Program Teams
It is the loss or removal of a body part such as finger, toe, hand, foot, arm or leg.
Amputation
When additional staff assistance is needed due to patient's behavior is overtly dangerous as evidenced by violent, physically destructive behavior which is directed towards self, others, or property.
Code green
(___) technique is required for (____) insertion and (_____) dressing change.
Aseptic, Foley, Central Line
Wound care documentation consists of the following items:
As a RN I should stage the pressure injury each time I assess the wound.
descriptions, measurement if open, cleansing solution, dressing type, wound status, periwound skin.
No
True or False: When an orientee is on the phone excessively, you should ignore it.
False
The most commonly used method to clean residual limb
Soap and Water
What are the two types of stroke?
Ischemic and Hemorrhagic
Patient admitted to rehab, and you assisted patient to the bathroom. After voiding, you perform a (_____). This is done (___) times on admission.
PVR or bladder scan, 3
RN is orienting on the unit, noted the Braden score is 15. Orientee states, "I don't know what interventions I should do".
As a preceptor, you can say:
The subscales are hyperlinked to list interventions for each subscales.
Provide preventive care as found on the AHC policy.
What is the 6Ps you and your orientee address during hourly rounding?
Pain, potty, position, possession, pump and plenty of time.
Name the three common Spinal Precautions
No bending, No twisting and no lifting
A language disorder that affects a person's ability to communicate
Aphasia
You are providing oxygenation for (___) seconds after each suctioning. The maximum number of suctioning you can do is (___), which lasts (____) seconds each time.
You need to keep extra (____) supplies at the bedside for trach patients.
30-60, 3, 10
Inner cannulas, same size or smaller size
Where can I document my assessment, bowel movements, and education.
I-View Cerner and/or progress notes to summarize.
Your orientee was on the phone crying. She left the job without informing anybody. What do you do?
Inform the Assistant Nurse Manager or escalate it to the nurse manager if ANM is not available.
The level describe the patterns or stages of recovery typically seen after a brain injury.
Rancho level
It means difficulty of swallowing
Dysphagia
Patient complains of dizziness, headache, nausea, and chest pain. As a PCT what do you do?
As a RN what do you do?
PCT: check vital signs, call the RN, get emesis basin, stay with patient.
RN: assess patient, call MD, obtain EKG, or call 911
Where can I find the code status of the patient?
I see my patient is DNR. How do I communicate that to the rehab team.
Cerner banner when patient's chart is open.
Purple DNR wrist band is required to be applied on patient.
Your orientee ask for resources/materials about central line dressing change. Where do you find these resources.
On the intranet. Lippincott procedures
a condition that emerges after a spinal cord injury, usually when the damage has occurred above the T6 level. Common symptoms are fast increase in blood pressure, bradycardia £ing headache .
Autonomic dysreflexia
Name the 5 program team at AHC rehab
CVA, Amputee, Ciirp, TBI, Spinal Cord
What is your follow up plan of care?
Warmth, swelling, tenderness/pain, induration, redness, and drainage.
Call MD, consult ID, apply dressing as guided by the simple wound care guideline, notify wound care RN if needed to manage drainage.
25%
You noticed that your orientee is always tardy. What would you do?
Coach the orientee about the tardiness policy. And notify the ANM or the manager.