Name two places to chart a pain assessment in Epic.
Triage, Flowsheets, Disposition
Name 2 places to chart the 5 minute assessments.
5 minute assessment & Intraprocedure assessment
This is Time Zero.
Sepsis Alert in Sepsis Huddle
This is the age to start suicide screening.
12
You speak the same language as the patient (not English). Are you a certified interpreter for this patient?
NO!
Give an example of a pain scale.
0-10, FLACC, CPOT, PAINAD (more)
You can stop the 5 minute assessments when the patient has met this.
Discharge criteria
Name the Sepsis Alert criteria.
2 SIRS and suspected/known infection
Who initials the Safe Patient Room form?
This patient wants to discuss their healthcare options in what language.

Karen
This is the best time to chart a the first pain assessment for a patient who will need moderate sedation.
Triage
The patient who received parenteral or intranasal sedation can be discharged at this time after the last medication administration.
30 minutes
When can you draw the 2nd lactic?
At 3 hours, after fluids, or at transfer
What is the process if the restraint does not match the order?
Talk to the provider and change the order or change the restraint to match the order
MSDS Sheets are here.
Swift Safety
Pain reassessment for an IV pain medication should be done at this time.
30 minutes
What is RASS?
Sedation scale
This is the required amount of fluids to administer.
What the provider orders
Name 2 of the forms we use for Baker Acts to make sure we keep them safe.
Patient Safety Attendant Handoff Tool
Safe Patient Environment
Clean sterile processing red bins are kept here.
Equipment Room
Name 4 parameters that should be included in the pain assessment.
1.Pain rating with appropriate pain scale
2.Pain location
3.Pain orientation/ radiation
4.Pain descriptors
5.Pain frequency
6.Pain onset
7.Clinical progression
8.Patient’s stated pain goal
9.Patient’s response to interventions
10.Your interventions for the patient
Name the 4 things that must be charted in the 5 minute assessment.
Vitals, Sedation, Pain, Heart rhythm
How will you administer the antibiotics on a patient who does not have an IV?
IM
The RN assessment for nonviolent restraints must be charted this often.
every 2 hours
Do you have to chart in the transfusion reaction flowsheet if the patient did not have a reaction?
Yes