Hand Hygiene
When do you perform hand hygiene when delivering a meal tray?
Before taking the tray off the cart (clean procedure) and after delivering to the patient (after contact with patient environment). if picking up trays, before going into the patient room and after putting it back on the cart.
What type mask is required to be worn when helping a patient on airborne precautions such as COVID?
N95
Where would you document that your patient ate pudding and ice cream that was not on their tray?
Fluid balance record at the time that it was eaten
Where do you keep the plastic graduated cylinder to measure patient urine from the urinal/ bedpan?
And how do you know who it belongs to?
In the patient bathroom.
It should be marked with "A" or "B" for patient bed with a marker
What piece of safety equipment should be at each patient bedside with the suction set up?
The clear emergency bag with tubing, oral suction catheter and non-rebreathe oxygen mask
You have to perform peri care and then feed the patient. When do you perform hand hygiene?
1. Before entering patient's space
2. After removing gloves once peri care done, before leaving bathroom
3. When leaving patient's environment* any time you contaminate hands by touching external environment
When leaving a COVID room, what piece of PPE is removed first?
Gloves, followed by hand hygiene, then gown with HH and mask and goggles last followed by HH.
Where do you document when you notice the patient has a red coccyx?
And who do you report this to?
The HCA skin assessment sheet, no matter if this patient is due to be assessed.
Notify the nurse and have them sign off on the HCA skin assessment sheet.
Where do you hang the foley bag of a patient when they are in bed?
On the hook under the bed frame
After using a mechanical lift, it must be wiped down. Where do you store your clean mechanical lift equipment
At the designated area marked by the sign as "P" for Parking
You need to get fresh linen. is hand hygiene necessary? And when?
Handling supplies, including linen, is a clean procedure. you must perform hand hygiene prior to touching the linen but after opening the flap on the linen trolley, the sheet on the unit specific linen carts and after opening the nurse server door
True or False
Can you stockpile clean isolation gowns in a bedside table in the isolation room?
No
Patient has gone missing. You do a sweep of the unit especially checking the stairwell, kitchen, staff bathroom, equipment closet.
Where does this get documented?
How often should you be checking if the foley bag needs to be emptied?
Every 4 hours.
If no urine in the bag, notify the nurse.
Patient on cytotoxic precautions is assisted in the bathroom with changing their mesh panties and a pad. Where do you put the soiled panties and pad?
In the red cytotoxic garbage bin lined with red garbage bag
You have left the patient's room to get them a cup of tea from the kitchen. When is hand hygiene required?
When leaving the patient's room, as you enter the clean kitchen space. handling food is considered a clean procedure and requires hand hygiene. any time you touch handles e.g. doors, fridge, drawer
True or False
Should you fold clean isolation gowns prior to placing them in the isolation cart?
No this then contaminates each and every gown by touching it.
When documenting that patient ate only 50 percent of their tray, you notice this is the amount that they have eaten for the last three meals. What do you do?
Notify the nurse to assess why the patient is eating such a small amount.
True or False
You need to collect a urine sample for C& S.
Can you collect it in a clean urinal?
False
C&S must be a sterile collection directly from the patient into the container.
Patient must wash first, then void a small amount before collecting directly into the container.
What number do you dial on the phone for a code white? Code yellow? Code red?
Dial "55" , state what type of code and location three times
When do you perform Hand Hygiene when removing PPE after helping a patient on contact precautions?
After removing gloves and after removing gown.
Where do you put a meal tray when removing it from an isolation room
a) top of isolation cart
b) top of soiled linen bin
c) on the floor at the entrance of the patient's room
c) on the floor until you properly remove PPE, perform HH and don clean gloves to move it to the dirty tray cart
How do you notify someone that a piece of equipment is broken?
1. Put an orange "Repair" tag on it. Write on the tag what is broken, that a "TMA repair request done" and that the equipment was "cleaned".
2. Go online to Concordia website, under Quick links and complete TMA work order request for Maintenance repair request.
True or False
You need to collect a urine sample for C& S.
The patient has a foley catheter.
Can you collect it in a clean urinal?
False
The nurse must collect it from the tubing of the foley to avoid the urine touching the spout on the foley bag.
Where do you tie the straps for a soft wrist restraint on a patient while in bed?
The bed frame, not on the side rail.