"If the bones are good..."
True or false, as per policy, patients with a tracheostomy should receive humidified air/oxygen while is hospital?
Bonus: Why or why not
Answer: True
To help prevent a mucus plug from forming
Can a Lidocaine Infusion be initiated on the unit?
Answer: No, it must be a monitored setting (ideally PACU)
What should always be under an Aircast?
Answer: A layer of protection which can include a sock or piece of stockinette
What is the difference between a reddened area and a stage 1 pressure injury?
Answer: Stage 1 injury is Non-blanchable
On admission, how long do you have to document a pressure injury before it is considered "Hospital-Aquired"?
24 hrs
What is the correct way to measure an NG tube?
Answer: port - nares
What are the four moments of hand hygiene?
Answer:
1. Before initial contact
2. before a clean/aseptic procedure
3. after body fluid exposure risk
4. after touching a patient or there environment
What is one of the main differences between Skin (Buck's) Traction and Skeletal Traction?
Answer:
1. the area of injury
2. pin site care
3. weights cannot be removed
Which of the following IS NOT within the job description of a Social Worker?
1. Communicate with Team members regarding discharge planning
2. Providing MAiD Consults
3. Assisting to clarify POA or SDM in the event that a patient does not have capacity
Answer: MAiD consults
How long do you have to infuse a unit of blood once it has been removed from the Blood Bank refridgerator?
Answer: 4 hrs
What criteria need to be met to pass a Trial of Void?
Answer: Post Void residual needs to be less than voided amount for 2-3 voids
When should you hold long acting insulin?
Answer: Never - patient should always have some background long acting insulin dose, dose may be adjusted due to hypoglycemia or NPO status
What dressing is used post operatively for hip fracture patients?
Bonus: How long does it stay on for?
Answer: Tegaderm pad
Up to 4 days
How do you obtain a Specialty Surface bed (air bed) for your patient?
Answer: SSI algorithm can be found on the KHSC intranet, fill out Specialty Surface request form, call equipment coordinator on Vocera
At what age must you call Trillium Gift of Life when a patient dies?
Bonus: What is the timeframe you must call?
Answer: 79 years or younger
Bonus: 1 hr
Your patient is post-op from a Skin Graft (performed by plastics), how long can you anticipate the VAC dressing covering the site will remain intact?
Answer: 5-7 days
True or false, when taking blood cultures from a central line, you draw a waste first.
Answer: False
What is the "Hallmark" sign of a patient with compartment syndrome?
Answer: pain on passive stretch
Name three facilities your patient can go to while waiting for a bed at PCH
Answer: J3, TCU, PTCC
What is the maximum amount of time a chest tube should be clamped when changing collection chamber/assessing an airleak?
Answer: 1 min
Two Truths and a Lie: Collar Care
1. You do not need a Prescriber's Order
2. Should be completed q12hr
3. Only regulated staff can remove collar
Answer: Collar care requires a prescribers order
Name three common anti coagulations prescribed to Ortho patients.
Answer: Heparin, Dalteparin, ASA
Who had the highest individual score during Ortho Team bowling?
Answer: Bill Black
Where can you find Risk Reduction strategies to implement when your patient does not have a perfect Braden Score?
Answer: Kardex
When do patient's typically see their orthopedic surgeon for a follow up appointment?
Answer: 6 weeks post surgery