PRESSURE ULCERS
Intact skin with non-blanching redness.
What is a stage I pressure ulcer?
All patients must have this treatment unless a physician order is written to supersede
What is venous access
the scale used to determine a patients risk for skin breakdown
What is the braden scale
This must be present in the charting for all patients using restraints
What is a care plan
The required PPE to utilize when transporting a patient on contact isolation in their own bed
What is none
When polymem has reached this saturation, it should be changed.
What is at 75% saturation?
During use, patients will have eye coverage, and position source at least 18 inches away from the patient
What is a heating lamp
The category select when documenting redness in the perineal area due to diahrea
What is the incontinence related category
Must be documented with each new order for restraints
What is clinical justification
The hand cleansing agent to use when patient is on isolation for an organism that produces spores
What is soap & water?
The appropriate treatment plan for a stage II pressure ulcer, with an intact vesicle
What is mepilex dressing
This part of the pediatric admission assessment on patients< 18 months, & done every week
What is a head circumference
The required charting necessary for all patients with skin breakdown in addition to an assessment
What is a care plan
Require a face to face assessment within one hour of placement and a performed assessment every 15 minutes
What are behavioral restraint requirements?
A non-invasive therapy that uses localized negative pressure and a moist wound environment to promote healing
What is a wound vac?
Used to cleanse the perianal area of all patients with skin irritation due to incontinence
What is baza cleanse and protect?
Breast milk is good for this long after initially thawed out
What is 24 hours
The category selection in documenting a non-intact vesicle due to a chemical burn
What is a non-pressure related wound
Should be signed every 24 hours and a different one should be completed if new/different behaviors are noticed
What are the required doctors orders for restraints?
This device is used for patients with complications of immobility
What is a KinAir IV bed?
The two components for treatment of skin irritation at a J Tube site without fungal overgrowth
What is critic aide and mepilex?
Provides qualitative & quantitative data for intubated paients; should be used at all times
What is the ETCO2 reading?
Documented when 50% of a meal is eaten by a 4 yr old patient in the nutrition section of the braden scale
What is adequate po intake
When a patient is injured while in restraints what must be down
What is a sofie
These guidelines are followed for up to 48 hours after receiving the medication
What are cytotoxic waste guidelines?