Clinical
Patients who are NPO or on a clear liquid diet for more than _____ will be assessed for nutritional risk.
Three
The nurse who receives the critical value/test result will communicate to the physician/LIP within ______ of receiving the result
1 Hour
True or False: Chlorhexidine (CHG) Bathing is required for all patients?
True: Chlorhexidine (CHG) Bathing is required for all patients?
Exception would be known allergy.
What do you do when you see a patient using an item with a green tag?
You remove the tag because the tag indicates it is clean. If the tag is not removed there is risk for infection control/contamination.
Who can remove a Blood Band from a patient's arm?
Charge or Primary Nurse ONLY.
How do you determine the proper Hoyer Sling Size?
Refer to the tag on the Hoyer Sling and/or manufacturer guidelines.
Air Loss Mattress must be deemed medically necessary using the ____ _________.
Bed Algorithm
Patients will be assessed for fall risk factors upon admission, daily, change in clinical status, transfer to a new setting, and post fall using the ____ ____ _____.
Morse Fall Score
____ _____ are created to provide individualized patient care that is multidisciplinary, consistent, coordinated, and high quality.
Care Plans
Once Bed Bugs have been identified the patient will be placed in ________ _________.
Contact Precautions
Why is completing the Discharge to Community Form prior to patient time of Discharge expected?
This is the education the patient is provided with at time of discharge, this template is printed out and provided to the patient. If your section is blank, the patient has no education or information from your team.
You notice an unsecured oxygen tank, what actions do you need take?
1. Secure in holder, or pick up tank.
2. Check tank and place in appropriate storage closest (Full or Empty/Partial)
3. Notify RT that this was located, when it was found, and where it was found.
What does a green wrist band mean?
Nothing, the Green Banding process was eliminated in June 2025.
What teams are responsible for assessing and assigning GG Scores?
Nursing on Admission and Therapy on Evaluation.
Code Roles are assigned to the Nursing Team at the beginning of each shift, why?
To prevent distractions, delays or confusion. Code Situations need to have limited distractions with clearly defined roles for each staff member.
True or False: Leadership has an Administrator on Call 24/7 to problem solve and/or come to the hospital as needed.
True. Charge nurse has this calendar if this is after hours or on the weekends.
All patients are required to be showered/bathed ____ times per week.
3. This is a shared responsibility between therapy and nursing.
Can staff, caregivers, families or friends translate for patients?
No. We must use the Language Line for any patient whos preferred language is not English.
Who can call the provider for new orders?
Any clinical team member. Not just nursing the nursing department. This includes but is not limited to: PT, OT, ST, RD, RN, LPN, CM, RT.
True or False: Hydrocollators are cleaned once a month.
True. This is done per manufacturer guidelines, and PAM policy.
If a nurse or CNA is assisting a patient in the restroom but are needed somewhere else more urgently what is the process called when requesting another team assist?
The Tap Out Process. It is imperative that all Nurses, CNAs and Rehab Techs carry their walkie-talkies at all times. This provides everyone the ability to assist if requested and relieve another staff member so the patient will not be left in an unsafe situation.
True or False: DSC Stroke Program criteria admits patient's who have suffered a TIA (transient ischemic attack), Ischemic or Hemorrhagic Stroke within the last 24 months.
False. TIA is not a qualifying diagnosis. Only Ischemic or Hemorrhagic Strokes within 24 months are enrolled into the programs.
True or False: TED Hose and Abdominal Binders do not require a provider order.
False. This does require a provider order and may be contraindicated on some patients.
True or False: Oxygen can be placed on Oxygen without a provider order.
False. This requires a provider order, as well as notified to all Clinical Teams. If this is not reported it may cause a delay at time of discharge if home oxygen is newly required.
When assessing and scoring a patient 88 on GG scores, what else is required?
Detailed comment in comment section related to the reason this was not attempted. Comments should pertain to specific patient situation, status and safety.