Fall prevention
Patient Rounding
Critical values
Close Obs/1:1
Roles and Responsibilities
100

Yellow

The color of socks high fall-risk patients are given

100

Pain, Position, Potty, Possessions

What are the 4 P's when completing rounding on patients

100

True or False

It is not important to report a low glucose, blood pressure, or heart rate because the nurse can view it in real-time in Epic

False

100

Between the patient's bed/chair and the door

Where the sitter sits in the patient room

100

Taking vital signs, checking blood sugar, providing personal hygiene, grooming, bathing, feeding, and dressing

Clinical Responsibilities for Patient Care Assistants

200

When a patient falls, this is the first thing you should not do

What is try to lift them up immediately

200

Maintaining a clean, safe environment, using universal precautions, and keeping call lights within reach

Safety and infection control rounds

200

What result falls within the "normal" range for a blood glucose

1. 98

2. 203

3. 41

1. 98

200

True or False:

Safety trumps privacy for a continuous observation of the patient

True

200

True or False

Accurately documenting care provided in the electronic health record is within the scope of practice for the PCA

True

300

Alarms are used to alert staff when high-risk patients attempt to get up independently.

Bed and Chair alarms

300

Knock on the door, introduce yourself, ask for name preferences, and address immediate needs, discuss plan for the day

Greeting your patients

300

Reporting any abnormalities in patient baselines, recognizing emergencies, and informing of any issues are examples of this

Communication with the nurse

300

Completed every 15 minutes for every patient placed on a 1:1 observation

15-minute check flowsheet in Epic

300

Performing tasks assigned by a Registered Nurse or therapist and adhering to the established care plan is considered to be within...

Scope of Practice for PCA/PCT

400

Proactive toileting to reduce urgency-driven, unassisted bathroom trips.

Proactive toileting schedule with rounding

400

Hourly

How often rounding should take place among the team

400

A diagnostic test that is done when a patient is having chest pain

Electrocardiogram (EKG)



400

This type of restraint must be documented every 15 minutes. 

Locked, or violent restraints

400

Maintaining BLS and attending annual competencies.

The responsibility of the PCA/PCT/Rad/CCL Tech

Please note:

BLS is on the first Tuesday of each month. It alternates between starting at 0745 one month and at noon the following month.

500

Keep floors clear, ensure adequate lighting/night lights, and keep beds in the lowest position.

Enviromental Fall risk interventions

500

Wearing airpods/earbuds/headphones

Sleeping

Speaking on a cellphone outside the breakroom

Events that should never happen while in the clinical areas

500

You are doing a bedside report with the oncoming shift. The patient describes feeling weak and lightheaded. You check vital signs and take a glucose reading. What is MOST important to report to the nurse?

HR:97

BP: 92/56

Glucose level: 72

BP, while on the soft side, falls within normal limits. It would be significant if the patient is usually hypertensive. 

Think of it like this: if the BP prior was 180/92, and now it is 92/56, plus the patient is symptomatic ( lightheaded and weak)

500

Called when a patient (or anyone) becomes violent, and de-escalation attempts have failed

CERT Code

500

Scanning the bracelet- making sure the patient information is correct

Attach leads 

Print or transmit to the chart

What is the process when doing an EKG

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