Restraints
The time frame you need to get an order to initiate a violent or non-violent restraint episode
What is within 1 hour of initiation?
What do we complete to communicate with the care team about the patient and family wishes when it comes to the best way they learn and what written and spoken language the prefer, barriers, and any other unique needs to beliefs?
What is the learning readiness assessment (LRA)?
This should be worn correctly when indicated and should never be altered. It prevents the spread of infectious diseases between patients and team members, keeping you safe in the workplace.
What is Personal Protective Equipment (PPE)?
I use these two identifiers every time I administer a medication to a patient to ensure the right patient is getting the right medication
What is name and medical record number (MRN)?
Human milk marked with an additional green sticker and then put into a resealable bag for storage outside the patient room.
What is storing of human milk for patients in isolation?
Where do you document the required information for a restraint episode?
What is the restraint flowsheet?
Reflects patient's individualized care and needs to be reviewed, modified, updated and or resolved once per shift
What is the care plan?
Isolation sequence: Gloves, Gown, Hand Hygiene as you exit the room Outside the room: Eye protection, isolation mask or respirator, hand hygiene
What is Doffing?
Medication name, dose, concentration, time, date, patient name and MRN
What is on a medication label ?
A written document that allows a person with decision making capability who is 18 years or older or an emancipated minor, to determine a plan of heath care to be carried out when the patient is no longer able to participate in decision making; including living will, power of attorney & CPR directive
What is an Advance Directive?
For all violent restraint episodes, you need this within an hour of initiation and again if the episode last four hours or more.
What is the face to face?
Care providers document topics taught to patients and caregivers regarding care and care requirements. Documentation includes learners, readiness, method, and response.
What is education navigator?
Worn when performing any cough inducing procedures on droplet precautions.
What is a N-95 mask or PAPR?
PRN pain medication is ordered for pain greater than 5. The pain assessment indicates the patient's pain is a 3 when the medication is administered.
What is not following the MD order as written since there isn't a pain assessment that matches the indication ordered?
How do we communicate vital healthcare discussions with our non-English speaking or limited English proficient and hearing-impaired families?
What is an interpreter or interpreter service?
A patient with encephalitis is continuously trying to remove their PICC line, when the team goes to place her in soft restraints to prevent the patient from pulling her line, she begins to hit, kick and pull team members hair. The team then was able to place her in two point soft restraints. What type of restraint is this?
What is a violent restraint?
Screening completed at admission that if positive, teams shall consult Clinical Social Work (CSW) for all cases of concern for additional clinical assessment and support. Mandatory Reporters must immediately make a report.
What is abuse and neglect?
Room pressure for patients with chickenpox, tuberculosis and measles.
What is a negative pressure room?
When two medications are ordered for the same indication, but it is unclear which medication should be used first.
What is therapeutic duplication?
Must be secured correctly, stored separately for full, partial and empty. Only 12 can be stored within a fire compartment.
What is how oxygen cylinders are stored?
An intoxicated patient arrives at the Emergency Department. The patient is unable to follow instructions and begins to lunge at staff and hit them. The patient is placed in restraints. What type of restraint would this be?
What is a violent restraint?
Screening to determine economic instability, food insecurity, transportation barriers, and concerns for homelessness.
What is social determinants of health (also known as health-related social needs)?
When do you pre-clean a semi-critical or critical piece of equipment.
What is immediately after use?
Morphine ordered to be given every 15 minutes for pain. MAR indicates that the morphine was given at 10-minute intervals.
What is not following medication order as written which is practicing out of scope?
These organizational documents team members follow are developed using the best available research, data, and expert consensus rather than opinion and are reviewed at least every 3 years.
What is a policy?