Charting 101
Turn down for what
Device Savvy
Per Policy
Must know's
Cardiac Meds 101
100
Complex assessment is charted every Q __hours
What is Q4 hours
*** Note, you DO NOT have to chart exactly at 0800/1200/1600. It just needs to be every 4 hours. So if it's 7:30 and you're just sitting there, so ahead and assess your patient and chart the assessment! Utilized all the down time you have!**
100
Since I graduated from nursing school, I am not expected to study at home
What is FALSE
These are not easy units to be on! Therefore you MUST do the work at home! ECCO modules are expected to be completed in a timely manner in addition to coming to the floor ready to ask questions!
You will get what you put into your orientation experience!
100
The thick black line mark on a PA catheter is equal to what length
What is 50cm?
100
This should be done to confirm NG/OG/Central Line placement prior to administration of nutrition/medications
What is an Xray?
100
The Director, Manager and Supervisor for 6A/B and 7A
Director- Who is Gloria Glenn
Manager- Who is Diana (DJ) Jefferson
Supervisor- Who is Adam Tuggle
100
I'm used as an inotrope on our CV/CCU, but I also can be used as a pressor
What is Epinephrine?
200
You turn your patients Q___ hours
What is Q2 hours
**Note: Please make sure to document these turns. If your patient develops what looks like a wound, it's nursing protocol to create an LDA and put in a wound care consult! Make sure you let your APP know as well!**
200
Bradycardia is a side effect of what continuous sedation medication?
What is Precedex
200
What lumen should the CVP be connected to on a central line?
What is connect to distal port without cap?
200
The amount of time gauze can stay in under a central line dressing without being changed
What is a max of 48 hours?
200
Normal Cardiac Index?
What is 2.2-4 L/min/m2
200
Also known as Anti-Diuretic Hormone
What is Vasopressin
300
The protocol for charting on restraints
- What is: At the start of the order and every 2 hours on the EVEN hour
*** If you patient is going to a procedural area, the order for restraints MUST be d/c'd. Order can be renewed upon returning to the floor***
4 side rails is considered a restraint!
300
Precedex works on these receptors?
What are Alpha 2 Receptors?
300
PEG tubes should be flushed with sterile water Q___ hours or ____
4 hour or PRN
300
It's required to call these two entities when calling out, even on orientation
What is the Charge Nurse AND the Central Staffing Office (678-305-3600)
***If you're calling out an you'll be missing a schedule class, please also email your manager so we can reschedule you!***
300
Formula for Cardiac Output
What is Stroke Volume x HR?
300
I can help with the "squeeze" of the heart to help improve cardiac output
Name one:
What are Inotropes
What is Milirone, Epinephrine,
400
If you're not sure on a policy or procedure you can use these to help guide you
What is Policy Stat and Lippincott
400
Where can I go for a comprehensive overview of any medication?
What is Lexicomp
400
How often does the weight need to be entered in the CRRT along with the rate/dose change in MAR?
What is.... 0600 and 1800
400
All IV tubing is required to have these on all the ports
What is the green CHG caps
400
Poor Man's Swan (4 things)
What is assessing 1) Urine Output 2) Mentation 3) Pulses 4) Skin temperature
400
I should put this medication slow because it can cause reflex bradycardia and reflex hypertension
*Hint: I'm usually given after two units of blood
What is Calcium Gluconate/ Calcium Chloride?
500
If you're giving a PRN medication (ex: oxycodone or Tylenol) you must put this in the comment box in the MAR and reassess when?
What is the reason you're giving the med and reassess within 1 hour
Ex: Patient c/o incision pain, so you go to the pyxis and grab oxycodone. In the comments you must put "for post op pain"
500
Name the 5 rights of medication administration
What are
1) correct patient
2) correct med
3) correct time
4) correct dose
5) right route
500
Label this:
500
When giving medications, can you administer the meds within what time frame?
What is 1 hour before or 1 hour after
500
Blood Flow Through the Heart (including valves)
What is:
1) SVC/IVC
2) R. Atrium
3) Tricupid Valve
4) R. Ventricle
5) Pulmonic Value
6) Pulm Artery
7) Pulm Veins
8) L. Atrium
9) Mitral Valve
10) L. Ventricle
11) Aortic Valve
12) Aortic Valve
13) The Body!!!
500
This drug required a 0.22 micron filter
What is Amiodarone?
600
Along with a two person skin assessment, what should be charted on each patient in the Navigators.
What is the Admissions Assessment.
600
What do we use to calculate the rate on an insulin drip?
What is glucommander
600
What element is in the balloon pump tank?
What is Helium!!
600
This should be done prior to obtaining a urine culture if the Foley catheter (3 things)
What is 1) Get urine specimen check list from Charge RN 2) verify it is not a urology Foley 3) Verify foley hasn't been in for longer than 48hrs (if so, let APP who ordered the culture know as well as charge, so that they can aware the foley will need to changed out)
600
Favorite hemodynamic number to know?
Hint: The cardiac cycle
What is the MAP?
600
Norepinephrine is an agonist for these receptors
What are Alpha-1 and Beta-1 receptors?
700
If my patient are on these continues drips, what must I chart every hour or after every titration?
Drips: 1) Sedation (ex: propofol, precedex, ketamine)
2) Pain (ex: Fentanyl)
3) Vasopressors (ex: Levophed, Vasopressin)
What is
1) RASS Score
2) Pain Score (can use CPOT or numeric)
3) Vital Signs (HR, BP, RR, SPO2)
**Note: If patient is on Inotropes (ex: Epinephrine, Milrinone, Dobutamine) this can ONLY be titrated per APP/MD. If they tell you to titrate the inotrope, make sure you also document VS with each titration and also document an CO/CI after 30mins- 1hr if they have a Swan-- clarify with provider when they want the indexes reshot after drip titrated down
700
What is the reversal agent for opiods?
What is naloxone
700
The selection you would make on the monitor to pull up another patient's vital signs
What is data & pages, other patients, and patient selection
700
The number of visitors allowed to stay overnight in the ICU
What is ONE
700
The location on the patient where rezeroing at the phleobostatic axis occurs
The fourth intercostal space at the mid-anterior-posterior diameter of the chest wall
700
Toxic levels of this drug can cause neuro changes; including tinnitus, agitation, and muscle twitching
What is Lidocaine?