ACCUCHEK
When should you do a QC of the accucheck meter?
Every 24 hours and whenever you open a new bottle of strips, (write QC done and open date when opening a new strip bottle).
Name one thing you can do to prevent a Catheter Associated Urinary Tract Infection (CAUTI):
Don’t put the foley on the floor
No dependent loops in the foley
Foley care
Name two things you can do to help prevent patient falls:
Bed in low position
Locked bed
Purposeful hourly rounding
Call bell within reach
Stay in bathroom with high fall risk patients
Bed, Posey alarms
What is one way you can indicate to your patient that you are listening?
Use eye contact and be present in conversation
Listen without interrupting
Nodding to validate you are listening
Asking open ended questions
Listening to understand rather than to respond
To be effective, at least how many hours/day should patients wear their sequential compression devices (SCDs)?
18 hours
When do the Accucheck strips expire?
On the date that is listed on the strip bottle.
Name one thing you can do to prevent patients from getting a hospital acquired infection:
Handwashing
CHG treatment
What does a posey alarm with a blinking green light mean?
Alarm is activated, patient is sitting on the alarm appropriately.
What should you do (what would you say to the caller) first when transferring a phone call at MGUH?
Let them know you are transferring them and to please hold. (So they don't think you hung up!)
You're sitting for a patient with soft-limb wrist restraints. Where should the quick-release knot be tied?
Restraint should be tied to a secure fixed surface under the bed rail. Should not be tied to the bed rail.
When do the accucheck QC solutions expire?
90 days after opening
How often should you be performing foley care?
At least every shift and as needed.
What does a posey alarm with a blinking red light mean?
The posey alarm is not activated, patient is not sitting on the alarm.
What is the purpose of the whiteboards and who is responsible for filling it out?
Dual responsibility.
To keep the patient and partner informed about who their care team is and plan of care for the day
To communicate with the patient’s doctor
To keep notes for the day
Why are SCDs important and what would you do if your patient is refusing SCD’s, what should you do?
SCDs help to prevent blood clots while in the hospital by promoting blood flow within the legs.
Educate the patient about the importance of SCDs
Notify the nurse
Offer to ambulate the patient if appropriate
Offer feet only SCDs
Your glucometer gives you a reading of 420, per policy, you repeat the test and you get a reading of 206. What should you do?
FIRST, Repeat it a third time using the same meter since those results are > than 20 % apart.
Document the nurse you reported it to in the accucheck under comments.
Your patient is on Droplet Isolation Precautions, what isolation PPE do you need to wear?
Face shield
Mask
Gloves
For the new Hillrom beds, how do you ensure that the bed alarm alerts the call bell system?
Must be plugged into the fall port at the head of bed or, in Pavillion units, blue tooth is activated by tapping the alarms together.
If a call bell is ringing in a different assignment to yours, and nobody’s answering, what should you do?
(Multiple Choice Question)
A: Ask your colleague to check on the patient
B: Ignore it
C: Respond to the patients call bell at the bedside and follow up as needed
C. Respond to the patients call bell at the bedside and follow up as needed.
Name one of the MGUH’s SPIRIT Values:
Service
Patient First
Integrity
Respect
Innovation
Teamwork