Flow Sheet
What is the range for Heart Rate that requires a nurses note?
<60 >100 and notify MD
How do you measure blood loss?
1 fist is 20ml
What does DQI stand for?
Davita Quality Index
What is the pre BP that requires a nurses note pre dialysis?
Systolic >180mm?Hg or <90 mm/Hg
Diastolic >100 mm/Hg
what do you do for chest pain?
Decrease UFR
Administer Oxygen
Decrease BFR to 150
Administer Nitro if Vital signs stable
notify MD
What makes up the DQI?
KT/V
CVC
Hospitalizations
CAHPS scores
Readmissions
Missed treatments
What is the Post BP that requires a Nurses Note?
Systolic >140mm/H or <90
Dialystolic >90 or < 50mm/Hg
What do you do for a patient is cramping?
Decrease UFR
Give 100-200ml NS
Oxygen
Apply pressure or stretch the affect muscle
Assess TW
Notify MD
What is the CVC is use goal %?
Less than 13%
If a patient is given a PRN medication ex. Tylenol, Loperamide.. What do you document and when?
Time medication is given and symptoms or patients complaints and evaluation note after 45min-1 hr.
Zofran- 5-10min
What do you do if a patient is having a Seizure?
Protect airway/safety
Reduce UFR
Administer Oxygen
Assess vital signs
Administer 150-200ml NS
Notify MD
What is the Adequacy goal for DQI?
100%
10%
What do you do when a patient has Symptomatic Hypotension?
Put patient in supine
take Vital Signs
Decrease UFR
administer 100-200ml NS
Oxygen
Evaluate TW
MD notified
What is QIP?
Quality incentive Program
- CMS measures in quality outcomes that make up our reimbursement and star ratings