SAFETY
LIGHTERS, MATCHES AND CIGARETTES OH MY
WHAT IS CONTRABAND
ORANGE SOCKS, ORANGE BRACELET, ORANGE SIGNAGE
WHAT ARE HIGH FALL RISK INTERVENTIONS
Asking Name and Birthdate and verifying on patient id band
What are the double identifiers
Linen Chute, Conference Room, and ED HOLD doors
What are the high risk areas where doors are found to be unlocked/unsecured most often
Seizures, Choking or s/s of what appears to be a stroke
What is a Rapid Response
Items that visitors are not permitted to have or wear on the unit
What are pocketbooks, Jackets, Cell Phones, Hoodies and Scarves
EVIDENCE BASED TOOL UTILIZED FOR DETERMINING BEHAVIORAL HEALTH POPULATIONS FALL RISK
WHAT IS THE EDMONSON FALL RISK ASSESSMENT TOOL
Checking therapeutic range of ordered drug levels prior to administering
What is policy for medication administration eg: Tegretol, Depakote, Lithium
A PILL FOUND ON THE FLOOR OF A PATIENT BATHROOM
WHAT IS AN INDICATION FOR A ROOM SEARCH
High Temperature, Hypotension, Tachycardia, Tachypnea, muscle rigidity or stiffness
What are symptoms of Neuroleptic Malignant Syndrome
HOW THE SAFETY OF NON-ROUTINE SOUTH ONE EMPLOYEES IS ACCOUNTED FOR
WHAT IS THE PATEINT HEAD COUNT
Unable to respond to questions after falling, change in mental status, hypotensive
What are indications to activate a Rapid Response Alert
Role of the second RN in Independent Verification ie: Insulin
What is Check applicable lab value, MD order, Patient, Drug, Dose, Route, Time
ENTERING every patient room, bathroom, and constant presence on the unit
What is: Interventions to be done in conjunction with the Patient Head Count
The extension to call when there is an emergency
WHAT IS 11
TO SECURE THE EXITS, GATHER THE PATIENTS IN A DESIGNATED LOCATION & PERFORM A HEAD COUNT
WHAT IS THE FIRE EVACUATION PLAN
Providing a walker, suggesting a PT consult to MD, discussing potential need for 1:1, a room close to the nursing station
What are examples of interventions staff can utilize with a potential fall risk
Hold for BP <100/60, Hold for HR <60, Administer for temp >38.6
What are Parameters
HOSPITAL ISSUED TOOTHPASTE, SHAMPOO, DEODORANT AND SOAP
WHAT ARE THE ONLY PERMISSABLE TOLITERIES ALLOWED FOR THE PATIENTS
Elevated temperature, chills, low BP, tachycardia, dizziness and fatigue
What are signs and symptoms of sepsis
WHEN A SITUATION BECOMES UNPREDICTABLE WITH CONCERN FOR PATIENT, UNIT AND STAFF SAFETY
WHAT IS ACTIVATE THE PANIC ALARM
Head CT, Neuro Checks, VS, Fall Alert, MD Notification, Q-Asys
What are interventions for unwitnessed falls
The correct steps to acknowledge medication orders completely
What is a 2 step process:
1st step on satus board, 2nd step on the eMAR.
Wipe with PDI wipe after each pt use, clean lint trap, and document on laundry log
What is the process for cleaning the washer and dryer
Hallucinating, Tremors, Disorientation, Headaches, seizures
What are symptoms of DT's