Oh Nurse...
Is that me?
But did you document it?
A Day in the life
Where can that be found?
100
When you are doing the 0300 vital signs. The patient willingly gives you their arm, sticks out their finger and keeps their eyes closed.
When on nights what could LOC alert look like?
100
Chest Compressions
What is something I can do in a code?
100
Rover
What is the app I can use on the Zebra phone to document?
100
A patient with a foley catheter or a central line.
Who are the patients that must get CHG?
100
I am located near the dock and the code to my room is all 1111's.
Replacement Oxygen tanks
200
Patients who don't want to get up, patients who just had bariatric surgery, patients who are here for some sort of vaginal surgery, patients that have orders to ambulate.
What patients are not appropriate for external catheters?
200
Obtain a full set of vital signs and a blood glucose. Be available to get supplies for the team. Wait to be dismissed.
What is my role in a rapid response?
200
Changed daily and PRN
How often should linen and gowns be changed and documented?
200
Place a hat in the toilet and document the output in EPIC every four hours.
What is the action I should take to get accurate output?
200
The patient's name is highlighted red the indicator.
What does a confidential patient alert look like?
300
Verify with the nurse that the patient can remove telemetry and cover their IV first. Have the nurse obtain an order.
What should I do if the patient is on telemetry and wanting to shower?
300
Vital signs, ADL's, assisting with feeding, ambulating to the bathroom, observing that the room is safe and documenting safety checks every 15 minutes
What are roles and reasonability's of a safety watch/ constant observer?
300
Documented every 15 minutes.
What is how should I document for a safety watch or constant observation?
300
Apply tele patches, activate the box and contact CMU from the bedside.
What is setting up a patient on telemetry?
300
Raising the knees is a no-no for these folks
What are movement restrictions for patient with total knee or hip replacement?
400
Blood Glucose of 68 and not NPO
What is a treatable result?
400
When a patient you are assisting is suddenly undirect able, this is the action you should take when appropriate equipment is available, and you're directed by the nurse or physician to ensure everyone's safety.
When is it appropriate to apply restraints?
400
Zero every 4 hours.
What do you document for a patient that is NPO?
400
Apply gait belt. Sit up, watch for trunk control. Stand up, maintain control trunk control and monitor leg strength. Ask patient to march in place. If stable, step forward.
What is the Egress Test?
400
Not only can the patient not put pressure on that arm, but you cannot take blood pressures on the either because of.
What is a TR band precautions?
500
The Temp is 38C, BP is 90/60, HR 112, Respirations of 24 and O2 sat is 90% on room air.
Vital signs I need to alert my nurse of.
500
A Vancomycin delta result.
What is a critical lab result?
500
Have the patient lay down for 5 minutes then take their vital signs. Have/assist the patient sit up on side of bed and then take their vital signs. Apply a gait belt have/assist the patient to stand take the vital signs. Have the patient remain standing for 5 minutes then take the vital signs again.
What is the appropriate way to take orthostatic vital signs?
500
What is the button I push to send vital signs to Epic while in continuous mode?
500
Instruct patient to hold onto heart pillow with both arms, roll onto their side, kick their legs off the bed and use the draw sheet to assist the patient to an upright seated position.
What is how do I assist patients out of bed with sternal precautions?