High Fall Risk
An effective tool to assess patient's ability to ambulate
What is the Mobility Decision Support Tool?
An important intervention for immobile patients with risk for skin breakdown.
What is a Q2 hour turn schedule?
“I know you didn’t realize this, but when you (comment/behavior), it was hurtful/offensive because ______. Instead you could (provide example of different language or behavior.)”
What is an example of intent from impact?
Aloe vesta foam soap/lotion.
What is compatible with Hibiclens?
RN or NA during first admitting patient
Who can complete the belongings list in the patient chart on admission?
Dizziness, low blood pressure, tachycardia
What are positive orthostatic vital signs?
Expected treatment used to prevent a blood clot after surgery.
What are SCDs?
Indirect, subtle, or unintentional discrimination against members of a marginalized group
What is microaggression?
Educate the patient of the importance, document and tell the nurse right away.
What if the patient refused their daily CHG bath?
Blood pressure is 80/48 and the heart rate is 122
What are abnormal vital signs?
High fall risk patient left alone in the bathroom, has a fall with injury
What is liability from a fall?
Coordinating with another NA for cares on dependent patients during the shift.
What is effective NA teamwork?
“I think I heard you say (insert phrase). Is that correct?”
What is the best way to restate or paraphrase a comment?
Decreases bacteria on the skin and the risk for healthcare acquired infections.
What is one reason why we do a daily CHG bath?
Type belongings into the search bar in the flow sheet.
What is an easy way to find the patient belongings tab?
Patient must wear these at all times, especially when ambulating
What are socks with grips?
High risk for urinary tract infection if this is not completed and charted on twice daily.
Why do we do adequate Foley care?
“When you (comment/behavior), I felt (feeling) and I would like you to (action/change in behavior).”
How do you express your feelings effectively/therapeutically?
Hygiene in Daily Care flowsheet.
Where do you chart the daily CHG wash?
Every 4 to 8 hours or immediately upon taking patient to bathroom etc.
When should I & O values be charted on?
Device used when a patient is intermittently confused and getting out of bed on their own.
What is a bed alarm?
Early intervention to prevent a blood clot, pneumonia, functional decline, and other complications after surgery.
Why is ambulation of a patient so important?
“I have used that term before, but a colleague/friend told me that it can be very offensive to some people because (educate). I have learned that (give an example of new term) is a better term to use.”
How can you use learnings from your mistakes to help others?
Soap that is safe for the genital area.
What is aloe vesta foam soap?
Abnormal vital signs of any kind and/or change in the patient condition
What is something I should tell the nurse right away, not wait until they see it in the chart?