Scope of Practice: This medical professional may:
Obtain vital signs.
What is an RN, LPN, MD, Aid, PCT, Technologist?
This state guideline authorizes RNs to delegate.
What is the NYS Nurse Practice Act?
Define this acronym: CAUTI
What is a catheter associated urinary track infection?
These are the most common central lines in hospitals.
What are PICCs, ports, tunneled and non-tunneled catheters?
This is how to call a Code Blue.
What is press the code blue button, or dial 777 and say "Code Blue, MSU2"
Administer medications.
RN, LPN, MD
Right task, right circumstance, right person, right supervision, right communication.
What are the 5 rights of delegation?
This is the ONLY 100% effective way to prevent a CAUTI.
Not place a catheter!
This is an infection in the bloodstream of a patient which occurs within 48 hours of having a central line placed.
What is a CLABSI?
These are the most important tools during a Code Blue.
What is the: Crash cart, ambu bag & other airway equip, monitor/defibrillator, Code Blue Team, medications.
Assess patients.
What is a registered nurse?
This guides whether you may delegate a task to an aide.
What is the Polic?
These are alternatives to indwelling urinary catheters.
What are intermittent catheterization, urinals, bedpans, bedside commodes, toileting schedules, use of the bladder scanner, and external catheters?
There are 250,000 of these a year in the US.
What are CLABSIs?
These are the members of the Code Blue Team.
What are the Leader, recorder, monitor/defib, compressor, medications, airway personnel, runner?
Delegate medication administration, vitals, and ADLs.
What is an RN?
Staff may carry out delegated tasks if they have this.
What is: the training to perform the task and proven successful experience with the task?
These are the most important ways to prevent CAUTIs.
What are: hand hygiene, routine CHG meatal care, maintaining a sterile closed drainage system, maintaining the collection bag, securing catheters to patients body, and using standard precautions when caring for the catheter.
CHG wipes (purple package)
What types of daily wipes are used on ALL patients with central lines, from head to toe?
This step of the Code Blue is imperative in order to assess the team performance, areas performed well, and those which need to be improved for future code prep.
What is debriefing?
Place a Peripheral IV, urinary catheter, co-sign blood, and reinforce education and plan of care.
What is an LPN or an RN?
This person is accountable for the nursing care given to patients by nursing staff under their supervision.
Who is the delegating nurse/RN?
This is used by RNs to determine if their patient meets the criteria for urinary catheter removal.
What is the Urinary catheter removal protocol? (found in the urinary catheter management policy attachments)
Every 7 days for tegaderms, and q48h for gauze dressings.
How often are central line dressings changed?
Your patient has a MOLST form stating DNR/DNI and a purple tag on his bracelet saying DNR. The patient becomes unresponsive and is pulseless with family present. Family insists you "do something!!!!!" What do you do?
Call provider, call nurse manager, inform family patient was a DNR by their own wishes, offer support, etc