Precautions
Amputation
Airway/Swallow/Diet
Pressure Injury Prevention
Care Tool Documentation
100

No internal rotation, no flexion past 90*, and no crossing of the leg.

What is a Posterior Hip Precaution?

100

AKA

What is the abbreviation for "Above Knee Amputation"?

100

Coughing after eating, gurgling voice, pocketing of food

What are symptoms of dysphagia?

100

Every two hours 

What is the frequency by which repositioning of a patient in bed who either has a pressure injury or is at risk for a pressure injury must occur.

100

Name the timeline clinical team members have for completing Care Tool documentation.

What is within 3 days of admission and 3 days of discharge

200

For the upper body, a way to prevent _____  ______is to support the joint by positioning and/or use of equipment.

What is shoulder subluxation?

200

Itching, movement of limb, cramping, tingling

What are types of phantom sensations?

200

1. Keep head of bed elevated at 90* for at least 30 min. after meals or tube feedings and patient upright during meals or tube feedings. 

2. Monitor for decline in breathing ability and elevated temperatures.

3. Check mouth frequently for pocketing.

What are aspiration precautions?

200

This is the name of the type of assessment for skin integrity that must occur every shift.

What is the Second Set of Eyes Skin Assessment? 

200

Determines reimbursement to inpatient rehab facilities for each patient that is admitted.

What is the Care Tool?

300

Name three components of Low Stimulation Guidelines for patients with traumatic brain injury.

What are: Quiet room, dimmed lights, limited visitation, reduced noise and distractions in environment, interact with patient in a calm and quiet manner, involve patient in care if possible


300

Caused by impulses from severed nerves that are still sending information to the brain.

What is phantom pain?

300

White patches on tongue

Food particles in teeth

Dry or chapped lips

Halitosis 

What are signs of poor oral hygiene?

300

Every 30 minutes

What is the frequency by which patients who are wheelchair bound must perform a pressure relief? (particularly patients with SCI)

300

If bowel voiding occurs within this timeframe, the patient is considered continent.

What is during the bowel program.

400

Emergently sit patient up and remove ACE wraps/Abdominal Binder to lower BP.

What is the initial response that should occur if Autonomic Dysreflexia is suspected?

400

Shrinkers, rigid dressings, elevation, immediate rehab

What are techniques used to reduce post-operative edema, pain, and contractures.

400

What is the name of the diet modification system implemented at Prisma Health?

What is IDDSI? (The International Dysphagia Diet Standardization Initiative)

400

Name a piece of safe patient handling equipment that comes with wedges for offloading pressure points and assists with lateral transfers.

What is the AirTap?

400

Name the 3 components of Toileting Hygiene according to the Care Tool.

Managing clothes prior to voiding, Clean perineal area, Manage clothes after voiding

500

Fingers flex when wrist is extended.

Fingers extend when wrist is flexed.

What is a tenodesis grip?

500

Equipment that keeps the knee straight to prevent knee flexion contracture, protects incision against falls, and provides sensory input to the residual limb.

What is a limb guard?

500

Name one of the 3 assessments performed by a speech therapist that determines whether or not a patient requires a modified diet.

What is either: Bedside Swallow Eval/Modified Barium Swallow (MBS)/Flexible Endoscopic Evaluation of Swallowing (FEES)

500

Name (3) factors that contribute to skin breakdown.

What are: moisture, friction/shear, unrelieved pressure, poor nutrition, immobility, diabetes, poor circulation.

500
This is the level of assistance provided if a patient performs less than half of a task.

What is maximum assistance?

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