IVs
Do you need an order to pull a Midline or PICC line?
What does the QRS complex indicate?
Ventricular contraction
What is the name of the small sacs within the lungs which allows for gas exchange?
Alveoli
What is the name of the RTC form and where do you find it?
Overall Plan of Care/Team Conference
Under Notes
I must label my dressings with initials and the date.
True
A PICC line or Port does not have blood return. What should you do?
Obtain order and administer Cath Flo
How do you identify AFib on telemetry?
Missing P wave, irregular intervals between QRS complexes
Name 2 performance measures used to evaluate our effectiveness of the Pulmonary Program.
1. 6 minute walk test
2. Quality of Life/Impact questionnaire
3. Incentive Spirometry
4. Supplemental oxygen use
Documenting that you completed a treatment you never did is fraudulent documentation.
True
Where do we store Humalog pens?
In the patient specific bins in the medication room. Do NOT leave them on the med carts or in any other place.
Caps on a central line must be changed how often?
Once a week or if visibly soiled
Telemetry is alarming Asystole. What do you do first?
Assess the patient
Your patient has had a new O2 requirement and his O2 was 97% on 2L NC this AM. What should you do?
Wean O2 as tolerated within frequent spot checks
A medication is on the MAR and is labeled as "finish" under the status. What must you do?
Your patient is having a large nose bleed. Name a non pharmacological intervention.
Apply pressure for several minutes
You have a patient with a PICC line. Name 3 things you must do each shift when taking care of a PICC line.
1. Assess site
2. Flush
3. Assess for blood return
Your patient is in sustained SVT, what should you do?
Tell provider, Valsalva maneuver first. Adenosine is next line of treatment
What is the amount of air that is delivered in to the patient's lung with each breath?
Tidal Volume
Where must you document on the characteristics of wounds and surgical incisions?
Wound assessment and surgical incision assessments under assessments tab
Your patient has active diagnoses that include the following: CHF, stage 4 pressure injury to sacrum, Osteomyelitis to sacrum. Name 2 care plans.
1. Fluid overload/fluid imbalance
2. Infection
3. Impaired skin integrity
Your patient had a PICC placed 2 days ago, it has gauze covering the site. When should you change the dressing?
Q 2 days when unable to visualize the site.
What is the necessary treatment for a third degree heart block?
Pacing
This ventilator mode will provide a set number of breaths each minute but will also allow patients to initiate their own breaths while still getting the dedicated tidal volume
AC (assist control)
Where do you document an occurrence report?
In Sharepoint
Whittier Rehab Bradford
Occurrence Report
You are taking report on a patient who is coming with a chest tube. What are some questions to ask?
1. Is it water seal or on continuous suction? (we do not take patients with chest tubes on continuous suction)
2. How much drainage are they putting out?
3. Do they have any crepitus or air leaks already present?
4. Can an extra canister be sent for admissions?
4. Are they requiring supplemental O2?