Empathy
Number of seconds it takes to create a personal connection.
56! "if you weren't here in the hospital what would you be up to?" "what is your favorite thing about spring?" "what do you do for work?" "do you have any pets" "who do you want to win the superbowl"
patient are people :)
history of falling yes/no
secondary diagnosis yes/no
ambulatory aid yes/no
IV/Heparin lock yes/no
gait/transferring characteristics
mental status
Morse Fall Risk Assessment
True or False: Staffing bonus incentives are set, standard and do not ever change.
FALSE! Standard hospital-set bonus's are updated each pay period. Incentives are always needs based- fluctuating with staffing and patient-care volume needs.
Which patients require daily, high quality, full body, validated CHG bathing?
what are the components of this infection prevention intervention?
-patients with: PICC, accessed PORT, midline, indwelling foley
-documentation to be completed q24hrs, if patient is independent ensure frequent verbal validation of understanding of process, ensure plan for backside, using all 6 wipes.
You are the oncoming nurse/PCT doing bedside shift report, role model your AIDET. Hint - starts with acknowledging patient
Acknowledge patient and guest by name
Introduce yourself, manage self up
Duration of time intervention will take
Explanation of scenario, intervention, plan of care
Thank you- express gratitude
position to the patient in line of site, "commit to sit", not be distracted or multitasking when active listening is warranted.
1. yellow arm band 2. yellow gown 3. yellow socks 4. bed and chair alarm 5. safety over privacy
List standard earliest clocking in and earliest clocking out time frames for PCT and RN 12 hr shifts on Oncology unit
earliest 0553/0653/1753/1853 (AM PCT, AM RN, PM PCT, PM RN)
earliest for 12 hr shift 1816, 1916, 0616, 0716
(AM PCT, AM RN, PM PCT, PM RN)
What are 3 interventions/patient care specifications for a patient in neutropenic precautions?
Mask, hand hygiene, no live-plants
What is our goal and gold standard of level of care experience we provide to our patients? What level of care would we want to be providing to our family members? (scale 0-10)
9's and 10's only!
"concerned"
"nervous"
"upset"
interventions to consider above moderate risk
virtual camera, sitter, medication optimization, further contracting for safety/assess barriers.
*Current state* what is the best way communicate requests to pick up extra shifts or make schedule changes on a closed schedule
>36 hrs notice- Carly in webex
<36 hrs notice- contact charge on duty
True or False: tums are ordered for post thyroidectomy patients for acid reflux symptoms.
FALSE, thyroidectomy patients are at-risk for HYPOcalcemia, high priority to monitor calcium depletion, symptoms and replacement needs.
The physical tool used to provide details of patients: care team, plan of care, PRN medications, goals, safety concerns.
communication board/whiteboard
Role model an example of an empathetic response using "ESP" Empathy, Stop, Probe in response to a patient who is voicing frustration over their environment/room being dirty.
"I can hear that you are frustrated by your dirty room, I understand."
pause
"I will remove your meal trey and linens, what else can I do to make improve your environment?"
51 or higher!
Who do these ph# reach?
720-758-1027
720-758-3400
Onc Charge 720-758-1027
Onc Unit 720-758-3400
Name two types of blood cancers commonly seen on our unit?
Leukemia, Lymphoma, Myeloma
A safety intervention conducted by oncoming and offgoing staff performed with the patient present in which important plan of care and SBAR information are shared and goals for the upcoming shift are established.
bedside shift report (BSSR)
Share 1. a lead in statement and 2. an acknowledgement statement for a patient who is sharing the following concern: "I am so cold in my room"
lead in: "I can see that you look cold"
acknowledgement: "that is not pleasant to be cold, i can understand you wanting to warm up"
Describe the standard operating procedure (SOP) for clocking in/out for lunch.
Clocking in/out for lunch is the rule and expectations. If you do not get a lunch break, need to attest in kronos log. If no attestation in kronos log, a lunch will be deducted. Do not default to no clock in/clock out and no attestation in log.
S- starting and eye contact
T- tone and volume of voice
A- Anxiety
M- Mumbling
P- Pacing
3-5 individuals trained in de-escalation and clinical behavior management respond.
Code BERT (Behavior Emergency Response Team)
*85555
A reliable nursing care delivery system that reduces variance, increases efficiency and establishes safety, quality and experience as the fundamentals of nursing practice. Includes anticipating patients needs (comfort and environment), assessing the P's (pain, potty, position, plan of care, pumps), explaining the safety intervention, thanking the patient for their time and opportunity to care for them.
Safety Round!