S.O.C.
What is the first thing you do upon entering a patient room?
perform hand hygiene and introduce yourself
How long should you clean with an alcohol swab?
30 sec
What gauge needle do you need for an IM injection?
18-26 1/2 gauge
What supplies do you need to initiate IV access?
angiocath, IV start kit, J-loop, flush
What position should you place the patient in for foley insertion?
Dorsal Recumbent
What do you confirm with your patient before beginning any procedure or administering medications?
name, date of birth, and allergies
When do you perform your first medication check?
In the med room, after pulling the medication from the pyxis
For a SubQ injection: do you pinch the skin or hold it taut?
Pinch the skin up
How long should you push IV medications over?
2 minutes
How long should you wait after clamping the catheter tubing before collecting a urine sample?
10-15 minutes
List the steps before entering a patient room.
verify orders, collect supplies, check expiration dates and packaging
What should the site you chose for blood glucose testing look like?
Intact, warm, free from callouses and edema
Name two locations for IM injection.
Deltoid, ventrogluteal, dorsogluteal, vastus lateralis, rectus femoris
What should you check for before using an IV?
blood return, signs of infiltration or phlebitis
Describe how to measure an NG tube
Tip of nose to tragus of ear to xiphoid process
List the actions before leaving a patient room.
Ensure the bed is in the lowest position and locked, the side rails are up, call light is within reach, and ask if there is anything else you can do for the patient
What do you inspect a patient's arm for before performing phlebotomy?
Trauma, PICC line, fistula, grafts, mastectomy
What order do you inject air, then draw up NPH and Regular insulin?
Inject air: NPH (cloudy) then Regular (clear)
Draw up: Regular (clear) then NPH (cloudy)
The doctor orders 1L NS over four hours, what is your rate and VTBI?
Rate: 250mL/Hr
VTBI: 1,000 mL
How should you label a urine sample?
Patient's name, DOB, date and time of collection
List the five moments of hand hygiene.
before touching the patient, before a procedure, after a procedure or body fluid exposure risk, after touching a patient, and after touching a patients surroundings
How many liters of oxygen can you give through a nasal cannula?
2-6 L/min
Explain how to perform the Z-tract method.
Position ulnar aspect of nondominant hand just below the site of injection, pull skin down and lateral for Z-track, do not move hand until injection is complete.
What angle should you insert and angiocath at?
10-15 degrees
When opening the foley box, which direction do you open the tab first?
Away from you