Medications
How Do I Clean Stuff?
Consults
Breaking Bad...Behavior
Hodge-Podge
100
What are the six rights?
Right patient, medication, dose, route, time, and documentation (Police Men Don’t Really Take Drugs)
100
What does "dwell time" mean?
The length of time that you must keep the object wet in order to clean it.
100
When can the RN request a nutritional consult?
Anytime!!
100
What do green and checkered armbands mean?
Green-Patient has an order in Compass that they can go off of the floor after notifying staff; Checkered-Patient must be accompanied off of unit by staff or family member
100
Where is patient education documented?
The Education Flowsheet
200
Name at least 3 ways we decrease mix-ups with look-alike/sound alike medications.
Electronic alerting within the computer systems, Warning stickers on problematic drugs, TALLman lettering , Drugs are stored away from each other in the pyxis , Indication is required for all medication orders, Reference poster for common drugs
200
Who do you call for a chemo spill?
Housekeeping, house supervisor, Environmental health. Also, enter an SEMS
200
When is a patient first screened for nutritional status?
Upon Admission
200
How do you access the self-injurious behavior policy?
Compliance 360
200
Where is eye protection and/or face masks with eye shields located?
ASR
300
What needs to be included on the medication or solution label?
Name, Amount, Concentration
300
What is the dwell time for purple top wipes?
2 minutes
300
Where is the initial nutritional screening done?
Patient Profile
300
Where would you find the SIB algorithm?
Inside of the nursing cabinet at nurse’s station
300
What do you do when you receive a critical result by phone?
Write it down and read it back.
400
If a dosage range order is written, how does the nurse determine the dose to be given? Example: Oxycodone 5-10mg every 4 hours for pain
Medication history, Previous Therapy, Severity of symptoms, Age, weight, organ function, medical conditions and concomitant therapy and, if adequate information is not available, initiate therapy with the smallest number of dosage units in a range.
400
What is the dwell time for gold top wipes?
4 minutes
400
What happens if there is a "yes" answer on the nutritional screening?
Compass prints a report for the dietician who will review and come to see patient
400
When should a behavior contract be completed?
When the patient is designated as a high risk for SIB
400
How long do you have to notify a clinician of a critical result?
60 min but best practice is to notify them as soon as possible AND document the clinician’s response
500
What is the RN’s role with medication reconciliation?
Verify completeness on admission, transfer and discharge, review the home med list and ensure indications are in patient friendly language and review all home meds with patient and document education provided.
500
When is the glucose meter disinfected?
After each patient use. Sani cloths or wet task wipe could be used.
500
What triggers a functional consult?
All patients are screened against high risk criteria which is documented in the patient profile. Any “yes” answer requires the RN to call for a rehab consult for a more in-depth assessment.
500
What are the steps you should take if your patient expresses suicidal thoughts? Name at least 5
1. Initiate suicide precautions emergently 2. Notify MD and obtain order for suicide precautions and psych consult 3. Place pt on 1:1 observation around the clock 4. RN is to review and sign observation log every hour and verify documentation of patient behavior every 15 min 5. Search room every shift for items with which the pt could harm themselves and document 6. Place a sign on pt’s door that says “Check with RN before visiting” 7. At discharge, inform pt of self-harm resources (these resources will print on every d/c form)
500
What is the process when you receive a telephone or verbal order?
Write it down, read it back, and receive confirmation that it is correct
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