Education Etc.
What does BEFAST stand for?
Balance, eyes (vision changes), face (facial droop), arms/legs (numbness or weakness), speech (slurred), and time (symptoms first started).
Name two patient identifiers
Name and MRN
How long do you scrub the hub?
15 seconds
When do you reassess pain assessment following intervention of pain medication?
within 1 hour
True or False: Care plan and education, a learning assessment is conducted and documented first.
True
How do you access interpreter services within medical center? Name at least 2.
Phone interpretation vendors (United Language Group and Language Line, video interpretation, department based Qualified Bilingual Staff, and units can contact Nursing Staffing Office to arrange of interpreter services.
How often do you change IV tubing for intermittent primary infusion or IVF
24 hours
What is code gray?
combative person
What do you do when you recognize patient have stroke symptoms (BEFAST)?
Call Neurologist by activating Tier 1 (323) 279-1000 within 10 minutes.
What is TIME OUT?
conducted by entire procedure team immediately prior to invasive procedure, intrathecal chemotherapy or surgery to validate right patient, right procedure, and right site
True or False: you need complete C-diff smart phrase prior to sending the specimen?
True
active shooter/assailant-run, hide, fight
Name at least 3 symptoms of sepsis
fever, tachycardia, weak pulse, elevated WBC, and shortness of breath
When do you perform 2 RN independent double check?
HAMP, chemotherapy, and blood transfusions.
Name at least two external collection devices for collecting urine instead of placing a foley catheter.
female and male purewick and condom cath
What do you do with patient's medications brought from home?
Ask family member to take medications home, if possible.
If not taken home, bring medications to the Inpatient Pharmacy storage. Inpt pharmacy staff will inventory medication and provide receipt for the patient.
Nurse will ensure the meds are retrieved from inpt pharmacy
Per policy, all Cystic Fibrosis patients shall be placed on what kind of isolation precautions?
What is the correct process for Critical Test Results reporting and documentation?
write critical care results down, read back, notify provider within 30 minutes, ask provider to repeat value back after notification, document in critical doc flowsheet
Name at least two indications for an indwelling urinary catheter?
HOUDINI criteria-hematuria, obstruction, urological surgery, decubitus ulcer (stage III and above), intake and output (for hemodynamically unstable patients), nursing end of life care, and immobility impacting elimination.
When do you assess patients for fall risk? Name at least 4