Sugared up and nowhere to go...
This should be checked at least 15-30 minutes before administering prandial insulin
What is glucose level or blood sugar
Used to prevent patients from removing vital treatment interventions, like IVs, heart monitors, and dobhoff tubes.
Non-Violent Restraints (soft)
A blood draw that needs to be completed an hour before 3rd (renal) or 4th dose of vancomycin
Vanco Trough
Used to detect bacteria, fungi, or viruses in the blood. Also helpful in isolating the microorganism causing the blood infection.
Blood cultures
When an anti-Xa or PTT has resulted for a patient on Heparin, the nurse and pharmacist must do this before adjusting the dose
Collaborate: agree on the plan, not a pharmacist telling a nurse what to do.
This is the average amount of volume in a unit of RBCs
300-360ml
Given to treat blood sugar less than 60, and the patient can't tolerate PO to correct the hypoglycemia
D50 (Dextrose)
The time NON-VIOLENT(soft) restraints are re-evaluated and re-ordered daily throughout the hospital
0600
The Vanco trough helps the physician determine this
Vancomycin dosing
When removing the cap from a culture bottle, nurses must do this before collecting the blood
Swab the top of the culture bottles
When starting the code or RR narrator, completing this task allows you to select medications/interventions as "verbal" orders. Doing this step automatically populates the names for ordering and administering
Adding the attending/ code leader physician, nurse to the staff section
Initial timing of the vital signs after a blood product has started
15 minutes
Often used in hospitalized patients to treat high glucose levels instead of the usual dosage taken at home
Insulin Sliding Scale
Every 4 hours, this needs to be completed for VIOLENT restraints
A new physician order
To ensure the Vanco trough is drawn at the correct time, this needs to happen among the healthcare team- doctors, nurses, pharmacy, and phlebotomy
Communication
The two agents needed to cleanse and disinfect the skin and determine the sequence before blood cultures were obtained.
70% Alcohol swab, followed by chlorhexidine applicator
Two shockable rhythms during a code would be
V-Fib and V-tach
Blood must be infused within this time frame but not necessarily OVER this time frame
4 hours
It may be used if glycemic targets are unmet despite basal insulin. It is usually administered 5-10 minutes before meals.
What is fast-acting, rapid-acting insulin?
(Novolog, Regular, Humalog)
Blue for wrists and Red for ankles
Locked, or Violent restraints
Vancomycin can treat most bowel infections but is especially effective in treating this bowel infection
C-Diff
Before performing the blood culture draw, allow the cleansing agents to do this
Allow the solution to dry completely without fanning, wiping, or blowing
The type of defibrillator we have here at MFH: Monophasic or Biphasic
Biphasic
When the blood volume is calculated on the blood flowsheet
When the blood is completed, the volume populates based on the rate at which the blood was started and the timing of completion. Please don't insert volume twice.
A life-threatening complication of diabetes associated with hyperglycemia, ketosis, and metabolic acidosis
Diabetic Ketoacidosis (DKA)
Always choose this option in the flowsheet when initiating or re-initiating ALL restraints. It does not need to be used if the restraint has been sequential upon renewal.
START
Empiric antibiotic therapy is preferably administered within this time frame when treating sepsis.
One hour
Name the type of blood culture bottles and the sequence in which they should be drawn.
Aerobic, followed by Anaerobic
Max amount of joules on a biphasic defibrillator
200 joules
When blood is completed on the flowsheet, the next step is to
Right-click on the blue highlighted unit and select complete- OR- scan the blood when completed
The pancreas is no longer producing insulin. This should not be held even with poor oral intake or taking nothing by mouth.
Long-acting Basal insulin
Restraints should be added to this documentation for every patient in restraints—even if it is just for an hour. Hint: The Joint Commission killed us on this during our last survey.
The Care Plan
Formally known as "red man syndrome," this vancomycin infusion rash appears on the face, neck, trunk, and upper extremities. It is associated with this action when administering
Rapid infusion
How many different sites need to be used when obtaining blood cultures
2-3 sites. Each set of Blood cultures needs to be obtained from an alternative site
This is how often the BMAT must be documented for each nurse
Once a shift
This action needs to selected in the flowsheet when blood is finished
Completed