Uphill Mobilization
This "test" must be completed prior to first ambulation.
What is an Egress test
To help prevent SSIs, this hygiene task must be completed on pre-op hip fracture patients.
What is a CHG bath
Prior to mobilizing a total hip patient, you must check this MD order.
What are hip precautions
This item is most often forgotten at discharge.
The vital frequency for a post-op ortho patient.
What is baseline then Q 1hr x 1
Baseline=within 30 minutes
This conversation with the patient must take place prior to every mobility event. And must be documented.
What is a Safety Plan
This nutrition product is ordered for every hip fracture patient. This is evidence-based in healing.
What is Ensure+ High Protein
What two motions cannot be done simultaneously when following the Modified Hip Precautions.
When a patient has a significant amount of drainage in the canister. You should send this item home with the patient.
What is an extra canister.
A CMS assessment is completed how often on post-op ortho patients.
What is 4 hours
It is 1200, your Total Joint patient has arrived from PACU to the floor. What time must you ambulate the patient?
What is 1600
This is our expectation for when we take a high fall risk patient into the bathroom (hint: it's also required in policy)
What is to stay within arms reach
Activity guidelines:
Every 15-20 minutes of activity, the patient needs to rest for how long?
What is 1-2 hours
This is the purpose of Prevena therapy?
What is negative pressure therapy for closed incisions (not wounds). Promotes healing.
This is required when getting a post-surgical patient up for the first time.
2 people - one of which must be the RN to assess mobility, gait belt, and a walker
This type of activity needs to be performed within 24 hours of arrival to floor for a hip fracture patient.
What is weight-bearing activity
This block is used to alleviate pain and reduce use of narcotics.
What is an FI block
Fascia Illaca
Some type of mobility needs to take place how often?
What is every 1-2 hours while awake
Who are your resources for troubleshooting a Prevena?
Who is wound therapy, company rep, and clinical educator.
Double Jeopardy
This screening is completed on every patient. It determines difficulty in swallowing?
What is an aspiration screening
This test is performed to evaluate if the block has worn off enough to attempt mobilization.
What is a straight leg lift/quad test
Non-opioid pain relief, grouping cares, family at the bedside are interventions used to reduce this, a common post-op complication in the post-op hip fracture population.
What is delirium
Discharge patient education should include what?
What is
When charting a Prevena, you need to document in these two places in the flowsheets.
What is:
Incision-LDA
AND
Negative pressure wound therapy -wound
When a post-op patient's temperature is lower than 36 degrees, these interventions must be completed and documented in what time frame.
What is thermoregulation (warm blankets and/or bair hugger)
What is within 60 minutes of low temperature