Restraints
Central Line
Falling for You
PD
High Flow Nasal Cannula
100
Three possible alternatives to restraint use
What is (1) Assessment of origin behavior 2. Review of medication orders 3. Transfer patient to video obs 4. Assist patient with comfort and ADLS 5. Enlist support of family or support staff 6. Diversion activities (TV, games, etc) 7. Manipulate environment (dim lights, bedside commode, move close to RN station)
100
After drawing blood from a PICC line you should flush with this.
What is NS 10 ml and HF 5ml?
100
Three interventions for high risk fall patients
What are low bed, hip protectors, helmet, bed laram, chair alarm, floor mats?
100
The line the heated bag is primed with.
What is the red line?
100
Heated high flow cannula is contraindicated on this population.
Who are CO2 retainers?
200
The use of any physical or mechanical device used to restrict the freedom of movement in order to promote medical surgical healing
What is Non Violent/Non Self Destructive Restraints?
200
Three possible nursing interventions used to restore patency to a central line.
What is reposition patient, assess for kinks in tubing, change claves, gently flush with pull push technique?
200
Three risk factors on the Morse Fall Assessment.
What are history of falls, secondar diagnosis, ambulatory aid, IV saline lock, gait transferring, and mental status?
200
Name the supplies needed to collect a sample from a PD catheter.
What is specimen cup, mini cap, syringe?
200
The maximum oxygen flow on heated high flow for the adult population.
What is 70 Liters?
300
The use of any physical or mechanical device used to restrict the freedom of movement to control aggressive or self-injurious behavior.
What is Violent/Self Destructive Restraints
300
This is the frequency the needle and dressing needs to be changed on a port.
What is every 7 days?
300
Any unintended change in position resulting in coming to rest of the floor or other level
What is a fall?
300
Name 2 examples of aseptic technique while drawing a sample from PD catheter.
What is mask on self and patient, door closed, do not touch hub, don gloves?
300
The name of the device that controls the FiO2.
What is a blender?
400
Time allotted for initial face to face physician assessment for V/SD restraints.
What is 1 hour?
400
The method in which you can identify a power port.
What is palpation (triangular shaped), patient's identification card, or via xray?
400
This is the appropriate time to assess or reassess a patient for fall risk. (Hint F.A.C.T.)
What is after a fall, Upon admission, Change in condition, Upon transfer by the receiving unit?
400
Name 2 items that need to be documented after the completion of PD.
What is weight and UF?
400
This is the device you put a patient on for transport or in the event the heated high flow malfunctions
What is a non rebreather or venti mask?
500
These are the people you may call to complete the initial face to face assessment for Violent/Self Destructive restraints.
What is Physician or the 7F Charge nurse
500
The concentration and amount of heparin used to flush a power port.
What is 100 units/ml and 5 mL?
500
Criteria that automatically puts a patient at risk for moderate to serious injury. (4 criteria)
What is age 85 or older, Bone condition, Bleeding disorder, and Post Op Surgery?
500
If the order reads 1200mL/exchange, 5 exchanges, with an 800 cushion, how much fluid would you need.
What is 6800?
500
Name 2 points that are documented with heated high flow.
What is FiO2, respirations, oxygen flow, delivery device?
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