IDDSI
What does IDDSI stand for?
International Dysphagia Diet Standardization Initiative
What fall risk assessment tool do we use at Kaiser LAMC?
Hester Davis Scale
Who can call a code sepsis?
Patient outcomes or MD
Who scans or manually adds camera in KPHC to associate the camera to the patient?
The Nurse
According to the Regional Patient Close observation policy, who is responsible for providing relevant patient information & clear instructions to the sitter, including security staff?
RN
Minced and moist which requires minimal chewing ability and is very soft, describes what IDDSI level?
IDDSI level 5
What is the risk level for an HD score of 15 or greater?
High risk
What education point needs to be added for sepsis?
Life after sepsis
What is the frequency of documentation for the virtual sitter observer?
every hour
Patient appears upset, nervous, pacing, anxious, fearful OR exhibits hallucinations, delusions, picking at bedclothes.
Agitation
Easy to chew, foods that you can cut easily with the side of a fork, no knife needed, describes which IDDSI level?
IDDSI level 7
What risk level is a HD score between 7-10?
Low Risk
What care plan needs to be added for a sepsis patient?
Sepsis/Septic Shock (Adult)
Is a doctor's order needed for the virtual sitter?
No MD order is needed for virtual sitter.
Attempts to get OOB/chair, goes into other rooms, tries to leave unit
Restless/Wandering
Mildly thick and flows off a spoon, but slower than thin liquids. It is smooth with no bits or lumps. What IDDSI level is it?
IDDSI level 2
What is the risk level for HD score of 11-14?
Moderate risk
How often should the BP be rechecked in the 1st hour after completion of the fluid bolus?
2 times
Recheck BPx2 within 1-hour after completion of fluid bolus.
How often does the nurse need to document the necessity of a virtual sitter?
every 8 hours
Physical: Hits, kicks, pinches, bites, combative
Verbal: cursing, threatens caregiver
Aggression
Moderately thick, drips slowly or in dollops/strands through the tines/prongs of a for describes what IDSSI lever?
IDDSI level 3
Give 2 examples of diversion devices?
Urinary catheter, bowel management system, colostomy, urostomy, suprapubic catheter, male/female external catheter (PureWick)
What 3 interventions are required ASAP & must be within 3 hours of severe sepsis presentation time?
1. Lactate w/reflex
2. Blood culture
3. Broad Spectrum antibiotics
For the virtual sitter, what are the 4 rows that the RN needs to document?
1. Type of Sitter
2. Reason for Virtual Sitter
3. Sitter Status
4. Behavior/Mental Status
Displays paranoia, responds to responds to visual or auditory hallucinations, exhibits delusional ideas
Psychotic