under functional-psychosocial safety.