Restraints
This is the type of release used with a restraint
What is a quick-release slip knot
What is remedy cleansing spray
This mattress is used for what Braden Score (visual)
What is low air loss overlay or specialty bed from HillRom
You are completing a bath and notice a red rash under bilateral breasts. What interventions would you implement
What is cleanse with foaming cleanser and apply soothe and cool powder
This is the frequency of turns for a patient with a Braden of 18 or less.
What is Q2H and PRN
This is the minimum amount of time that rounding should occur with a patient who is restrained in nonviolent restraints
What is every 2 hours
What is hydraguard
This mattress is implemented for Braden score of 13-14 and as appropriate
What is waffle mattress overlay
What is if PCT report to RN. What is complete skin tear protocol- petroleum jelly, nonadherent and wrap with kerlix.
What is report to RN and document refusal
Name three alternative interventions to avoid the use of restraints.
What is optimize communication, address physical and psychological concerns or needs, encourage family presence, modifications to the environment, evaluate need for patient observer.
This product should be applied to nonintact perineum skin
What is petroleum jelly
What is turn every two hours, float heels, absorbent pad, shift weight in chair hourly, limit time in chair to two hours
After rolling a patient to their side, you find the patient has a black area on their left heel. What interventions would you implement.
What is if PCT report to RN and elevate heels. What is if RN report to Physician and obtain order for consult to ETRN.
What are ways to minimize friction or shear?
What is HOB 30 degrees or less, use lifting devices to move patient, elbow protectors as needed
This is considered the lease restrictive device
What product for open skin requires a providers order
What is calazime paste
What is Braden of 18 or less
After cleansing skin during peri-care you notice that there is an open, red area along the patient's coccyx. What are your next steps as a PCT?
Report to RN and turn patient, implement Nurse-Driven Skin Guidelines and cleanse with cleanser, apply petroleum jelly.
This is your role as a PCT in the skin care of a patient
What is notifying RN if new issues or changes in skin, daily bathing, use of skin care products, repositioning, elevation of heels, ensuring documentation to support PCT cares provided
What four patient needs are considered with each assessment
What is hydration, nutrition, toilet and discomfort
This is the frequency of cleansing skin exposed to moisture, urine or stool.
What is at least BID and with incontinence.
What is Braden of 12 or less.
Your patient needs a waffle mattress, and they need to get up to the chair. What do you need?
What is a chair cushion
These are things the RN would delegate to a PCT for a patient with a Braden Score of 14.
What is apply waffle mattress, chair cushion, turn patient every 2 hours, float heels of bed, use only one absorbent pad if needed, shift patient's weight in chair hourly, limit time in chair to two hours