AIDET/LEAP
The third step in AIDET
What is Duration
CNA documentation
What is must be checked and approved by the nurse
Blanchable redness
What is starting pressure injury prevention measures.
When is it appropriate to document during your shift
What us through out the shift. Do not wait for the end of shift to do all of your documentation. That is when things can get missed.
Thorough skin checks over bony prominences
What is every shift
Saving time and reducing interruptions for the patient
What is Bundle Care
Reporting the 4 P's and position
What is Patient Rounding - must be done by both the CNA and the nurse and should be filled out in real time. A great place to identify the position someone is in for Q2 hour turn and repositioning.
Pressure injury prevention measure
What are wedges, Q2H turn and repositioning with turn teams, off loading, Prevalon boots, w/c cushions, barrier cream, air mattress, nutritional consult
The points given for arriving 15 minutes late for your shift.
What is 1.0 point per occurrence.
Yellow on the stop light for the bathroom
What is patient must be in line of sight and should never be left alone in the bathroom
What is Introduce
For Transfer of Health Questions when do you say yes to paper based provision of current reconciled med list to subsequent provider?
What is when patient is sent out ACT
How often do PI pictures need to be taken
What is on admission and weekly or any changes
What is Never
Is it okay to make a photo copy of a patient's wrist band identification and use that to scan for medication administration?
What is No
The appropriate final communication when you leave a patient room.
What is thanking the patient for allowing you to take care of them and Is there anything else that I can do for you before I leave.
When does the nurse need to document a critical lab and what does that include
What is within 30 minutes and it must include the critical lab information and the name of the provider notified.
A patient is sitting in his/her chair during Q2H turn and repositioning
What is the patient still needs to be repositioned
You have accumulated 6 points for missed shifts
What is a verbal write up
What is to be done right after changing a patient's dressing?
What is dating and initialing dressing
How do you respond to a patient who is verbally aggressive.
What is remain calm in your mannerisms and tone.
When do blood sugars need to be documented and when do pain reassessments need to be documented?
What is before meals for blood sugars and within one hour of PRN pain medication for pain reassessments.
How often does a SCI patient need to be repositioned when sitting in a wheelchair or chair?
What is every 15 minutes
The question that should always be asked when leaving a patient's room.
What is "Is there anything else that I can do for you?"
How many plan of cares does a patient have and when do you update them?
What is as many as is appropriate for that patient. For sure falls, skin, and pain but also, DM, HD, seizures, isolation, wounds, central line, foley, and so on.
Update weekly - update goal date if no other update is needed and whenever there is a change or event such as a wound, fall, seizure, so on.