Assessment
Taken immediately upon admission; ½ hour post admission; then every hour until discharge or as ordered by physician.
What is vital signs
Sent home with the patient to facilitate wound care & assessment
Discharge instructions
If patient does ntot meet one or more of the discharge criteria
Notify the physician
Filled out in the Flow Sheet tab every time you talk to a provider
Provider Communication / notification section
Offered every time you interact with a language impair patient
CHS Language assistance services
What is an acceptable patient temperature range
98.6 - 100.4
When to notify phsician
Bright Red blood
Increased pain at the site
Becomes dislodged
Copious drainage in or around the drain
Done on admission & discharge to any unit
Skin assessment
Should not to be used to obtain orders
Secure Chat
Must be removed prior to sending patient to surgery
All jewelry
Absent or under control upon discharge
What is Nausea & vomiting
Most important thing to teach you patient about dressing changes at home
Wash you hands before you do this
Eliminated or controlled before discharge
Nausea & vomiting
In the event the EMR is down
Use a downtime paper form
Should be done by all patients
Bathing night before & day of surgery
What is a neuro vascular assessment composed of
Temperature
color
pulses
Capillary Refill
When to call your physician
Given to every patient at discharge
Discharge summary & instructions
If it isn't documented ?
It wasn't done
What to do if patients temperature below 96.8
Actively warm
Used to obtain patient history
Chart
patient interview & assessment
family
Who do you teach wound care to when sending a patient home
Patient & Family
What must be consistent with pre-procedure levels
Vital Signs
Patient always get escorted to the front door by
Hospital personnel in a wheel chair
When admitting a Pre-Operative patient I should first
Verify my patient using 2 point verification
Check orders