Falls
Color of the wristband needed for all fall risk patients
What is green?
What is everyday?
The best practice of any patient who is admitted to 4E to prevent pressure injuries
What is the 2 RN Skin Check?
The best practice to prevent falls when a high fall risk pt is using the restroom
What is stay in the restroom with the pt?
The amount of time the pt has to void after the foley is removed
What is 6 hours?
The frequency of dressing changes for central lines
What is every 7 days?
This is what should be done as soon as a pressure injury is found on a pt.
What is take a picture to upload into EPIC?
This is the only place a high fall risk pt is allowed to not where the non-slip socks
Where is the bed?
What is 2 in and out caths?
This is how often the tubing for a continuous gtt is changed
What is every 7 days?
It is ultimately this care team member's responsibility for Q2 turns and documentation on a pt who has or is at risk for a pressure injury.
Who is the pt's primary nurse?
This is the number of "yes" answers need on the risk for injury assessment to use the fall mats.
What is one?
This is the order that needs to be renewed every day that a pt has a foley in place.
What is a Continue Foley Order?
This is how often the tubing needs to be changed for a piggy back set up
What is everyday?
The stage of pressure injury that opens the skin
What is stage 2?
This is who is to be notified when a pt falls. (multiple)
Who is the charge nurse/nurse manager, MD/PA/NP, and pt's family?
This is the number of calendar days a urine culture should be drawn after a foley is removed.
The line that is commonly grouped with central lines that is technically not a central line
What is a midline?
This is when the skin team rounds on every pt on 4 East and looks at their skin.
What is the Skin/Pressure Injury Survey?