Plum 360
How do you lock and unlock a pump?
Lock .963
What are the 3 times a Medication Reconciliation would be completed?
Admission, Transfer, Discharge
What 4 things are you assessing when listening to the heart?
Rate, rhythm, strength, and any murmurs, extra beats etc.
What referral should be made when a physician orders enteral feeds?
Registered Dietitian
How often should oral care be performed on a vented patient?
Q2H
When infusing lines A and B together, what setting is this?
Concurrent
In what type of situations should verbal and telephone orders be obtained?
Emergent situations where not getting and carrying out an order would be detrimental to the patient.
When performing personal care, what are some things to assess?
Skin break down, development of pressure ulcers, redness, signs of pain or discomfort, IV site
What do you fill the "flush" bag with?
Sterile Water
How often should the measurement of an ET tube be checked?
Q4H
What document must be filled out when "No Drug Selected" is used"?
Client Occurrence Safety Report
What document needs to accompany the nurse to the patients bedside during medication administration?
MAR
What is a common hospital based condition of patients on ventilators?
Ventilator acquired pneumonia.
Often hear crackles when auscultating.
Who is able to insert an arterial line?
Trained NP, physician and RT
What is a normal QRS?
Less than or equal to 0.12 seconds
What two types of limits are on the Plum 360 to ensure patient safety?
Soft Limits and Hard Limits
What is an unpredictable idiosyncratic reaction caused by an exposure to an antigen which results in an immediate or delayed immunologic reaction (ie: anaphylaxis, hives, wheezing etc.)
Allergic Reaction
What is the minimal hourly output for a patient?
30ml/hr
What are 3 possible arterial line complications
Thrombus formation/ embolization in the arterial system
Hemorrhage
Ischemia / necrosis to insertion site / distal limb
Infection
Arterial wall injury
What is the "six second method"?
Count the number of QRS complexes in 6 seconds, and multiply by 10. This will give you a rate.
At what rate should a flush be delivered after a secondary intermittent medication infusion is complete?
At the same rate as the secondary intermittent medication
What are 3 types of medications that will not appear on a PIP?
Over the counter, herbal, samples, chemo, HIV/TB, recreational drugs
F.A.S.T V.A.N
Face Arms Speech Time
Vision Aphasia Neglect
Where should the transducer for an arterial line be secured?
The phlebostatic axis located at the patients 4th intercostal space midaxillary line
What is Opti-Flow and Airvo used for?
It is used to apply increased oxygen concentrations at higher flow rates while providing heated humidity to patients who have high oxygen needs and high inspiratory flow demands.