True or False
You should always use a gait belt when ambulating postop ortho patients
What is True
100
What is information is considered vital signs
BP, Temp, Pulse, RR, and Oxygen Saturations
100
True or False
A Nursing assistant can put oxygen on a patient
What is False
They can adjust the cannula but not turn on the actual Oxygen. This is considered a medication
100
True or False
It is ok to silence alarms and not inform the RN
What is False
All alarms must be reported to RN
200
A Patient is not allowed to put any weight at all on affected extremity and should not make contact to the ground with the affected extremity
What is non-weight bearing
200
True or False
Nursing assistant should meet with the RN every shift to determine if the patient needs any change in routine vital signs.
(procedure, medications, change in condition)
True
This is a plan of care report
200
What drains can nursing assistants empty on all non-ICU patients
What are Foley bags, Hemovacs, JP drains, ostomy bags
200
How often will oral hygiene be offered and/or provided
What is at least twice daily
300
Where should all mobility, transfers, and ambulation be documented
What is in ADL's
300
What is the frequency of Post operative vital signs
Within 15 min of arrival, in 30 min, every 1 hr x 2, then every 4 hrs x24 hrs, then per routine- Always discuss this with the RN
300
True or False
Nursing assistants can initiate a NG tube up to wall suction
What is False
RN's must initiate suction and verify that it is working properly
300
What patients require daily weights
What is all PCU and ICU patients and anyone that has special orders for daily weights
400
Patient places entire foot on the ground and uses an assistive device to unload the remaining body weight.
What is touchdown or flat foot weight bearing
400
What are vital signs that need to be reported to RN and documented immediately
Abnormal vital signs such as: SBP >150 or <90, HR >101 or < 60, RR >20 or <12, Sat < 92%.
Or at RN discretion or preference
400
What Output must be discussed With RN prior to draining or documenting
What is CBI foley Output
400
What type of bath do all ICU patients receive daily
What is a 2% CHG wipe bath.
Soap and water used on all soiled areas first
500
The BMAT level requiring total lift equipment and designated by the color RED
What is the BMAT level 1
500
What is the vital sign frequency for post procedure patients
(endo, CT, IR)
The vital signs are taken within 15 minutes of arrival and frequency should be determined by the RN
500
True or False
Only RN's can defibrillate a patient
What is FALSE
Anyone with BLS can defibrillate with an AED
500
What are the 6 P's of purposeful rounding
Pain, Potty, Position, Proximity, Pump, Personal needs