Pain: Is It Over Now?
We Will Be Sleeping
The Miracle Move On Drug
Mad Woman
Blank Space
100
Name two places to chart a pain assessment in Epic.
Triage, Flowsheets, Disposition
100
Name 2 places to chart the 5 minute assessments.
5 minute assessment & Intraprocedure assessment
100
What day does tenecteplase replace TPA?
August 5
100
This is the age to start suicide screening.
12
100
You speak the same language as the patient (not English). Are you a certified interpreter for this patient?
NO!
200
Give an example of a pain scale.
0-10, FLACC, CPOT, PAINAD (more)
200
You can stop the 5 minute assessments when the patient has met this.
Discharge criteria
200
What do you mix TNK with to reconstitute it?
Sterile water
200
Who initials the Safe Patient Room form?
Both sitters
200
This patient wants to discuss their healthcare options in what language.
Karen
300
This is the best time to chart a the first pain assessment for a patient who will need moderate sedation.
Triage
300
The patient who received parenteral or intranasal sedation can be discharged at this time after the last medication administration.
30 minutes
300
What is the maximum dose of TNK?
25mg/5mL
300
What is the process if the restraint does not match the order?
Talk to the provider and change the order or change the restraint to match the order
300
MSDS Sheets are here.
Swift Safety
400
Pain reassessment for an IV pain medication should be done at this time.
30 minutes
400
What is RASS?
Sedation scale
400
How do you administer TNK? (3 steps)
10mL flush before, push for 5 seconds, flush with 10mL after
400
Which flowsheet do you use to document the BH assessment?
BH Assessment
400
Clean sterile processing red bins are kept here.
Equipment Room
500
Name 4 parameters that should be included in the pain assessment.
1.Pain rating with appropriate pain scale
2.Pain location
3.Pain orientation/ radiation
4.Pain descriptors
5.Pain frequency
6.Pain onset
7.Clinical progression
8.Patient’s stated pain goal
9.Patient’s response to interventions
10.Your interventions for the patient
500
Name the 4 things that must be charted in the 5 minute assessment.
Vitals, Sedation, Pain, Heart rhythm
500
How often do you do neuro checks for the first 24 hours after TNK administration?
q 15min x2 hours, q 30min x6 hours, q 1 hour x16 hours
500
The RN assessment for nonviolent restraints must be charted this often.
every 2 hours
500
Do you have to chart in the transfusion reaction flowsheet if the patient did not have a reaction?
Yes