Ortho
Cardiac
Documentation
Patient Education
Infection Prevention
100

Post of spine patients should be taught this related to activity restrictions. 

What are not BLTs? 

100

The nurse does this when a patient complains of chest pain. 

ACT alert 

100

This is required to be completed in EPIC after a patient has fallen. 

What is the post fall note? 

100

You are caring for a newly diagnosed diabetic patient. The patient should be given this educational resource. 

What is the yellow Diabetes survival skills booklet? 

100

The single most important intervention for infection prevention. 

What is Hand Washing? 

200

Multi Modal Pain management includes these interventions. 

What is a combination of medications that have different mechanisms of action (NSAIDs, Narcotics, Muscle relaxers, etc.)

200

The patient is receiving PRN IVP Hydralazine. The patient will require what monitoring. 

Telemetry

BP taken prior to, immediately after and 15 minutes after administration of medication

200

Restraints require the RN to document clinical justification this often? 

What is q2hr? 

200

This resource is program on the patients television that the RN can assign patient specific videos for the patient to view. 

What is Sonifi? 

200

This is done on Wednesdays

What are IV, C-Line, PICC, Port dressing changes? 

300

This include no bending of the hip more than 90 degrees, no bending the torso more than 90 degrees no crossing of the legs, and no inversion of the surgical leg.  

What are posterior hip precautions? 

300

When this rhythm is seen on the monitor, the nurse should immediately assess the patient and call for help. 

What is V-tach? 

300

This is to be documented daily when the patient has a foley catheter. 

What is continuation criteria, catheter care, stabilizer in place? 
300

A patient with a diagnosis of COPD should be given this education upon admission to the unit and it should be reviewed with them daily. 

What is the COPD Zone Handout? 

300

This device should be removed as soon as it is no longer medically necessary. Several alternatives exist. 

What is a foley catheter? 

400

After joint replacement surgery, the goal is for the patient to go here. 

What is home with outpatient PT/OT? 

400

The rhythm seen here is sinus tachycardia. Three things that can cause this rhythm. 

ex: infection, activity, dehydration, pain 

400

This provides a quick overview of the shift and is a great communication tool with interdisciplinary team members. 

What is the end of shift note? 

400

What resource exists within EPIC to provide the nurse with written patient education? 

What is Healthwise? 

400

Your patient had surgery and will require this for the next 4 days. 

What is a CHG bath? 

500

The bulky Post Op dressing should be broken down at this time. 

In the morning of post op day 1

500

This rhythm is seen on the monitor. Upon assessment of the patient the patient has no pulse, the nurse does the following steps. 

Activates a code blue

immediately begins chest compressions

500

This is a legal record where the RN is to accurately depict the care they have provided to their patient. 

What is the chart/ medical record? 

500

Upon admission to the unit, patient should be educated on these processes. 

What are:

Hourly Rounding

Bedside Handoff

Ordering meals

Fall Prevention 


500

This needs to be opened/ updated when a patient is in isolation for an infection. 

What is the careplan and patient education tabs?