Feed and Treat Me/Body and Spirit
My HR is 140, my BP is 80/46, my RR is 26, and my Spo2 is 89. I have a fever of 102.3F. I could possibly have what process going on in my body and what will you do about it?
What is the sepsis continuum and what is start the sepsis protocol that includes treating my symptoms, finding the source of my infection, and administering antibiotics within 3 hours of my diagnosis (start the sepsis bundle)?
These isolation precautions are utilized for a Covid positive patient.
What is Enhanced Droplet plus Contact?
I can accept blood that is pourable, drippable, flakeable or squeezable and any isolation body fluids.
What is a red bag waste container?
I am the one to call if your patient would like to take their own medication from home while they are in the hospital; inhaler or eye drops.
Who is the pharmacist?
I will come and evaluate your patient if they are having difficulty with ambulation.
Who is a physical therapist?
We will come and assist with an Advanced Directive.
Who is the Chaplain and Social Worker?
A patient who is receiving 7 LPM of oxygen therapy requires this type of nasal cannula.
What is a high flow nasal cannula (green or teal colored tubing)?
This is where you would place your Coumadin and nicotine wrapper if they are empty.
In the regular trash.
Medication or patch would be placed into the EPA Hazardous Black Bucket White Label.
When a patient is diagnosed with an ischemic Stroke while in the hospital, upon discharge I will review their discharge medications to ensure they are on all proper ischemic stroke medications. I will also notify the physician that they need to order the appropriate quality control medications which are these.
Who is the pharmacist and what are statins and anti-thrombolytics such as warfarin, eliquis, xarelto and atorvostatin and simvastatin?
Your patient is having difficulty with dressing after rotator cuff surgery. I will evaluate and provide adaptive devices to assist them.
Who is an Occupational Therapist?
This type of diet does not allow you to have anything by mouth, is commonly ordered on pre-surgery patients, patients with an NG tube, and is also what you will order for a stroke patient who has failed their bedside dysphagia swallow screen.
What is an NPO diet?
I am used to treat respiratory distress in COPD/ CHF patients as a last resort prior to intubation. I provide bilevel positive airway pressure.
What is Bipap?
While administering a PRN Tylenol, the RN drops the pill on the floor. This is the proper waste receptacle for this medication.
What is the Blue Bucket with the clear or white Lid?
(EPA Nonhazardous Bucket)
At Froedtert South, insulin is considered what type of medication and must be double checked/reviewed by this person.
What is High Alert and another RN or Pharmacist?
A patient trips and falls in the hallway as they are leaving the unit.
These 4 types of documentation are now required.
What is an Event Report, Post Fall Assessment, a Physician Notification Note and a Post Fall Huddle?
This type of diet only allows the patient to have items such as milk, ice cream, juice with no pulp, butter and pudding.
What is a Full Liquid Diet?
This type of isolation and room requires nursing staff entering the patient room to don an assigned N-95 mask or PAPR hood
What is Airborne isolation and a Negative Pressure Room?
I will accept all paperwork that has patient identification on it.
What is the blue bag waste?
When discontinuing a PCA, the RN notices the syringe still contains over half of the narcotic medication. This is the first step in managing this medication situation before disposal in this container.
What is the remainder of the medication must be wasted properly in Pyxis with another RN or pharmacist and what is the RX Destroyer?
I can evaluate your patient if they are having dysphagia or dysarthria after suffering from a CVA.
Who is a Speech Therapist?
I can provide you with information on patient education for any diets that are new to the patient and you can locate me on the portal under reference manuals or through the link in Epic under the Nursing Learning Home Dashboard.
What is the Nutrition Manual?
I am resistant to the carbapenem class of antibiotics considered the drugs of last resort for such infections. We are also a Gram-negative bacteria.
What is CRE or Carbapenem Resistant Enterobacteriaceae?
This is the waste receptacle that the empty syringe and tubing of the PCA medication will be placed in.
(I must be completely empty of my narcotics using the RX Destroyer)
What is the black bag or garbage bag?
A patient states they take metoprolol 12.5 mg at home but their physician completed home medication list has metoprolol 25mg listed. In order to clarify, I am the one to call.
Who is the ordering physician?
I will need additional interventions if my fall risk score is greater than 7 on the Hester Davis Fall Assessment. Name 5 of them.
What are yellow socks, yellow gown, yellow sign on the door, alarm on bed and chair, yellow wrist band, room close to the desk, gait belt with ambulation, assist into and out of bed, stay with patient when they are up, frequent rounds, review medications.
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