Nursing Documentation
Computerized system our facility uses to chart patient information
What is CERNER?
When is it acceptable to use an abbreviation on a consent
What is never?
What it is called when you go into your patient's room for the first "get to know you"
What is Initial Sit Visit?
Toolbar used for scanning specimen label
What is Specimen Collection?
The normal cardiac rate of impulse from the Sinus Node (SA)
What is 60-100?
Day of the week set to perform and document line and dressing changes
What is Wednesday?
Type of consent that is given when a patient is given information and acknowledges understanding of a procedure
What is informed consent?
How often someone needs to round on each patient (at a minimum) per the board
What is every hour on days, every two hours on nights?
Where you should be when applying a specimen label
What is in the presence of the patient?
The part of the ECG tracing that correlates with the normal ventricular contraction
What is QRS?
Form which should be completed when a patient is admitted to your unit
What is admission data form?
When a signed consent is not required for a procedure
What is an emergency situation?
4 of the items that you update on the board
What are your name, the team on today, the date, medication pain scale, medications due, hourly rounding, the most important thing for that person, plan for the day?
Additional process steps necessary for collecting a blood bank specimen
What is apply a blood bank armband and add one of the stickers to the specimen in addition to the specimen label?
No relationship of the P wave with the QRS complex is characteristic of this rhythm
What is 3rd degree AV block, or complete heart block?
When is it acceptable for a signed consent to be changed
What is never
Along with medical information, this should be discussed during your initial sit visit
What is make a personal connection/Creation Health?
The key to preventing contamination of blood culture specimen during collection
What is proper skin cleaning: 30 seconds to saturate the sponge, 30 seconds to scrub and 30 seconds to air dry?
The cardiac muscle is doing this during the T-wave
This must be done and documented if the patient's Braden score is less than 18
What is 2 RN shift assessment/check?
This is required to obtain consent from a family member by telephone
What is a second witness?
The patient should be asked this prior to you leaving the patient's room
The phrase "Bring Your Good Veins Girls and Guys" can be a reminder for this
What is the correct order of drawing specimens?
What it's called when a pacer spike is occurring at a rate of 70 but the patient's heart rate is only 40
What is failure to capture?