Rise of the machines
Indications for the Level One
Rapid infusion of whole blood or warmed fluid
A patient has a chest tube. Where should the drainage system be kept?
Below the level of the chest
What part of the bed do you attach the restraint to?
A NON-movable part of the bed.
How much blood do you fill each blood culture bottle with?
5-10ml
This should be assessed daily by the RN/MD when the patient has a central line or foley catheter
The clinical need/indication
How do you report a safety event?
RL: Starport
A patient has a foley catheter. Where should the bag be kept?
Below the bladder, not on the floor
What is the difference between a code purple and code BERT?
Code purple can be called on patient or visitor and is when security shows up.
Code BERT: Activates both security and BH personnel
What is the law that states MSMHC must treat every patient, regardless of their insurance/payment status.
EMTALA
How long do you have after initiating restraints to obtain a physician order?
1 Hour
What should you do when there is broken equipment on the unit?
Remove it from service, notify your leader, and enter a work order
What needs to be done daily on patients who have a central line or foley catheter?
CHG Bathing
What do you need to initiate once violent restraints are placed on a patient?
1:1 sitter
How long do you scrub prior to drawing blood cultures? How long do you let it dry for?
30 seconds and 30 seconds
What should be kept at bedside when a patient has a chest tube?
Clamps, sterile water, and Vaseline gauze
Describe the proper cleaning of the glucometer
Wipe with purple wipes, dry with gauze, wipe with blue wipe for full contact time.
Where does the tip of the coude point for insertion?
12 oclock or towards the patient's head during insertion
What is wrong with this order: "Soft wrist restraints PRN".
Restraint orders cannot be PRN
How often should you evaluate your patient with the morse score?
Every shift
High alert medications, like insulin and heparin, require a co-sign witness by nursing prior to doing what?
Initiating bags, changing bags, or changing rates.
List the 3 ways to document EPOC critical results
1.On the EPOC machine
2.Print and do paper documentation
3.You can document in IVIEW under critical results
Instead of the CHG disc, what do we use here at Medstar?
CHG Gel Pad Dressing
How often do you document on violent restraints? How about if they are 17 or younger?
Every 15 minutes. Every 5 minutes.
Once you have cleaned the blood culture site, do not _________ it.
Where should the A-line sit on the patient before you zero it? AND How do you zero it?
Phlebostatic Axis: 4th to 5th IC space or nipple line.
100 points: Turn stopcock OFF to the patient, open the cap, flush with pigtail, zero the machine, wait for two beeps. Turn stopcock back on to the patient.