Stroke
This stroke scale must be completed within 12 hours of arrival.
What is the NIH Stroke Scale?
Time Zero begins once these criteria are documented.
What is SIRS/sepsis criteria?
All patients with urinary catheters receive this treatment naval down.
What is CHG treatment?
This infection‑prevention step must be done for 15 seconds before and after accessing a hub.
What is scrubbing the hub with CHG?
Name one bloodborne pathogen staff may be exposed to.
What is Hep B / Hep C / HIV?
This screening must be completed and documented before oral intake.
What is a dysphagia screen?
Blood cultures must be drawn at this point relative to antibiotics.
What is before antibiotics?
Avoiding unnecessary urinary catheters helps prevent this hospital‑acquired infection
What is a CAUTI?
Central line dressings using CHG must be changed at this frequency if the dressing remains intact.
What is every 7 days?
Patients must be repositioned at least this often to prevent HAPI.
What is every 2 hours?
If thrombolytic therapy is not given, this must be documented.
What is the reason TNK was not administered?
Sepsis fluid resuscitation is ordered at this volume per kilogram.
What is 30 mL/kg?
This assessment must be performed before inserting a Foley catheter when urinary retention is suspected.
What is a bladder scan?
After a new needleless connector is applied and not immediately accessed, this should be placed on the hub.
What is a Curos cap?
Name one high‑risk fall intervention.
What are bed alarms / yellow socks / telesitter / 1:1?
If pharmacologic VTE prophylaxis is not ordered, this mechanical option must be used or contraindication documented.
What are SCDs (Sequential Compression Devices)?
This vital sign should be taken and documented upon immediate completion of ANY bolus.
What is blood pressure?
Bladder scan >500ml or after 2 straight caths would warrants this action.
When to insert urinary catheter
This flushing technique is used before and after IV push medications to maintain line patency.
What is the push‑pause method?
This nursing intervention should be performed at least every two hours to reduce prolonged pressure on bony prominences.
What is repositioning the patient?
VTE prophylaxis must be administered by the end of this hospital day.
What is hospital day #2?
Hypotension readings must occur within this timeframe of fluid completion to count as persistent.
What is within 1 hour?
Offer fluids, increase mobility, encourage ambulation, minimize narcotics, assess and manage constipation
When patient is showing s/s symptoms of acute urinary retention...
Needleless connectors on central lines must be routinely changed at this interval.
What is every 96 hours (Monday/Thursday)?
Which skin area is most common for HAPIs?
What are the sacrum/coccyx and heels?