Emergency check is done within the first hour of care. Name at least two emergency checks
What is, make sure:
1. Alarms turned on (set appropriately for patient)
2. Suction equipment present at bedside
3. Appropriate size ambu bag at bedside and connected
4. Blood Pressure cuff at bedside
100
Fluid drained from the thoracic cavity is collected and measured here
What is the drainage collection chamber
100
This is how often you document UOP when a patient has a drainage system in place.
What is every 1-2 hours.
100
Patients in the PICU are weighed
What is daily, unless contraindicated
200
HUGS tags are worn by patients within this age range. Only exception is when...
What is 0-5 years and patient on a ventilator
200
prevents backflow of fluid or air into the thoracic cavity.
What is the water seal chamber
200
WAT-1 will be assessed every ____ hours and as needed if pt. is being weaned from opioids after being on them for > than or = to _____ days.
What is every 4 hours and 5 days
200
Measure and document head circumference on infants up to what age
What is 36 months of age
300
On a NON-Neuro patient you perform a Neuro assessment at this frequency. On a Neuro patient it is at LEAST at this frequency
What is every 4 hours for Non Neuro and at least every 2 hours on a Neuro patient
300
in wet suction drainage system, this determines the amount of suction to be applied to the system in centimeters of water pressure
What is Suction control chamber
300
IV tubing is changed every _____hrs except for
What is 96hours and blood, blood products, TPN and lipids
300
abdominal circumference is taken as indicated by condition of patient. Give at least 3 examples
What are abdominal:Pain, Injury, distention
Post op abdominal surgery, prematurity, gavage/enteral fed patients, or those with enteral tubes
400
When a patient is receiving continuous NMB, how often do you check pupils
What is every hour
400
If the negative pressure is too high, use the negative pressure release button to relieve negative pressure. You must ensure this
What is ensure the patient is on suction before the procedure
400
Bubble top cribs are used on patients whose age is under
What is 3 yrs
500
This is done every 4 hours when a patient is on continuous feeds and prior to medications or bolus feeds
What is auscultate for placement
500
Name the emergency equipment needed at bedside when a patient has a chest tube. Name 3 of 5
What is blue clamps, tape, petroleum gauze (occlusive dressing) dry gauze and bottle of NS or Sterile water.
500
If pt. has an Arterial line, this is how often a NIBP must be obtained