Trachs
If your client has a size 3.5 trach, what size should their step down trach be?
3.0
5 Rights of Medication Administration
Right person, medication, route, dose, and time
Vent settings need to be charted on every _ hours
2
When should you obtain a client/parent/nurse signature?
It is best practice to get the signature of whoever you are giving report to. Obtain the signature before clicking "End Visit", otherwise the system won't let you get a signature.
True or false: Shoes are required in the client's home
True
Before adding a PMV to your client's cuffed trach, what must you do first?
Deflate the cuff
How should you measure Epidiolex for the controlled substance count?
DO not pour out of the bottle to measure- a little is wasted every time you pour it out. Measure full bottle, 3/4 bottle, 1/2 bottle, etc.
What are some causes of the high pressure alarm?
Plug in the trach, kink in the tubing, coughing/bearing down, too much water in the tubing
What must you do with your note at the end of your shift before clocking out?
Sign
I have a question about my schedule/need to call off, who in the office should I talk to?
A care coordinator. If after hours, on-call
Do not leave the in-line suction catheter in the trach for more than _ seconds during suctioning
5-10
If your client is receiving a controlled substance, what documentation should be done in the home along with charting in the MAR?
Controlled Substance Record
What are some causes of the low pressure alarm?
A disconnection, a hole in the tubing, large leak
CareVoyant won't let me log in, what should I do?
Clear the cache and restart the tablet
I'm running low on paper for paper charting assessments, MARS, TARS, etc... who should I notify and when?
Your nursing supervisor, ideally two weeks in advance
My client just pulled their trach out, now what?
If the trach is intact, grab an obturator and put the trach back in. If it is not intact, insert a new trach. If this trach won't go in, try the step down trach.
Your client had a doctor's appointment and a few new meds have been added to their list, who do you notify?
Your nursing supervisor- they will put the orders in the system for you to chart on
How to do a CPT vest treatment
1. Put the vest on the client
2. Hook hoses up to the attachments on the front of the vest
3. Settings should already be entered
3. Turn machine on and administer for prescribed amount of time
I've cleared the cache and the tablet is still running so slow, what now?
Check for updates
My client was given an enteral feeding at 9am, 1pm, and 5pm, and had 4 diaper changes during my shift. How should I chart this?
Add a page within the related head-to-toe log tab every time you provide a feeding, incontinence care/diaper change, suction, etc. This time stamps when you provided the care- otherwise it looks like you did all of your care at the same time during your shift.
What supplies should be included in an emergency trach kit?
Same size trach, step down trach, obturator, trach ties (pre-cut), syringe, sterile water, lubricant, wedge
How do you know what medications to administer if CareVoyant is not working?
The Plan of Care (485) that should be in the client's binder.
Plan ahead- write out MAR's for the month
Electricity is out- how are you going to administer the CPT treatment?
Manually
If I have to paper chart during my shift, what do I do with the notes once my shift is over?
Leave them in the Phoenix binder and a supervisor will come and pick the notes up
Take a picture of your notes and send it in with your time sheet
It's 8pm on a Saturday night and I am having trouble clocking in to my shift, what do I do?
Call on-call- 314-205-3020. If trouble shooting doesn't work, be sure to paper chart during the shift and fill out a time sheet with a parent/client signature. Try to call on-call for emergencies only from 11p-5a.