Show & Tell
Demonstrate how to set up a patient with a chair alarm.
Great Job!
How do you properly take an oral, an axillary and recal temperature?
Oral stays under the tongue for 1 minute, axillary is placed vertically for 3 minutes and a rectal temperature is inserted for 3 minutes. Both should be read AFTER 10 seconds.
Which patient is inappropriate for the hoyer or ceiling lift?
Anyone with an unstable fracture or a confused patient.
What are the 5 Ps?
What does AIDET stand for?
Pain, Position, Potty, Personal items & Pump
Acknowledge, Introduce, Duration, Explain & Thank You
If a patient is on a specialty bed, do you have to turn and reposition them?
Yes
Your patient is going for a walk. His JP drain is full and dangling. Show me what 2 things must be done.
Awesome!
What are the critical blood sugar results that require a written RN notification?
<50 and >500
Give me an example of how you would call for a visitor fall, a fire emergency, and for an agitated patient? What number do you dial?
"Medical Alert, Medical Assistance, Kahn 1 Room 24 bed 2" for a visitor fall.
"Facility Alert, Fire Emergency, Deskovick A kitchen."
"Security Alert, Security Assistance, Deskovick 4 Room 2."
Dial 8888
What is the role of the sitter/spotter?
When you are assigned to a 1:1 - where do you pick up your rover and how often do you have to chart
The role of the sitter/spotter is to keep the patient safe. Your role as the NA is still to perform ADLs, take vital signs and assist the patient as needed.
Rover is from home unit. Charting is every 15 minutes
What are some alternatives to diapers
Chucks, female purewick, male purewick or condom catheter- the minimum suction is 40mmHg
Show me what is used to clean a foley catheter when there is visible soiling on the tubing?
You rock!
Your patient has vital signs ordered "q shift." What time are you completing vitals?
Day shift: not sooner than 1pm
Evening shift: not sooner than 9pm
Night shift: between 4am-5am for MD rounds
Your patient calls to have his lunch tray set up, his urinal emptied and his socks put on. Tell me how you would do this/in what order?
Perform hand hygiene, apply clean gloves, set up his lunch tray, put on his socks, empty the urinal, remove the gloves and perform hand hygiene.
What are 3 things can I do during downtime? And what should I not do?
I can restock supplies, fill the supply cart, ambulate patients, check mandatory learning, prepare empty rooms for admissions, round on my patients, offer help to co-workers
I should not be on my phone, checking personal emails or having extensive personal conversations.
What are the three tasks must be completed when using the celling lift?
minimum of 2 people, the straps must match on each side and securely fastened inside the hook and that the proper sling is being used (chair sling or bed sling)
Show me how to take a blood pressure on the arm and on the leg.
Way to go!
Your patient's blood sugar is 29, what must be documented on the glucometer and what is your next step for notification?
Choose "cleaned meter" and "RN or PRAC with RB" and then choose the bubble, type "Smith J RN" and then verbally notify the RN.
Tell me the proper position for a foley catheter bag when the patient is a) ambulating and b) lying in bed.
a) hung securely on the IV pole beneath the level of the waist.
b) hung on the catheter hook at the end of the bed, utilizing the green clip on the sheet to ensure no dependent loops.
How would you properly feed a patient on aspiration precautions?
HOB 30 degrees or higher, offer small bites and allow time to chew and swallow, feed on the unaffected side, avoid use of straws
How often do you documnent I & O? and how do you document no output
Every 8 hours
If there is no output a "0" is placed in the I&O flowsheet.
You are expecting a new admission, tell me how you prepare. Then show me how you would greet and educate her.
Hat/Urinal, IS, hand wipes, toothbrush/toothpaste, Menu, chair alarm.
Instruct patient on how to call for the nurse, how to call the kitchen for their meal and play an aceso video
You empty your female patient's hat, what and where do you document that?
Your male patient tells you, "I urinated but forgot to use the urinal." What and where do you document that?
Female patient: "500ml" on the Intake/Output flowsheet under "Output (ml)"
Male patient: "1 occurrence" on the Intake/Output flowsheet under "Unmeasured Output"
**All patients must have a hat/urinal for accurate urine measurements**
a) Tell me 2 restraints and 3 restraint alternatives
b) Can a nursing assistant apply and remove restraints?
a) mitts & wrist/ankle soft restraints are restraints and roll belts, chair suspenders and arm sleeve are alternatives.
b) No
Show me what you would use to perform oral care on a dependent patient
Swabs, oral suction and oral suction toothbrush
Give me an example of a reportable vital sign. What steps must be taken for this reportable vital sign
Temp: <36.0 celcius or > 38
RR: <16 or >20
BP: systolic <100 or >140. Diastolic <60 or >90
O2: <90
HR: <60 or >100