Health
What are the Fatal 4 Risks?
Aspiration/Choking
Dehydration
Constipation
Seizures
How often should LP be offered the bathroom?
Every hour during waking hours!
What should you do with VP's equipment after he goes to bed?
Clean shower chair, bring wheelchair out and plug in, plug in hoyer.
Describe VP's oral care routine.
Oral care after meals (roughly 5:30 am, 9 am, 12:15 pm, 3:15 pm, 5 pm)
brush teeth, floss, mouth rinse
How often does VP eat meals and snacks?
VP eats 5-6 meals per day and snacks in between as often as he requests. Sometimes his medications are given with a snack. (Bonus: We are to offer 2 snacks per day to all supported individuals.)
When should you review Intake/Elimination tracking?
Frequently throughout the day, and at the start of your shift (All Check!)
What is the best way to offer LP the bathroom?
Be confident and discreet, use ASL sign for bathroom, offer her to "freshen up" before preferred activity, etc.
How often do we check/reposition VP throughout the night?
Check CPAP at 10 pm at 12 am. Listen for air leaks throughout the night.
What are SB's home goals? How can we keep him engaged throughout the day?
Helping with basic cleaning tasks, sweeping, laundry, dusting, making phone calls, visiting with house mates, playing board games, cooking meals, etc.
What is SB's favorite snack?
Chips and soda!
What are the steps of medication administration?
Open the MAR, click Quick Entry to see what is due (or look at what is overdue), check the 5 rights, compare the bubble pack to the MAR, initial the MAR and bubble pack, sign the data book.
Describe LP's Peri air out routine.
Twice daily, assist LP to rest in bed with her legs elevated and undressed from the waist down. Make sure her Peri area is clean and dry. Apply barrier cream as needed.
What are noc shift cleaning tasks?
Clear out fridge, wipe down wheelchair/walker, wipe down table and kitchen surfaces, clean toilets and tubs, sweep floors, wipe down electronics, take out trash, laundry, etc.
What are LP's ISP ACE goals?
Going to the library, taking a day trip, visiting with animals, managing money while shopping, and attending activities/events in the community.
What is the significance of protein and Linda's medication?
Carbidopa requires a 30 minute separation from meals/snacks with meats (more dense proteins).
Name the 5 Rights of Medication Administration
Right Person
Right Medication
Right Dose
Right Route
Right Times
(Right Documentation/Right to Refuse)
How often should VP's catheter bag be emptied?
At least once per shift! Any time it is halfway full. Before bed.
Safety check at 12 am and 3 am. Check if LP is dry. Offer a trip to the bathroom or a roll change in bed if she is wet.
Describe LP's morning routine.
6:30 am; shower, mouth rinse, lotion, barrier cream. Assist with dressing, compression socks, dry hair, ROMs. Meds and breakfast.
How much food can VP have at each meal?
One cup total- half cup of food, half cup of fluid.
Describe the process of giving LP an oral medication after the MAR has been signed.
After preparing the medication and signing the MAR and bubble pack, scoop a tablespoon of Cool Whip (or puree of choice) into a med cup, put one pill on a small bite of cool whip, and hand the spoon LP to feed herself.
What are signs of a UTI or yeast infection?
Yeast infection: red, irritated skin folds, white discharge, itching or burning skin, foul odor.
Describe VP's night time routine.
After dinner oral care, wash face, empty cath bag, remove and clean hearing aid, glasses and watch. Remove shirt and binder, upper body ROMs, transfer to bed, remove pants/socks/compression socks, lower body ROMs, pillow and heel protectors. Breathing exercises, CPAP, raise HOB to 30 degrees.
Shower, ROMs, skin check, apply topicals. Get dressed- white shirt, abdominal binder, groin sock, compression socks. Switch catheter leg strap. Socks, pants, top shirt, boots. Check ROHO cushion, transfer to wheelchair.
Describe VP's "liquid diet" or low residue diet routine.
Once per month, usually on the 2nd Saturday, VP has all liquid or low fiber foods. Broths, protein shakes, white bread/rice/pasta (not wheat), fruits with no skin or seeds, fish, eggs, poultry, tender meat. AVOID whole grains, oats, prune juice, beans, lentils, seeds, nuts, raw vegetables.