Surgical
Patients
Patients
If a patient is an ERAS patient, and scheduled for a procedure the following day, they are able to take clear liquids until what time?
Two hours prior to their surgery
This prn medication can be given every 5 minutes as needed for chest pain (x3 doses only)
Name 3 things that should be documented q4h
VS, Pain, LDA, I&O, Stool etc.
Standing Scale
This is the name of the Delirium Assessment.
CAM (Confusion Assessment Method)
If a patient's initial dressing following a surgery is saturated, what action (regarding the dressing) should you take?
Reinforce the Dressing
Anticipate this nursing order for all patients diagnosed with CHF (or are receiving IV Lasix)
Strict I&O
At what Braden Score is a patient deemed "at risk"?
18 and below
If your bladder scan reveals a volume greater than ___ mL, a straight catheterization should be performed.
300 mL
Our "ASK ME 3" Project refers to what 3 questions?
Name of Medication?
Purpose of Medication?
Side Effects of Medication?
Early ambulation following a surgical procedure helps to prevent what?
Blood clots (Acceptable: DVT, PE, MI, Stroke)
This must occur during shift change if IV Heparin is infusing
HAMP Handoff (2 RN handoff)
Hester Davis and Braden Assessments must be completed by this time.
10:00 AM / PM
Continuous IV Tubing should be changed every ____ hours.
96
The tip of a PICC line terminates in this location
SVC (superior vena cava)
What time should an ERAS patient eat after their surgery?
Within 12 hours of their OR Exit time.
This is the treatment for Ventricular Fibrillation.
Defibrillation
Restraint orders must be renewed every ______?
Day (Daily renewal, not every 24 hours)
Central Line Dressing changes are to be performed every _______.
Wednesday
Upon receiving an order for "Discharge to home", what is our goal time frame to discharge the patient?
Less than 2 hours
You should never use this to communicate with a surgeon.
Secure Chat
What should happen after your patient is on cardiac monitor for >24 hours without any ectopy?
Conversation / Escalation to MD and recommend discontinuation of Cardiac Monitoring Order.
If a unit of blood is started at 0945 and is completed at 1215. What are the times the BP should be taken?
(Before) 0945, 1000, and (within 1 hour of) 1215
Admission, Discharge, Transfer, Worsening, and Wednesdays
Who takes priority?
1. COPD patient with 02 sat of 90%
2. Sickle Cell patient with pain 10/10
3. New admission on their way from ED (Dx: UTI)
4. Patient with discharge order
2. Sickle Cell patient with pain 10/10