Under which flowsheet do you chart Fall Risk Assessment?
Daily Cares/Safety;
(Humpty Dumpty or Morse)
100
What are the 7 rights of safe med admin?
Right patient, medication, dose, route, time, indication/reason, documentation.
100
How often do you chart patient education?
Once a shift, and whenever an education topic has been taught to a family or patient.
100
Identify all the times that you assess and chart Pain?
On admission/At start of shift -
With vital signs -
When a patient reports pain -
1 hour after an intervention -
Every 2 hours while on PCA, even if level is 0 -
100
How long does it take for Super Sani-Wipes to be effective?
Bleach Wipes?
2 minutes (sani / purple top)
3 minutes (bleach)
200
Under which flowsheet do you chart Universal Protocol (aka Time-out)?
Vital Signs
(Universal Protocol)
200
What element is missing from this medication order?
Acetaminophen 650mg, PO, Q6, PRN
Indication (eg: PRN pain, fever)
200
Why is the care plan important?
-Clarifies patient needs for safety, comfort, support, hygiene, etc.
-Facilitates inter-professional communication
200
What PPE is required when handling Cytotoxic medications? How are they disposed of?
Wear Gloves and Gown -
Dispose of items in yellow waste bins.
200
How long should you perform hand hygiene in order for it to be effective?
15 seconds of rubbing is required (minimum).
300
How quickly must you notify the provider and chart a critical lab value?
Within 1 hour
300
Name HIGH ALERT medications that require a 2 RN check.
Using free-form text in comment section of Care Plan -
During family-centered rounds -
Using the RN-to-RN handoff tool in Epic
300
What is required when wasting a narcotic?
2 RN check
Documentation in EPIC (drips & PCA & Epidurals)
Document in OMNICELL (single doses)
300
How are most infections transmitted?
Contact / Touch (which is why HH is so important).
400
When must a pressure injury (Braden) risk assessment be charted?
Upon admission and at least once every shift.
400
Where are all the places medications are stored on the unit? Where are narcotics kept?
Medications are stored in locked carts or kept in the fridge behind a locked door (med room).
Narcotics are in the locked OmniCell or kept in a lock box behind a locked door (med room).
400
When are Care Plan and Education Assessment initiated?
How often are they updated?
Within 24 hours of admission and charted every shift.
400
Where do you label lab-specimen containers?
At the bedside.
400
What do HAC and HAI stand for? Hint: they are synonyms
How frequently must you chart on a patient in restraints?
Every hour.
Notes:
1) Chart every 15 minutes for violent patients in restraint.
2) Safety & intervention checks may be delegated to some Unlicensed Assistive Personnel but the RN remains ultimately responsible.
500
How do we differentiate look-alike and sound-alike medications?
With TALLman lettering,
e.g. cefTAZidime, cefTRIAXone
500
Where do you find the Care Plans and Education in EPIC?
Chart Review Icon -
Care Plan/Pt Ed Tab -
Scroll all the way down to find education
500
Where would you find patient safety data and statistics?
On the Analytics Dashboard.
500
Name the Hospital Acquired Conditions (HACs) that we track, trend and report on.