Scopes of Service Updates
What is the max amount of O2 that can be administered on 5Jones via NC?
6 Liters
True or False: A patient needs IMU status, however, there are no IMU beds available. Should the IMU transfer order be discontinued?
False. Escalate to Rapid Response nurse to help with appropriate bed placement for this patient so they can get the appropriate level of care they need.
What does GRIT stand for?
BONUS: What are 2 GRIT goals?
Goals Requiring Intentional Teamwork (GRIT)
BONUS: Reduce fall rate & improve medication education
What is the process called for notifying the attending of record for emergent situations?
Code 1
Within the Neuroscience Service Line this person is rotated weekly, they help with staffing, safety concerns, throughput, etc. after hours on weekdays, weekends and holidays.
Manager on call
True or False: Central Lines can be placed at bedside?
True
True or False: A patient wanting to leave AMA needs a discharge order?
False.
How can you as the Charge Nurse ensure that the unit is always Joint Commission ready?
unit is clean and tidy, hallways clear, no medications left unattended, round on staff to ensure they are compliant and don't have a bunch of supplies and meds everywhere, no food or drinks outside of the designated areas, patient information secure (no kardexes, or employee info left unattended), etc.
You are attempting to reach the resident for pain management as patient is complaining of pain and there are no PRN orders for pain medication on the MAR. You have paged 3 times within the hour, with no response. What process would you initiate?
Activate a Code 2
These people are responsible for discharge planning, post-acute placement, home health setup and social resources and support.
Case Management & Social Worker
True or False: 2% hypertonic saline can be given as a bolus or a drip without tele?
False - 1.5% hypertonic saline can be given as a bolus or a drip without tele.
You notice that there are free standing oxygen tanks in patient's rooms and soiled utility room, what are you going to do?
Put them up in the designated area (full or not full)
A police officer has arrived on the unit to question your patient about an incident they were involved in that ended tragically, the patient is confused and has no family at bedside. Do you let the police officer question your patient?
No - call Risk Management for the appropriate paperwork
Manage all incoming transfers to MHHS and within MHHS and bedding operations within MHHS.
PFC
True or False: A nurse caring for a C.Auris patient can be assigned a non C.Auris patient?
True.
How many days after opening a glucose control does it expire?
How many days after opening glucose strips does it expire?
Glucose control - 90 days
Glucose strips - 180 days
A visitor has slipped and fell, they refuse to go to the ER. They stated they are fine and have places to be. Who all do you need to call to make aware of this event? (*Hint: 4 people)
Bonus: How do you document this event?
Bonus: Variance - fall - non patient
Helps with patient and family concerns
Patient Relations
A patient is coming back to the unit post diagnostic angio (no intervention required) the post angio vitals still need to be completed.
True or False: The patient is appropriate to come back to the unit and the bedside RN can take the post angio vitals (q15, q30, q1h, etc.)
True
How many months of the crash cart checklist should be kept in the binder on the crash cart?
Only the current month
The old ones should be turned into Anna's door.
The patient in room 555 has been anxious all day and pacing the unit, eyeing the exits. Upon your afternoon rounds you find that the patient is not in their room. The bedside nurse states they have no idea where they went or how long they have been gone. Upon entering the room, all the belongings are gone. Patient has a history of IV drug use. Patient has 2 PIVs and there are no signs that the IVs were removed prior to this escape.
What do you need to do in this situation?
Call security, try and call patient/family, call OA, notify unit leadership, call MD, call Risk Management, complete a variance report, if patient is not back within the 2 hours they must be discharged from the system.
OA