Terminology
Vitals
Skin and Wound
Falls
Medications
100
Something done every hour or two in the hospital.
What is Toileting, Environment, Movement, and Pain (TEMP) rounding?
100
96.9 to 100.9*F
What is a normal temperature?
100
A tool used to predict pressure risk and potential for skin breakdown.
What is the Braden Scale?
100
Things to consider for a fall risk patient (list 4)
What is low bed height, 2 side rails up, call light in reach, bed and chair alarms, skid free socks , bed locked, gait belt use, personal items in reach?
100
Before you leave your patient's room, you should do this.
What is watch the patient swallow their medications?
200
The team comes when you dial 5-4444.
What is the Rapid Response team?
200
The 6 vital signs that are monitored for each patient.
What are blood pressure, pulse, respirations, temperature, pulse ox, pain?
200
What is a Stage 2 Pressure Injury?
200
This device should be used when ambulating with a patient.
What is a gait belt?
200
This must never be left at the bedside.
What are medications?
300
This will drop the head of the bed down rapidly.
What is the CPR release lever?
300
The reading will be falsely elevated.
What is using a blood pressure cuff that is too small or too tight?
300
What is a Stage 4 Pressure Injury?
300
Four reasons why a patient may fall.
What are IV tubing, SCDs, Oxygen tubing, bed rails (either up or down), medications, being in an unfamiliar place, clutter on the floor, darkened room?
300
Something to avoid when administering medications.
What are phone calls, conversations with coworkers, traffic in the patient's room?
400
Elevated blood pressure.
What is hypertension?
400
Comfort measures for a temperature. (Name 2)
What is lowering the room temperature, remove excessive blankets, cool cloth to forehead or back of neck, increase oral fluids?
400
This will "fire" _____ if the score is below ____?
(2 answers)
What is a Best Practice Alert (BPA)? and What is less than or equal to 18?
400
Name 2 types of patients who are at a fall risk.
What is:
A confused patient
A patient who has recently (or within the last few months) fallen
A non-compliant (in asking for assistance in getting out of bed)?
400
Never override the electronic health record without reading these warnings.
What is a Best Practice Alert (BPA)?
500
Mitts, leathers, side rails, vests, wrist.
What are types of restraints?
500
If the extremity is below the heart while taking a blood pressure. . .
What is an elevated blood pressure reading?
500
Results from intense and/or prolonged pressure and sheer forces.
What is a Deep Tissue Injury?
500
This is filled out after a patient falls.
What is a Patient Safety Report (PSR)?
500
We typically think of the 5 (or 6) rights of medication administration. I can name 11. Can you?
Right Patient, Right Medication, Right Dose, Right Route, Right Time, Right Reason, Right Assessment, Right Education, Right to Refuse, Right Documentation, Right Evaluation