ADL
A Veteran is able to ambulate in hallway, eat, and bathe w/o assistance. How would you chart their ADLs?
Independent
Where do you take a temporal temp?
Forehead
If a patient is lying in bed; at what height do you hang the catheter bag?
Below the bladder
How do you transport an oxygen tank?
In a carrier; always
What do you do before you enter a Veteran's room?
Wash your hands
What is the definition of Supervised Assistance?
Verbal cues, encouragement with your voice and/or observation with your eyes.
NO PHYSICAL CONTACT
If you were to count respirations for 15 second, what would you multiply that by?
4
What is the proper procedure for emptying a catheter bag?
Wash hands, put on gloves,
empty into receptacle, wipe hose with alcohol swab
close clasp
wash hands
What is the first step you would take if a Veteran reports difficulty breathing?
Check the tank
Check for kinks in the tubing
Tell the nurse
Should a catheter bag be visible on a Veteran's wheelchair?
no; we have covers or pouches
What is the definition of Limited Assistance?
Veteran did most of the work but some hands-on, non-weight bearing, Assistance to Patient Provided
What is a normal blood pressure?
120/80
How often should catheter care be provided?
2 times per day, and as needed
Where can you find how many liters of oxygen a Veteran uses
On the report sheet, or in the chart
Who is the Director of the Sheridan VA Medical Center
Pamela Crowell
How often do you reposition a bed bound patient and why?
Every 2 hours; to prevent pressure wounds
Name one other site besides a finger that you can get a pulse ox reading
Earlobe, toe, nose, etc
A confused Veteran disconnects his catheter bag during hourly rounds; the tubing is on the floor, and the Vet is in the day room. Is it OK to reconnect the catheter bag?
NO
Up to how many liters of oxygen can a nasal cannula administer effectively?
6, unless it is high flow tubing
True or False; More layers are better when it comes to incontinence pads
False
A Veteran has L side arm weakness from a stroke but is still able to walk independently; what level of care do you provide?
Extensive
Name 3 things you would do if a blood pressure is too high or too low
a) Take it on the other arm
b) Take it manually
C) Tell your nurse
What is the proper procedure for putting on a leg bag?
Wash hands, Gloves
empty large bag, use alcohol wipe to clean the connection.
Pinch tubing and disconnect.
Connect leg bag and secure with straps
What are the parameters for oxygen levels?
90% - 95%
How do you identify a starting pressure sore?
Skin that is red or warm or cool to the touch. Non-blanchable