I've Got You Covered
This stage of pressure injury presents as non-blanchable erythema of intact skin.
What is a Stage 1 pressure injury?
This external urinary device is commonly used for male patients to help reduce the risk of CAUTI.
What is a condom catheter?
This gauge IV catheter is commonly preferred for rapid fluid or blood administration.
What is an 18-gauge?
This number is dialed to get an overhead call for emergencies.
What is 177-7777?
This letter in SBAR stands for the patient's relevant history and clinical context.
What is Background?
Repositioning patients at risk for pressure injuries should generally occur at least this often.
What is every 2 hours?
What is removing the catheter as soon as it is no longer indicated?
This acronym refers to a central line inserted through a peripheral vein and advanced until the tip rests in a central vein.
The recommended compression rate during adult CPR is this many compressions per minute.
What is 100 to 120 compressions per minute?
A nurse is concerned about a patient but the vital signs remain within normal limits. The nurse should do this:
What is escalate the concern or notify the provider/ Rapid Response Team?
These four characteristics should be assessed and documented for every wound.
What are size/ depth, drainage/ odor, appearance of the wound bed/ tissue type, and surrounding skin?
To promote drainage and reduce infection risk, the urinary drainage bag should always be kept in relation to the bladder this way.
What is below the level of the bladder?
This intervention is considered the single most important way to prevent central line-associated bloodstream infections.
What is proper hand hygiene?
New confusion, increased work of breathing, and worsening vital signs are reasons to activate this emergency response.
What is a Rapid Response?
Before calling a provider, the nurse should gather this information.
What is the patient's current assessment findings, vital signs, pertinent labs, and relevant history?
This pressure injury stage involves full-thickness skin loss with visible adipose tissue but no exposed muscle, tendon, or bone.
What is a Stage 3 pressure injury?
Breaking this field during catheter insertion increases the patient's risk for infection.
What is sterile field?
Redness, swelling, pain, and coolness at an IV site may indicate this complication.
What is infiltration or extravasation?
This cardiac rhythm is commonly described as "shockable" during a code.
What is ventricular fibrillation/ pulseless ventricular tachycardia?
This communication technique requires the receiver to repeat back information to confirm understanding.
What is closed-loop communication?
This yellow, stringy tissue found in wounds may require debridement.
What is slough?
The best way to prevent a CAUTI is to avoid this intervention unless there is a clear clinical indication.
What is inserting an indwelling urinary catheter?
The best way to prevent a central line-associated bloodstream infection is to ask this question every day.
What is "Does this patient still need this line?"
During adult CPR, chest compressions should be performed to approximately this depth.
What is at least 2 inches (5cm)?
The most dangerous phrase in healthcare communication is often this.
What is "I'm sure it's probably nothing"?