Restraint
Frequent re-orientation, sitter, medication evaluation, and distraction techniques are examples of this possible course of action are examples of?
What are alternatives to restraints?
Amount of time an order needs to be renewed for non-violent restraint.
What is daily?
The minimum time needed to wash your hands with soap and water after caring for this patient and/or before leaving the room.
What is 20 seconds?
Within 4 hours of admission, every shift, transfer from another unit/department and day of discharge.
What is a head-to-toe skin assessment by an RN?
To be administered ASAP, with goal to be within 1 hour of suspected sepsis.
What is an antibiotic?
If deemed necessary based on a Practitioner’s clinical judgement, which member of the clinical team can be present with a patient who is restrained for violent behaviors.
What is safety attendant?
Amount of time an order needs to be renewed for a violent restraint of an adult.
What is 4 hours?
(For adults age 18 and older)
Donning gown and gloves, washing hands with soap and water, and having dedicated equipment are all necessary for this type of isolation.
What is Enteric Contact Isolation/Precautions?
A head-to-toe skin assessment that must occur by 2 licensed clinicians within 4 hours of admission, upon discovery of suspected pressure injury, and when transferred from another unit/department.
What is "4 eyes on the skin"?
What do you do when a patient has suspected or known infection + 2 or more SIRS criteria.
What is initiate the sepsis resuscitation bundle?
Movements which threaten to disrupt medically necessary dressings or invasive medical equipment or the lack of understanding to comply with safety directions is a description of?
What is non-violent behavior justifying the use of restraints.
Timing for restraint orders to be received in an emergency situation.
What is as soon as possible after application?
Bristol Stool Classification of 7 describes?
What is the appropriate type of stool for testing? Conforms to the inside of specimen cup.
The name of the skin risk assessment performed.
What is The Braden Scale?
Labs that can be ordered STAT under the Sepsis Power Hour.
What is Lactic Acid, CBC with Diff, CMP, Blood Cultures X 2?
A sudden, violent, unexpected and aggressive outburst presenting an immediate and or serious danger to patient, safety of others, or the property of others is a description of?
What is violent behavior justifying the use of restraints.
Visual/Safety observation
Skin
Circulation, sensation and movement
Level of consciousness
Toilet offered
Fluid/Nourishment offered
Patient Response
What are all things that must be assessed and documented at least every 2 hours for a patient in non-violent restraints and at least every 1 hour in violent restraints?
In regards to testing for Cdiff, what is considered a hard stop in the EHR?
What is Laxatives taken in the past 48 hours?
Repositioning should occur when?
What is at least every 2 hours or more frequently based on patient condition and risk factors?
Communication through Cerner that patient is at risk of sepsis
What is a sepsis alert?
A release from non-violent restraint to address patient daily care needs is called?
What is a temporary release of restraints. (no new order is needed as long as you stay in the room).
What must be reported in adherence with CMS guidelines?
What is reporting a death in restraints?
Time frame for early testing for C-diff & isolation of symptomatic patients present on admission.
What is the first three days of admission (or before the 4th day)?
Pressure injury staging will be completed and documented by who?
What is the wound care clinician?
Coordinated response team called when patient has: Suspected infection with OR without 2 SIRS + acute organ dysfunction and missing sepsis bundle elements.
What is activate a Code Sepsis?