Falls
SAMS
Neurochecks
Seizures
Potluck
100
All falls regardless of observed or unobserved.
What is must be reported to the nursing/professional on-call?
100
PRN
What is a medication given as needed?
100
LOC
What is Level of Consciousness?
100
Restraint
What is DO NOT do when someone is having a seizure?
100
Red Box, White Top, with Yellow and Red Label
What is a sharps/bio-hazard container.
200
Neurochecks completed every 15 minutes for two hours.
What is the protocol for any fall with a blow to the head?
200
Staff administering medications.
What is not acceptable by state regulations and/or company policy/
200
Baseline Response
What is the typical response to typical stimuli per individual.
200
VNS, Valium, Ativan
What is a PRN for use with seizures?
200
UTI
What is Urinary Tract Infection?
300
Call 911 immediately.
What is if the client is unconscious?
300
Document on the back of the MAR ~~ Two parts. - DAILY DOUBLE if you can get both parts
What is if a PRN was given - and what were the results?
300
PERLA
What is Pupils, Equal, Reactive to Light, and Accomodation
300
Put object in mouth. - DAILY DOUBLE - why?
What is DO NOT do this? DD- You cannot swallow your tongue?
300
Compression Stockings
What are T.E.D. Hose.
400
Treatment team responsibility.
What is to track, trend and train to prevent future falls.
400
Medication Error
What is any medication that is not given at the time or dose prescribed?
400
Muscle weakness on one side that was not present prior.
What is possible sign of injury to the brain.
400
Genetics, Brain Trauma, Stroke
What is potential causes of seizures?
400
Requires PRN if no Results in the last 72 hours.
What is having a bowel movement?
500
Rendering First Aid
What is the simplest response from staff when someone falls.
500
Flushed Face, Dilated Pupils, Shaking Hands, Heartbeat over 120.
What is criteria for the delivery of a PRN to manage anxiety?
500
Call 911 Immediately.
What is vomiting repeatedly/profusely - Blood loss - Unresponsive to all stimuli - Slurred Speech - Facial Asymmetry?
500
Call 911 Immediately
What is if the person has never had a seizure before, lasts longer than 5 minutes, and/or person is not breathing?
500
Nursing Office Greatest Pet Peeve.
What are incomplete MARS.
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