Physical Monitors
When entering a PPD read order, this physical monitor should be added.
"mm induration"
**** BONUS QUESTION 100****
You are the primary nurse for Mrs. X. Each night she is asking for her PRN Colace, so you administer this. She mentions to you that she feels she needs it every night.
What are your next steps?
Discuss with resident if she would like to have this scheduled instead of PRN- and discuss having the medication scheduled with the physician.
You have an order to start a 2 step PPD.
What two orders do you need to enter?
1. 2-step PPD administration
2. PPD Read (timed 48-72 hours after placing)
You can enter each of these once and time it for 2 weeks, or enter them as 4 separate orders.
This is the order tab where you would enter a nectar thick liquid order.
"Treatments"
****BONUS QUESTION FOR 300 ******
Signing that you have administered a medication when you have not is considered this...
Falsification of Records
When entering a sliding scale insulin order, this is where the fingerstick values are entered.
Where is Physical Monitors (under that same medication, not as a separate treatment!)
*****BONUS QUESTION FOR 200 ******
You have an order for scheduled morphine to be given q4 hours and PRN. What are the two ways you can enter this?
What is
-as separate entries
-as one entry with two frequencies.
******BONUS QUESTION 400 ******
You are entering a dose taper into the order entry. The order is:
1. Give prednisone 5mg PO daily x 7 days starting in AM, then
2. Give prednisone 2.5 mg PO daily x7 days, then
3. Give prednisone 1mg PO daily x 7 days then d/c.
What is the start and stop date for the prednisone 1mg?
1. Thursday meeting: 1/31 through 2/6
2. Tuesday meeting: 2/5 through 2/11
***BONUS QUESTION!!!! 500 POINTS*****
What would the frequency be for a diet order?
What is "Continuous"
What injections can a registered medication aide administer in the state of Virginia? (Name 2 types)
1. Insulin
2. Epipen
3. Glucagon
You have a resident with an order for PRN Seroquel for agitation.
What physical monitor would you add to that order?
Nonpharmacological Interventions
How you would enter the frequency if you are given an order for Percocet 5/325mg PO q4-6 hours PRN.
What is don't enter the order until it is clarified by the physician as either 4 OR 6 hours.
The easiest Frequency to use when ordering medications that are at different times on certain days of the week
(Example: An Antibiotic that is at 2:00 PM on Monday and Friday, and 10:00AM on Wednesday based off of a changing dialysis schedule- must have same dose)
What is "Specific #"
(Enter the # of doses per week, then when scheduling select the days and specific times when entering)
The quickest way to change a resident's orders to discontinued status (such as during an LOA)
What is "Update Order Status" tab on "Orders" menu?
What type of falls require a nurse to assess the resident in Assisted Living or Memory Care?
ALL of them.
You have an order for Metoprolol 25mg PO that your long term care resident has been on for a long time. Their blood pressure is stable. They move to AL and the order needs to be re-entered. There are no parameters with the order. What physical monitor do you add?
None
If there are no parameters or orders and they are stable on this medication, it is not required to check blood pressure with the medication.
The order frequency for PRN doses given in continuing care...
Options:
1. PRN
2. PRN by Shift
3. PRN Frequency
What is PRN Frequency?
You have this order:
-Enalapril Maleate 5mg PO. 1 tab at 6PM today, and then BID starting tomorrow.
Do you need to enter it twice, or can you enter this once?
You can enter this as one order with two different frequencies, or twice as two separate orders (watch the start date)
Where a nurse would document that a lab due the next day needed to be faxed to the pulmonologist...
What is the 24 hour report, verbal report, or as a note on the lab completion order?
*Note: A separate order is incorrect.
How would we access the Medication Administration Record? (MAR)
The computer in the conference room (2nd floor) stores back up files of our medical records. Go to the computer and follow the instructions on the forms- the computer has it's own printer directly connected and would not need internet access.
*NOTE: You would not use your regular log in- there is a special one for this system.
Physical Monitor paired with sliding scale orders
What is Fingerstick?
You have a resident with an order for PRN Seroquel for agitation.
How long is that order allowed to be present before being re-ordered?
No more than 14 days
The first day dose that is typically given in a 250mg zpack
What is 500mg of Azithromycin?
(Also acceptable: 2 tabs, loading dose, double dose)
The order reads:
Cleanse sacrum with saline, dry, apply nickel thick layer of santyl ointment to affected area and cover with dry dressing daily.
What order type would this be entered under?
What is "Medication Orders".
Due to there being a medication in this order, it should be listed under medications and is searchable there, not under treatments.
ALL TEAMS:
As a team, enter the order for the Medrol dosepac into order Entry.
Each team that completes will receive the bonus points.
Let's see your results...