Falls
Sepsis
Hand-Off Communication
Restraints/Sitters
Hourly Rounding
100
Yellow armbands, yellow socks, yellow star signs outside the door all have what in common?
What is Fall Prevention Program?
100
“a series of evidenced- based therapies, that when implemented together achieve better outcomes than if implemented individually"
What is Sepsis Bundle?
100
Name one strategy for effective hand off communication
What is 1. Speak clearly 2. Be respectful 3. No interruptions 4. No blaming others
100
What are the three levels of observation
What is General, Constant, One on One?
100
The following quote defines... “a systematic, proactive nursing intervention designed to anticipate and address the needs of hospitalized patients”
What is Hourly Rounding?
200
When I choose to Call, I choose to?
What is to prevent a fall?
200
“1. T >38 C or <36 C . P >90/min . RR >20/min or PaCO2 <32 mmHg , WCC >12 or >10% immature band forms”
What is SIRS Criteria?
200
Where should nursing hand off occur?
What is In the patients room when appropriate?
200
What level requires Q 15 minute checks
What is General?
200
Purposeful rounding every hour is a ___________ practice
What is evidenced-based practice?
300
I've done my assessment and the patient falls during my shift. Next steps include:
What is 1. Assess patient and assist back to be safely 2. Notify MD 3. Complete the post fall assessment form within 15 minutes of the fall and give to the charge to ensure completion. CN to turn into the fall book for unit Director to review. 4. Submit Clarity Report with patient information and indicate the post fall assessment form completed. 5. Update patient care plan and fall risk assessment score. ?
300
“SIRS + confirmed or presumed infections, mortality: 10-15%”
What is Sepsis?
300
Who should be involved in nurse to nurse hand off report
What is The patient and family when appropriate?
300
How many patients can you have in your line of sight? A.1 B.2 C.3 D.4 E. All of the above
What is All of the Above?
300
The 4P's stand for...
What is Potty, Pain, Position, and Personal Items?
400
Patient is confused, has an unsteady gait, uses a walker at home, is taking medication for pain and high blood pressure. This patient is known to be?
What is High Fall Risk?
400
“sepsis with organ dysfunction, mortality: 17-20%”
What is Severe Sepsis?
400
Name one barrier to effective hand off communication
What is 1. Intimidating behaviors 2. Rudeness or lack of interpersonal skills. 3. Noise 4. Interruptions 5. Fear of being judged. ?
400
What is a Level of sitter is a MD order needed?
What is One on One?
400
Name 2 of the 3 proven areas hourly rounding will improve
What is patient safety, patient satisfaction and/or efficiency?
500
I have been assessed by my nurse and my Fall risk assessment is 15. My Fall risk level is?
What is Moderate Fall Risk Level?
500
“sepsis with refractory hypotension, mortality: 43-54%”
What is Septic Shock?
500
Name a time when hand off communication should occur other than change of shift.
What is 1. Transfer of care 2. Going or returning from a test or procedure 3. Critical lab and radiology results to the physician. ?
500
What form of observation would a Patient who is extremely confused and at risk of inadvertent self- harm?
What is Constant observation (1:2 or Line of Sight)?
500
80 percent refers to...
What is the percentage of patients who exhibit signs of instability hours before impending cardiovascular collapse?
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