HW 830 Medication Administration
RNs and Pharmacists may discontinue medications that have been weaned off after ___ hours with order mode “per protocol”
24
After IV/IM medication intervention reassessment shall take place approximately ___ minutes after administration.
30
A ____________ is defined as localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device. The injury can be present as intact skin or an open ulcer and may be painful.
Pressure Injury
_______ is a valid and reliable scales for assessing quality and depth of sedation in ICU patients.
RASS
True or False: Use tubing that has injection ports in conjunction with regional catheters to limit the risk of inadvertently administering a medication intended for IV injection into the site.
FALSE
In regards to block charting: A single note reflecting multiple titrated doses over no more than ___ hours may be entered in the medical record
4
________ is the most reliable indicator of pain presence and intensity and shall be utilized whenever possible.
Self Report
A _______ is defined as a breakdown in the protective function of the skin; the loss of continuity of epithelium, with or without loss of muscle, bone, tendons, or nerves following injury to the skin or underlying tissues or organs caused by surgery, a blow, a cut, chemicals, heat/cold, friction/shear force, pressure or as a result of disease, such as leg ulcers or carcinomas.
wound
Continuous IV Analgesia _____ ______ permitted following extubation
is not
___________ is defined as specific skin surface areas innervated by a single spinal nerve or group of nerves
Dermatomes
In the absence of severe deviation from the targeted therapeutic goal, it is acceptable for a nurse to respond within ___ minutes of a value above or below the specific parameter range.
15 minutes
Oral pain medication shall not be given sooner than every ___ hours, unless otherwise ordered by the LP.
4
Wounds present on admission, will be photographed when?
1.
2.
3.
On admission
When/if they deteriorate
Upon discharge or resolution
Document vital signs every _____ minutes during Spontaneous Respiratory Mechanics and SBT, then resume previous vital sign orders
15
A patient will always have _____ access when regional infusions are being administered.
IV
Infusions at a rate of zero for more than ___ hours shall only be reinitiated with a newly signed order by the prescriber
24
Injectable pain medications shall not be given sooner than every __ hours, unless otherwise ordered by the LP.
2
Wound photographs should include:
1.
2.
3.
4.
Ruler
Patient label
location
Date
___________ is a titratable sedation medication and is an exception and may be continued post extubation
Precedex
Monitor for signs and symptoms of complications including inadequate analgesia, hypotension and bradycardia, respiratory depression, nausea and vomiting, seizures or altered mental status. Nursing may stop the administration of analgesia / anesthesia if the patient exhibits symptomatic hypotension, or any signs of __________
LAST
Required Elements for Medication Titration Orders include these 6 elements
Medication name
Medication route
Starting dose
Titration Frequency and Increment
Max Dose
Objective Clinical end point (MAP, RASS, CPOT)
For PRN medications: Oral pain medication shall not be given sooner than ___ hours following an IV pain medication administration, unless otherwise ordered by the LP.
Injectable pain medication shall not be given sooner than ____ hours following an oral pain medication administration, unless otherwise ordered by the LP.
2 hours
4 hours
Hold the digital device approximately ____ inches from the wound, hold steady, and take picture directly in front of the center of the wound
18
Planned _________ is not a contraindication to following this guideline
surgery/procedure
Name 3 signs and symptoms of LAST
dizziness, tinnitus, dysphoria, circumoral numbness, metallic taste, agitation, seizures, confusion, auditory changes and dysrhythmias.