Hand Hygiene
5 moments of performing HH
Before and after patient contact, after removal PPE, after contact with contaminated equipment, before preparing medication
Reason for swabbing medication vial each time it is accessed
So that you do not introduce bacteria
5 Rights of Medication Administration for safety
Right Patient, Medication, Dose, Route, Time
Two ways to identify your patient before obtaining a specimen
Verbally and Visually
Seated position
Back supported, feet flat and legs uncrossed
The 3 areas that are often missed in performing handwashing
Wrists, fingernails and webs of fingers
Keeping temperatures of frig/freezer within Hi/Low
To prevent bacteria from growing and keep integrity of meds intact
Documentation occurs at this time for NDC, Lot#, Exp Date, VIS date
ALWAYS before you prepare medication
Source and Laterality
Where the specimen is obtained from including what type of sample and the side of the body
Arm Position
Supported, palm up and at level of the heart
The Infectious Disease that requires you to use bleach and use soap and water
C-diff
Tool used to indicate safe time period for MDVs to be utilized after opening
Multidose Vial 28 Day Expiration Calculator
Times (4) to perform a Double Check
Calculating a dose, reconstituting, mixing or preparer not administering
After the specimen is obtained in the presence of the patient
When the specimen is labeled
Cuff placement
Aligned with brachial artery, correct size and 1 inch above the bend of the elbow
Scratch patient, interfere with activating needle safety, harbor bacteria, hurting patient while palpating pulses
Long or artificial fingernails
Reason to activate any safety with your thumb immediately after an injection
To prevent needle sticks and prevent exposure to a Blood Born Pathogen
Needle size for IM injection for women weighing >200#'s or male >260#'s
A 1.5-inch 25G needle
The safety step that is completed BEFORE a pathology/cytology is obtained
Time out
How high to pump the cuff
30 above recorded or stated BP or 160 if unknown.
Reason to not wear gloves all the time
Cross contamination
Only when needle is contaminated, bent or damaged
Reasons to switch needles after preparation
Site avoided by measuring 3 fingerbreadths below the bony prominence
Bursa
Three reasons the lab will destroy specimens
Labels do not match patient name, wrong container, wrong test
Three things that can cause an incorrect BP
Wrong size cuff, over clothing, legs crossed, full bladder, talking