LDA's
Can you flush an IV?
NO!!!!!
T/F: As an extern you can independently change sterile dressings.
False, you must have direct supervision by a nurse.
T/F I, as an extern can pull medications from the Pyxis.
False.
If you are tasked with the job of a sterile dressing change, what is your response?
"Absolutely! Could I have you assist me because I am not allowed to do it independently."
The wound care nurse asks you to assist with a wound vac change, what is your response?
"I would love to assist you!"
Tell them you would love to observe them hang the fluids, but you cannot handle any medications.
T/F: I don't need to be checked off on IV insertion in school in order to insert one as an extern.
False, you must be checked off on a skill in school in order to perform as an extern.
Your nurse asks you to do a dressing change, but it is the first initial change of a lumbar dressing, can you?
No, but you can observe and assist.
The patient's IV pump is beeping, your nurse asks you to turn it off, what do you do?
A. Select channel off.
B. Increase volume.
C. Select restart.
D. Tell nurse you are not allowed to do so.
D. Tell nurse you are not allowed to do so.
As an extern, can you assess or empty JP drains?
Yes.
You observe that a dressing over a wound is excessively draining, what is your next move?
A. Notify the doctor immediately.
B. Notify the nurse.
C. Change the dressing, then notify nurse.
B. Notify the nurse.
The charge nurse asks you to go pick up blood from the lab and hang it. What is your response?
You walked up to your nurse and told them their patient was de-stating and informed them that you applied 3 liters of oxygen. Are you allowed to do this?
Yes, you are allowed to apply oxygen to a patient, but 3 liters is too much.
You are working on the unit with another extern and witness them performing deep wound irrigation independently, what do you do?
A. Offer to help
B. Call a rapid.
C. Turn a blind eye and take your lunch.
D. Remove/ pull aside from patient.
D. Remove/ pull aside from patient. Once removed, discuss what the extern was doing, question if it is in the scope of practice, notify nurse, charge nurse, and Laura immediately.
You have a patient that has multiple wounds and skin breakdown. They have been prescribed a medicated ointment. Can you apply?
Yes.