Follow - Ups
Tylenol was given at 1435 for a headache. What time should the follow up be completed?
What is before 1535
A patient refuses her dinner and requests to talk to the dietitian. You ask what she needs to talk to them about about, and she states she doesn't eat hot dogs. What do you next?
What is fill out food preference form and fax to nutritional services. Also offer a substitution.
How often is the mini kardex to be updated?
What is at least every shift, no change is acceptable too
The area of the body to be assessed when a patient complains of difficulty breathing
What is the lungs?
At 1535, the patient continues to rate the pain as a 4/10. What is your next step per the pain assessment policy?
What is nothing? If the pain is less than 5, no action is needed
Your patient is the day room crying. You approach the patient and ask what's wrong. The patient ignores you and continues crying. You ask the HCT if they know what's going on, and they say no. Who else should you contact?
What is ask social work and doctor.
Whose responsibility is it to ensure effective hand off communication prior to accepting the assignment?
What is the nurse accepting the assignment?
Data that is always obtained when a patient has a medical complaint.
What are vital signs?
A patient on Clozapine refuses her morning dose. This is considered a high risk medication. How long do you have to call the doctor?
What is within 1 hour of refusal?
According to the flowbook, your patient hasn't had a bowel movement in 5 days. What do you do first?
What is ask the patient when they last had a bowel movement before putting in sick call.
Demonstrate how to effectively report that a patient was seen responding on your shift
Answers will vary
Inspect, auscultate, palpate and assess for distension
What is an abdominal assessment?
A patient has refused their last 3 meals. What do you do?
What is contact medical within one hour?
You patient complains of feeling dizzy when standing up. What is the first thing you should do after you make sure he is sitting down?
What is assess vital signs
List 3 things things that must be updated on the mini kardex
Answers will vary
Technique utilized to communicate medical calls
A HCT reports immediately that a patient's blood pressure was 84/66. What do you do next?
What is either you or HCT take blood pressure manually?
Your patient demands for you to call their social worker because they need to see them immediately. You call the social worker to relay the message, but the social worker asks what they need. How do you respond?
What is I don't know. I should have asked before I called you.
The Joint Commission requires that hand-off communication provides the opportunity for what?
What is the discussion to ask questions, clarify, and confirm the information.
Life threatening reaction characterized by high fever, tachycardia, tachypnea, altered mental status, muscle rigidity and autonomic dysfunction.
What is Neuroleptic Malignant Syndrome?