Hodge-podge
This type of enema must NEVER be used more than once
What is tap water enema?
This is the phase where the nurse and and the pt together come up with this goal: Pt will be out of bed for meals x3 today.
What is Planning?
Bradycardia
What is slow heart rate?
Leading cause of unintentional death in adults over 65 yoa
What are falls?
Pulse 86, Resp 18, Temp 101.6*F, Pulse Ox 97%
What is Temp 101.6*F?
(These are normal adult vital signs)
This type of diet is recommended for proper bowel health
What is High-fiber?
Vital signs, health history, review of systems, head-to-toe exam
What is assessment?
Tachypnea
What is a fast respiration rate?
Reorientation, patient companions, and diversionary activities such as music and crafts
What are alternatives to restraints?
Gloved hands above table, one-inch border, proceed dirty-to-clean, don't turn your back on the table
What is proceed dirty-to-clean?
(These are principles of sterile procedures)
If the patient has this infection, health care personnel must wash their hands with soap and water instead of simply using hand gel
What is C. diff?
This phase of the nursing process consists of treatments, education, and referrals
What is Implementation?
Diaphoresis
What is sweating?
These are also called Serious Reportable Events or sentinel events.
What are "Never events"?
Positive-pressure respirator, hand hygiene, gloves, face shield if necessary
What is positive-pressure respirator ?
(These are standard precautions)
In the chain of infection, this is the habitat in which the infectious agent lives, grows, and multiplies.
What is the reservoir?
This part of the nursing process identifies the patient's problem
What is Diagnosis?
(Nursing, not MEDICAL)
Afebrile
What is without fever?
There are many assessments that must be done while a person is in restraints. Name 2.
What are pulse checks, skin checks, vital signs, range of motion, or readiness for discontinuation?
Knee-chest, supine, left Sim's, left lateral
What is supine?
(These are positions for giving an enema)
This is the mnemonic for using a fire extinguisher
What is PASS?
P=pull pin
A=aim at base of fire
S=squeeze trigger
S= sweep from side to side
During this phase, interventions are assessed for success, and the plan of care is continued or modified
What is Evaluation?
Micturition
What is the act of urinating?
"drug or medication, that when it is used as a restriction to manage the patient’s behavior, restrict the patient’s freedom of movement, or to impair the patient’s ability to appropriately interact with their surroundings – and is not standard treatment or dosage for the patient’s condition.”
What is a chemical restraint?
CAUTI, Diabetes, SSI (surgical site infection), VAP (ventilator acquired pneumonia)
What is diabetes?
(These are all health-care associated infections)