Policy & Procedure
Where on the WAVE do you look up a policy?
(PolicyStat)
Per urgent/emergent what can you order to accurately check a patient’s rhythm?
12-lead EKG
Name the 6 Medication rights
right patient, time, med, dose, route, documentation
Name one standardized form of communication nurses use
SBAR, teachback, CUS words, assertive, TwoQuestion challenge
What is the role of the nurse in informed consent
A witness, to ensure pt understands procedure
According to Policy, How often are you required to assess and chart a PIV?
q2 hours
Name 1 Pharmaceutical Interventions, per Urgent/Emergent NSP, to treat a patient with severe hypotension
infuse 250mL at TKO or Infuse 250mL-500mL bolus
Your patient left the floor & just went for a surgical intervention, what message do you expect will show up on your MAR?
MAR hold, Auto Held med
What does SBAR stand for
situation, background, assessment, recommendations
State that patient confidentiality law
HIPPA
Who creates our evidenced-based Policies & Procedures?
Nurses
In order to prevent CAUTI, Nurses may do this Intervention based on which NSP
Remove an indwelling catheter via the Urinary Catheter Discontinuation - Nursing Standardized Procedure
You have a question about IV compatibility, Who would you direct this question to?
Clinical Pharmacist
This type of communication is not what you say, but how you act
non-verbal
When using an interpreter for consents, what 2 factors should be written on the consent form
Interpreter name and ID code
If you have never placed a Foley catheter, and are unsure of how to do it. Which Policy would you look up?
Urinary Catheter Procedures: Insertion, Discontinuation, Care and Maintenance, Transportation; Use of Leg Bag, Bladder Irrigation, and Purewick
Name one Nursing Intervention, per NSP, to treat a Stage 2 Pressure Injury
Daily dressing change, Inzo, or Triad Dressing
Name two time-critical medications
Lasix, nimotop, potassium, parkinsons meds
This patient experience technique allows you to connect with your patients for a couple of minutes, just focusing on them rather than the reason they are in the hospital
two minute sit
How often do you require MRI contrast consents signed
For each MRI w/contrast ordered
According to Policy, what blood sugar is considered hypoglycemic and hyperglycemic?
<70 and >300
Your patient self-administered too much Ativan, per Urgent/Emergent NSP you can give which medication, what dosage, and how often
Flumazenil (Romazicon) 0.2 mg IV every 60 seconds up to 1 mg
State the 3 nursing interventions in the hypoglycemic algorithm for a awake patient with a blood sugar of 55
give oral sugar, recheck BS until >100, and notify MD
If you have questions on a Providers new order, and the Provider is sitting next to you; what do you do
You ask them what the heck they just wrote and why, and if there really is no other way
How often is the Morse Fall Score and the Post-Delivery Fall Assessment charted
q shift and after a fall