Vital Signs
What is the top number of the BP called?
Systolic
An IM injection is given at what angle?
90° angle
How many leads are used for a 12 lead EKG?
10
Does the order of blood draw matter?
Yes! It minimizes cross contamination and ensures test results are accurate
How long should you wash your hands?
20 seconds
(sing Happy Birthday song twice)
What is the normal range for an adult heart rate?
60 - 100 bpm
When is the proper time to use a vaccine barcode scanner?
PRIOR to administration
Which intercostal space should V1 and V2 be placed?
4th Intercostal space
What is the maximum amount of time to leave a tourniquet on?
1 minute
What are 2 patient identifiers?
Patient Name
Date of Birth
True or False:
Obtaining an accurate heart rate is best completed by using a pulse ox.
False
What is the maximum volume of medication that can be administered into the deltoid?
1 ml
Where is V4 placed?
Mid-clavicular, 5th intercostal space
What are 2 good characteristics to look for when choosing a vein for venipuncture?
Soft
Bouncy
Elastic
Engorged
Straight
Visible/Palpable
Non-rolling
How many pounds are in a kilogram?
2.2 lbs = 1 kg
When taking a tympanic temperature on an adult, which way do you pull the pinna?
Up and back
How long is a multi-dose vial (MDV) good for once the cap is removed?
28 days
What are 2 ways to decrease artifact?
Proper electrode placement
Good electrode adhesion to the skin
Remove electronic devices away from the patient
Patient needs to lay still
No talking
What are 2 reasons for a challenging blood draw?
Small, thin, hard to find veins (elderly)
Patients on chemotherapy or critically ill, get frequent blood testing
Extreme obesity
Infants/children
Regarding error prone abbreviations, what is the rule regarding trailing zeros?
Example: 1.0 mg
1.0 mg can be misread as 10 mg
What are three ways to help obtain an accurate BP reading?
Don’t have a conversation
Use correct cuff size
Put cuff on bare arm
Support back and feet
Keep legs uncrossed
Support arm at heart level
Allow patient time to rest and relax - do intake first
What are 3 of the 7 rights of medication administration?
Right patient
Right vaccine or medication
Right dosage
Right time, interval
Right route, needle length and technique
Right site
Right documentation
What are 3 ways to prep the patient for their EKG?
Explain procedure to patient
Dry moistened or diaphoretic skin
Shave hair from chest
Remove electronic devices
What are 3 reasons to avoid a certain area when drawing blood?
Extensive scar tissue or burn area
Edematous area or rash
Stroke or DVT side extremity
Fractured extremity
Phlebitis/cellulitis
Mastectomy
Dialysis fistula or IV lines
Complete this dose calculation
The provider orders Ketorolac 30mg IM x 1 dose. The vial is for Ketorolac 60mg/2ml. How many ml of medication will you administer
1 ml