Normal, Abnormal, or Critical
I/O Documentation
Free Falling (Fall Prevention)
It's Electric (EKG)
"Lead" the way (Tele)
100

Systolic BP 190

What is Critical

100

An order to measure all fluids

What is Strict I&O

100

The color of socks, wristbands, and signs for someone at risk for falls

What is yellow.

100

After performing an EKG, you must do this in epic.

What is mark as complete

100

This color lead is for the right arm

What is white

200

Temperature 101

What is Abnormal

200

This is where you chart unmeasurable output

Occurrence

200

The number to call for a patient fall

What is 211

200

Information that needs to be entered manually.

What is your initials

200

These are the most common nuisance alarms

What are leads off and low battey

300

Heart Rate of 60

What is Normal

300

An abnormal PVR would be greater than this

What is 200cc

300

The sign outside the bathroom for fall risk patients says this

What is stay with me

300

How the EKG gets into the correct chart

What is attaching the EKG to the correct order

300

Telemetry leads should be changed at least this often

What is daily

400

Respiratory Rate 10

What is Abnormal

400

Give two reasons why ACCURATE intake and output documentation is important.

What is guide medication decisions, monitor for dehydration and overhydration, monitor kidney function monitor for adequate nutrition

400

Value considered high risk for falls on the Schmid Fall Risk Scale

What is >= 3

400

An EKG uses this many wires

What is 10

400

This is the first step if you see/hear a critical alarm

Check the patient

500

Fasting Blood Sugar of 90

What is Normal

500

The minimum amount or urine a patient should make per shift

What is 240

500

4 Ways to prevent patient falls

What are bed alarms, personal alarms, chair pad alarms, anti-slide pads, quick call light response time

500

Printing the EKG saves it and does this.

Transfers to the chart

500

To help remove artifact move the limb leads here.

What is closer to the ground lead

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